benefits.spaoa.org
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URL:
https://benefits.spaoa.org/e/27/0?destinationid
Submission: On November 08 via manual from US — Scanned from DE
Submission: On November 08 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form id="app" class="app netacy-footer">
<header class="header app__header">
<div class="logo header__logo">
<div class="media">
<div class="media__fig"><img src="public/logo.svg" alt="" class="logo__img"></div>
</div>
</div>
</header>
<div class="survey spaoa-survey netacy-survey survey__loaded">
<div class="survey__container">
<section class="flow survey__flow netacy-flow">
<div class="list flow__block-list">
<div class="block block--active">
<h2 class="block__title">
<p class="block_keyword"> Check to See Which Benefits & Resources Are Available In Your Area <br>
</p>
<div class="progressbar">
<progress value="1" max="10" class="block_progress tertiary"></progress>
<img class="progress_check" src="public/progress_check.png">
</div>
<p></p>
</h2>
<div class="list block__question-list">
<div class="question question--active" id="q-ASB8Z880_sfKJSxeNAZPW">
<h5 class="question__title">What is your housing status?</h5>
<div class="list question__subquestion-list question__subquestion-list--radio">
<div class="subquestion subquestion--dropdown">
<div class="subquestion__title">What is your housing status?</div>
<div class="dropdown field">
<label>What is your housing status?</label>
<div class="dropdown__container">
<select name="homeowner_status" id="homeowner_status" tabindex="0" required="">
<option disabled="true" selected="selected" hidden="true" value="">Click to choose:</option>
<option value="Renting">Renting</option>
<option value="Homeowner">Homeowner</option>
<option value="Homeless / Living in a shelter">Homeless / Living in a shelter</option>
<option value="Living with family / friend">Living with family / friend</option>
</select>
</div>
</div>
</div>
</div>
<div class="list question__answer-list question__answer-list--radio"><button class="answer_optin answer answer_default isNotAnswered answer_default--radio" data-value="spaoa-enrollment-housing-status--1" tabindex="0" type="submit">
<input type="radio" name="spaoa-enrollment-housing-status" class="visually-hidden" id="spaoa-enrollment-housing-status-1" tabindex="0">
<label for="spaoa-enrollment-housing-status-1">Next</label>
<i></i><span class="icon"><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;"
xml:space="preserve">
<g>
<g>
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</g>
<g>
<path class="st0"
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</path>
</g>
</g>
</svg></span></button></div>
</div>
<div class="question visually-hidden" id="q-_xrgvXK8b8q4Z01xLB0fm">
<h5 class="question__title">What is your employment status?</h5>
<div class="list question__subquestion-list question__subquestion-list--radio">
<div class="subquestion subquestion--dropdown">
<div class="subquestion__title">What is your employment status?</div>
<div class="dropdown field">
<label>What is your employment status?</label>
<div class="dropdown__container">
<select name="employment_status" id="employment_status" tabindex="0" required="">
<option disabled="true" selected="selected" hidden="true" value="">Click to choose:</option>
<option value="Employed for wages">Employed for wages</option>
<option value="Self-employed">Self-employed</option>
<option value="Out of work - looking for work">Out of work - looking for work</option>
<option value="Out of work - not currently looking for work">Out of work - not currently looking for work</option>
<option value="Homemaker">Homemaker</option>
<option value="Student">Student</option>
<option value="Military">Military</option>
<option value="Retired">Retired</option>
<option value="Unable to work">Unable to work</option>
</select>
</div>
</div>
</div>
</div>
<div class="list question__answer-list question__answer-list--radio"><button class="answer_optin answer answer_default isNotAnswered answer_default--radio" data-value="spaoa-enrollment-employment-status--1" tabindex="0" type="submit">
<input type="radio" name="spaoa-enrollment-employment-status" class="visually-hidden" id="spaoa-enrollment-employment-status-1" tabindex="0">
<label for="spaoa-enrollment-employment-status-1">Next</label>
<i></i><span class="icon"><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;"
xml:space="preserve">
<g>
<g>
<polygon class="st0" points="59.98,39.04 39.21,23.42 39.2,32.21 20.23,32.19 20.22,45.8 39.19,45.82 39.18,54.62 "></polygon>
</g>
<g>
<path class="st0"
d="M37.9,75.88C16.98,75.86-0.02,58.82,0,37.9C0.02,16.98,17.06-0.02,37.98,0C58.9,0.02,75.9,17.06,75.88,37.98 C75.86,58.9,58.82,75.9,37.9,75.88z M37.97,6.46C20.61,6.44,6.48,20.55,6.46,37.91C6.44,55.27,20.55,69.4,37.91,69.42 c17.36,0.02,31.49-14.09,31.51-31.45C69.43,20.61,55.33,6.48,37.97,6.46z">
</path>
</g>
</g>
</svg></span></button></div>
</div>
<div class="question visually-hidden" id="q-AanVe9pGCHJlLWgt9tkDF">
<h5 class="question__title">What is your marital status?</h5>
<div class="list question__subquestion-list question__subquestion-list--radio">
<div class="subquestion subquestion--dropdown">
<div class="subquestion__title">What is your marital status?</div>
<div class="dropdown field">
<label>What is your marital status?</label>
<div class="dropdown__container">
<select name="marital_status" id="marital_status" tabindex="0" required="">
<option disabled="true" selected="selected" hidden="true" value="">Click to choose:</option>
<option value="Single - never married">Single - never married</option>
<option value="Married or domestic partnership">Married or domestic partnership</option>
<option value="Widowed">Widowed</option>
<option value="Divorced">Divorced</option>
<option value="Separated">Separated</option>
</select>
</div>
</div>
</div>
</div>
<div class="list question__answer-list question__answer-list--radio"><button class="answer_optin answer answer_default isNotAnswered answer_default--radio" data-value="spaoa-enrollment-marital-status--1" tabindex="0" type="submit">
<input type="radio" name="spaoa-enrollment-marital-status" class="visually-hidden" id="spaoa-enrollment-marital-status-1" tabindex="0">
<label for="spaoa-enrollment-marital-status-1">Next</label>
<i></i><span class="icon"><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;"
xml:space="preserve">
<g>
<g>
<polygon class="st0" points="59.98,39.04 39.21,23.42 39.2,32.21 20.23,32.19 20.22,45.8 39.19,45.82 39.18,54.62 "></polygon>
</g>
<g>
<path class="st0"
d="M37.9,75.88C16.98,75.86-0.02,58.82,0,37.9C0.02,16.98,17.06-0.02,37.98,0C58.9,0.02,75.9,17.06,75.88,37.98 C75.86,58.9,58.82,75.9,37.9,75.88z M37.97,6.46C20.61,6.44,6.48,20.55,6.46,37.91C6.44,55.27,20.55,69.4,37.91,69.42 c17.36,0.02,31.49-14.09,31.51-31.45C69.43,20.61,55.33,6.48,37.97,6.46z">
</path>
</g>
</g>
</svg></span></button></div>
</div>
<div class="question visually-hidden" id="q-Z6ddw8ZaqZ-Qdm4L55igk">
<h5 class="question__title">What is your education level?</h5>
<div class="list question__subquestion-list question__subquestion-list--radio">
<div class="subquestion subquestion--dropdown">
<div class="subquestion__title">What is your education level</div>
<div class="dropdown field">
<label>What is your education level</label>
<div class="dropdown__container">
<select name="education_level" id="education_level" tabindex="0" required="">
<option disabled="true" selected="selected" hidden="true" value="">Click to choose:</option>
<option value="Did not graduate high school">Did not graduate high school</option>
<option value="High school diploma / GED">High school diploma / GED</option>
<option value="Some college completed">Some college completed</option>
<option value="Graduated college">Graduated college</option>
<option value="Graduate degree or above">Graduate degree or above</option>
</select>
</div>
</div>
</div>
</div>
<div class="list question__answer-list question__answer-list--radio"><button class="answer_optin answer answer_default isNotAnswered answer_default--radio" data-value="spaoa-enrollment-education-level--1" tabindex="0" type="submit">
<input type="radio" name="spaoa-enrollment-education-level" class="visually-hidden" id="spaoa-enrollment-education-level-1" tabindex="0">
<label for="spaoa-enrollment-education-level-1">Next</label>
<i></i><span class="icon"><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;"
xml:space="preserve">
<g>
<g>
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</g>
<g>
<path class="st0"
d="M37.9,75.88C16.98,75.86-0.02,58.82,0,37.9C0.02,16.98,17.06-0.02,37.98,0C58.9,0.02,75.9,17.06,75.88,37.98 C75.86,58.9,58.82,75.9,37.9,75.88z M37.97,6.46C20.61,6.44,6.48,20.55,6.46,37.91C6.44,55.27,20.55,69.4,37.91,69.42 c17.36,0.02,31.49-14.09,31.51-31.45C69.43,20.61,55.33,6.48,37.97,6.46z">
</path>
</g>
</g>
</svg></span></button></div>
</div>
<div class="question visually-hidden multi-answer" id="q-RuDgElz4En6erEy0DGAHJ">
<h5 class="question__title">What Is Your Gender?</h5>
<div class="list question__subquestion-list question__subquestion-list--radio"></div>
<div class="list question__answer-list question__answer-list--radio"><button class="answer_optin answer answer_default isNotAnswered answer_default--multianswer answer_default--radio" data-value="spaoa-enrollment-mother-father--m"
tabindex="0" type="submit">
<input type="radio" name="spaoa-enrollment-mother-father" class="visually-hidden" id="spaoa-enrollment-mother-father-m" tabindex="0">
<label for="spaoa-enrollment-mother-father-m">Male</label>
<i></i><span class="icon"><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;"
xml:space="preserve">
<g>
<g>
<polygon class="st0" points="59.98,39.04 39.21,23.42 39.2,32.21 20.23,32.19 20.22,45.8 39.19,45.82 39.18,54.62 "></polygon>
</g>
<g>
<path class="st0"
d="M37.9,75.88C16.98,75.86-0.02,58.82,0,37.9C0.02,16.98,17.06-0.02,37.98,0C58.9,0.02,75.9,17.06,75.88,37.98 C75.86,58.9,58.82,75.9,37.9,75.88z M37.97,6.46C20.61,6.44,6.48,20.55,6.46,37.91C6.44,55.27,20.55,69.4,37.91,69.42 c17.36,0.02,31.49-14.09,31.51-31.45C69.43,20.61,55.33,6.48,37.97,6.46z">
</path>
</g>
</g>
</svg></span></button><button class="answer_optin answer answer_default isNotAnswered answer_default--multianswer answer_default--radio" data-value="spaoa-enrollment-mother-father--f" tabindex="0" type="submit">
<input type="radio" name="spaoa-enrollment-mother-father" class="visually-hidden" id="spaoa-enrollment-mother-father-f" tabindex="0">
<label for="spaoa-enrollment-mother-father-f">Female</label>
<i></i><span class="icon"><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;"
xml:space="preserve">
<g>
<g>
<polygon class="st0" points="59.98,39.04 39.21,23.42 39.2,32.21 20.23,32.19 20.22,45.8 39.19,45.82 39.18,54.62 "></polygon>
</g>
<g>
<path class="st0"
d="M37.9,75.88C16.98,75.86-0.02,58.82,0,37.9C0.02,16.98,17.06-0.02,37.98,0C58.9,0.02,75.9,17.06,75.88,37.98 C75.86,58.9,58.82,75.9,37.9,75.88z M37.97,6.46C20.61,6.44,6.48,20.55,6.46,37.91C6.44,55.27,20.55,69.4,37.91,69.42 c17.36,0.02,31.49-14.09,31.51-31.45C69.43,20.61,55.33,6.48,37.97,6.46z">
</path>
</g>
</g>
</svg></span></button></div>
</div>
<div class="question visually-hidden question--fillin" id="q-uaFqVf7eXiEtu7GCPn7u3">
<h5 class="question__title">What is your Date Of Birth?</h5>
<div class="list question__subquestion-list question__subquestion-list--radio question__subquestion-list--date">
<div class="subquestion subquestion--date">
<div class="subquestion__title">Birthday</div>
<div class="field datefieldDob"><input type="tel" class="dob" id="dob" name="dob" placeholder="mm-dd-yyyy" maxlength="10" minlength="10" format="mm-dd-yyyy" pattern="[0-9+-]{10}" required=""></div>
</div>
</div>
<div class="question__footer">You must be 18 years or older to receive benefits.</div>
<div class="list question__answer-list question__answer-list--radio"><button class="answer_optin answer answer_default isNotAnswered answer_default--radio" data-value="spaoa-enrollment-birthdate-datepicker--Continue" tabindex="0"
type="submit">
<input type="radio" name="spaoa-enrollment-birthdate-datepicker" class="visually-hidden" id="spaoa-enrollment-birthdate-datepicker-continue" tabindex="0">
<label for="spaoa-enrollment-birthdate-datepicker-Continue">Continue</label>
<i></i><span class="icon"><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;"
xml:space="preserve">
<g>
<g>
<polygon class="st0" points="59.98,39.04 39.21,23.42 39.2,32.21 20.23,32.19 20.22,45.8 39.19,45.82 39.18,54.62 "></polygon>
</g>
<g>
<path class="st0"
d="M37.9,75.88C16.98,75.86-0.02,58.82,0,37.9C0.02,16.98,17.06-0.02,37.98,0C58.9,0.02,75.9,17.06,75.88,37.98 C75.86,58.9,58.82,75.9,37.9,75.88z M37.97,6.46C20.61,6.44,6.48,20.55,6.46,37.91C6.44,55.27,20.55,69.4,37.91,69.42 c17.36,0.02,31.49-14.09,31.51-31.45C69.43,20.61,55.33,6.48,37.97,6.46z">
</path>
</g>
</g>
</svg></span></button></div>
</div>
<div class="question visually-hidden question--fillin" id="q-qXsv8Cl8pmD72VsPz83Yo">
<h5 class="question__title">What is your name?</h5>
<div class="list question__subquestion-list question__subquestion-list--radio">
<div class="subquestion subquestion--textbox">
<div class="subquestion__title">First Name</div>
<div class="textbox field">
<label>First Name</label>
<div class="textbox__container">
<input type="text" name="first_name" id="first_name" placeholder="First Name" maxlength="" minlength="" title="" data-fieldtype="Textbox" tabindex="0" required="">
<span class="label first_name">First Name</span>
</div>
</div>
</div>
<div class="subquestion subquestion--textbox">
<div class="subquestion__title">Last Name</div>
<div class="textbox field">
<label>Last Name</label>
<div class="textbox__container">
<input type="text" name="last_name" id="last_name" placeholder="Last Name" maxlength="" minlength="" title="" data-fieldtype="Textbox" tabindex="0" required="">
<span class="label last_name">Last Name</span>
</div>
</div>
</div>
</div>
<div class="list question__answer-list question__answer-list--radio"><button class="answer_optin answer answer_default isNotAnswered answer_default--radio" data-value="spaoa-enrollment-name--1" tabindex="0" type="submit">
<input type="radio" name="spaoa-enrollment-name" class="visually-hidden" id="spaoa-enrollment-name-1" tabindex="0">
<label for="spaoa-enrollment-name-1">Next</label>
<i></i><span class="icon"><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;"
xml:space="preserve">
<g>
<g>
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</g>
<g>
<path class="st0"
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</path>
</g>
</g>
</svg></span></button></div>
</div>
<div class="question visually-hidden question--fillin" id="q-X8JP1p7NVJVQ8Ag3kYmM3">
<h5 class="question__title">What Is Your Phone Number?</h5>
<div class="list question__subquestion-list question__subquestion-list--dropdown question__subquestion-list--phone">
<div class="subquestion subquestion--phone subquestion--phone_first">
<div class="subquestion__title">Area</div>
<div class="phone field tel-area-code">
<div class="phone__container">
<span class="phone--start">1 + (</span>
<input type="tel" name="tel-area-code" id="phone1" placeholder="000" title="must be 3 digits" pattern="[0-9]{3}" maxlength="3" minlength="3" tabindex="0" required="">
<span class="phone--end">)</span>
</div>
</div>
</div>
<div class="subquestion subquestion--phone">
<div class="subquestion__title">Prefix</div>
<div class="phone field tel-local-prefix">
<div class="phone__container">
<input type="tel" name="tel-local-prefix" id="phone2" placeholder="000" title="must be 3 digits" pattern="[0-9]{3}" maxlength="3" minlength="3" tabindex="0" required=""> <span class="phone--end">-</span>
</div>
</div>
</div>
<div class="subquestion subquestion--phone">
<div class="subquestion__title">Entry</div>
<div class="phone field tel-local-suffix">
<div class="phone__container">
<input type="tel" name="tel-local-suffix" id="phone3" placeholder="0000" title="must be 4 digits" pattern="[0-9]{4}" maxlength="4" minlength="4" tabindex="0" required="">
</div>
</div>
</div>
</div>
<div class="question__footer">By checking the box below, I agree to receive text messages and/or telephone calls (including from an automated dialer) from Single Parents Alliance of America (SPAOA) and our
<a href="#" class="js-marketing-partners">Marketing Partners</a> regarding various offers, on the number I provided. Reply HELP at any time, or STOP to opt-out. Msg & Data rates may apply. Opt-in is not required to use SPAOA's
service.</div>
<div class="question__customBlock">
<section class="sms-optin">
<div class="field--sms-arrow"></div>
<div class="sms-optin__input">
<input type="checkbox" id="sms-optin" name="sms-optin">
<label for="sms-optin"> <span>I confirm</span></label>
</div>
<div class="sms-optin__label">
<label for="sms-optin"><strong>all my information is accurate</strong> and consent to be texted as provided above.</label>
</div>
</section>
</div>
<div class="list question__answer-list question__answer-list--dropdown"><button class="answer_optin answer answer_default isNotAnswered answer_default--dropdown" data-value="spaoa-enrollment-phone-number--1" tabindex="0"
type="submit">
<input type="radio" name="spaoa-enrollment-phone-number" class="visually-hidden" id="spaoa-enrollment-phone-number-1" tabindex="0">
<label for="spaoa-enrollment-phone-number-1">Next</label>
<i></i><span class="icon"><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;"
xml:space="preserve">
<g>
<g>
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</g>
<g>
<path class="st0"
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</path>
</g>
</g>
</svg></span></button></div>
</div>
<div class="question visually-hidden question--fillin" id="q-dcpfQkSIdWWg767I40WEK">
<h5 class="question__title">What is your address?</h5>
<div class="list question__subquestion-list question__subquestion-list--address">
<div class="subquestion subquestion--address">
<div class="subquestion__title">Address</div>
<div class="textbox field address">
<label>Address</label>
<div class="textbox__container">
<input type="text" name="address" id="address" placeholder="Street Address" maxlength="" minlength="" title="" data-fieldtype="Address" tabindex="0" required="">
<span class="label address">Street Address</span>
</div>
</div>
</div>
<div class="subquestion subquestion--address">
<div class="subquestion__title">City</div>
<div class="textbox field address">
<label>City</label>
<div class="textbox__container">
<input type="text" name="city" id="city" placeholder="City" maxlength="" minlength="" title="" data-fieldtype="Address" tabindex="0" required="" data-place="locality">
<span class="label city">City</span>
</div>
</div>
</div>
<div class="subquestion subquestion--dropdown">
<div class="subquestion__title">State</div>
<div class="dropdown field">
<label>State</label>
<div class="dropdown__container">
<select name="state" id="state" tabindex="0" data-place="administrative_area_level_1" required="">
<option disabled="true" selected="selected" hidden="true" value="">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="IA">Iowa</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</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="MO">Missouri</option>
<option value="MS">Mississippi</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="Oklahoma">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>
</div>
</div>
</div>
<div class="subquestion subquestion--address">
<div class="subquestion__title">Zip</div>
<div class="textbox field address">
<label>Zip</label>
<div class="textbox__container">
<input type="text" name="zip" id="zip" placeholder="Zip Code" maxlength="5" minlength="5" title="" pattern="[0-9]{5}" data-fieldtype="Address" tabindex="0" required="" data-place="postal_code">
<span class="label zip">Zip Code</span>
</div>
</div>
</div>
</div>
<div class="list question__answer-list question__answer-list--address"><button class="answer_optin answer answer_default isNotAnswered answer_default--address" data-value="spaoa-enrollment-address--null" tabindex="0" type="submit">
<input type="radio" name="spaoa-enrollment-address" class="visually-hidden" id="spaoa-enrollment-address-null" tabindex="0">
<label for="spaoa-enrollment-address-null">Next</label>
<i></i><span class="icon"><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;"
xml:space="preserve">
<g>
<g>
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<g>
<path class="st0"
d="M37.9,75.88C16.98,75.86-0.02,58.82,0,37.9C0.02,16.98,17.06-0.02,37.98,0C58.9,0.02,75.9,17.06,75.88,37.98 C75.86,58.9,58.82,75.9,37.9,75.88z M37.97,6.46C20.61,6.44,6.48,20.55,6.46,37.91C6.44,55.27,20.55,69.4,37.91,69.42 c17.36,0.02,31.49-14.09,31.51-31.45C69.43,20.61,55.33,6.48,37.97,6.46z">
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</g>
</g>
</svg></span></button></div>
</div>
<div class="question visually-hidden question--fillin" id="q-zi0RnMa-tYZjvVx0HmMJn">
<h5 class="question__title"><u><font color="#feac00">Last Step:</font></u> What is your email?</h5>
<div class="list question__subquestion-list question__subquestion-list--radio">
<div class="subquestion subquestion--textbox subquestion--email">
<div class="subquestion__title">Email</div>
<div class="textbox field field--email">
<label>Email</label>
<div class="textbox__container">
<input type="email" name="email" id="email" placeholder="Example: myemail@gmail.com" maxlength="" minlength="" title="Please type your email address in the format name@example.com"
pattern="[a-zA-Z0-9._%+-]+@[a-zA-Z0-9.-]+\.[a-zA-Z]{2,63}$" data-fieldtype="Textbox" tabindex="0" required="">
<span class="label email">Example: myemail@gmail.com</span>
<input class="email__suggestion">
</div>
</div>
</div>
<div class="subquestion subquestion--hidden">
<div class="subquestion__title">Opt In</div>
<div class="textbox field">
<input type="hidden" name="opt_in" id="opt_in" value="true" required="">
</div>
</div>
</div>
<div class="question__footer">By clicking "View Benefits" I agree to receive emails from SPAOA and acknowledge that I have received and agree to the terms of the <a target="_blank" href="https://spaoa.org/privacy">Privacy Policy</a>
and <a target="_blank" href="https://spaoa.org/terms">Terms and Conditions</a>. For more information about SPAOA and how we use your information please see our Privacy Policy.</div>
<div class="list question__answer-list question__answer-list--radio"><button class="answer_optin answer answer_hostandpost isNotAnswered" data-value="spaoa-enrollment-email-auto-optin--1" tabindex="0" type="submit"> View Benefits
<i></i><span class="icon"><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;"
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<g>
<g>
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<g>
<path class="st0"
d="M37.9,75.88C16.98,75.86-0.02,58.82,0,37.9C0.02,16.98,17.06-0.02,37.98,0C58.9,0.02,75.9,17.06,75.88,37.98 C75.86,58.9,58.82,75.9,37.9,75.88z M37.97,6.46C20.61,6.44,6.48,20.55,6.46,37.91C6.44,55.27,20.55,69.4,37.91,69.42 c17.36,0.02,31.49-14.09,31.51-31.45C69.43,20.61,55.33,6.48,37.97,6.46z">
</path>
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</g>
</svg></span></button></div>
</div>
</div>
</div>
<div class="block visually-hidden">
<h2 class="block__title">
<p class="block_keyword"> M16 - Rapid Fire - SPAOA<br>
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</h2>
<div class="list block__question-list">
<div class="question visually-hidden" id="q-LgxOxKLSBKDuiegDlKIqW">
<h5 class="question__title">672 - Citizens Disability - National Disability</h5>
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<i></i><span class="icon"><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;"
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<g>
<g>
<polygon class="st0" points="59.98,39.04 39.21,23.42 39.2,32.21 20.23,32.19 20.22,45.8 39.19,45.82 39.18,54.62 "></polygon>
</g>
<g>
<path class="st0"
d="M37.9,75.88C16.98,75.86-0.02,58.82,0,37.9C0.02,16.98,17.06-0.02,37.98,0C58.9,0.02,75.9,17.06,75.88,37.98 C75.86,58.9,58.82,75.9,37.9,75.88z M37.97,6.46C20.61,6.44,6.48,20.55,6.46,37.91C6.44,55.27,20.55,69.4,37.91,69.42 c17.36,0.02,31.49-14.09,31.51-31.45C69.43,20.61,55.33,6.48,37.97,6.46z">
</path>
</g>
</g>
</svg></span></button></div>
</div>
<div class="question visually-hidden" id="q-RmqyCVAP8lnR1nM-j3I9a">
<h5 class="question__title">695 - Popular Market - CBS</h5>
<div class="list question__subquestion-list question__subquestion-list--hidden"></div>
<div class="list question__answer-list question__answer-list--hidden"><button class="answer_optin answer answer_hostandpost isNotAnswered" data-value="pop_market_cbs--null" tabindex="0" type="submit"> null <i></i><span
class="icon"><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;"
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<g>
<g>
<polygon class="st0" points="59.98,39.04 39.21,23.42 39.2,32.21 20.23,32.19 20.22,45.8 39.19,45.82 39.18,54.62 "></polygon>
</g>
<g>
<path class="st0"
d="M37.9,75.88C16.98,75.86-0.02,58.82,0,37.9C0.02,16.98,17.06-0.02,37.98,0C58.9,0.02,75.9,17.06,75.88,37.98 C75.86,58.9,58.82,75.9,37.9,75.88z M37.97,6.46C20.61,6.44,6.48,20.55,6.46,37.91C6.44,55.27,20.55,69.4,37.91,69.42 c17.36,0.02,31.49-14.09,31.51-31.45C69.43,20.61,55.33,6.48,37.97,6.46z">
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</g>
</svg></span></button></div>
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<div class="question visually-hidden" id="q--KCK6NZ5sZUqPbCY-bFJU">
<h5 class="question__title">908 - Popular Marketing - SMS</h5>
<div class="list question__subquestion-list question__subquestion-list--hidden"></div>
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xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;" xml:space="preserve">
<g>
<g>
<polygon class="st0" points="59.98,39.04 39.21,23.42 39.2,32.21 20.23,32.19 20.22,45.8 39.19,45.82 39.18,54.62 "></polygon>
</g>
<g>
<path class="st0"
d="M37.9,75.88C16.98,75.86-0.02,58.82,0,37.9C0.02,16.98,17.06-0.02,37.98,0C58.9,0.02,75.9,17.06,75.88,37.98 C75.86,58.9,58.82,75.9,37.9,75.88z M37.97,6.46C20.61,6.44,6.48,20.55,6.46,37.91C6.44,55.27,20.55,69.4,37.91,69.42 c17.36,0.02,31.49-14.09,31.51-31.45C69.43,20.61,55.33,6.48,37.97,6.46z">
</path>
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</g>
</svg></span></button></div>
</div>
<div class="question visually-hidden" id="q-rIFT2JX7eI950dT6hxAWx">
<h5 class="question__title">707 - Results Generation</h5>
<div class="list question__subquestion-list question__subquestion-list--hidden"></div>
<div class="list question__answer-list question__answer-list--hidden"><button class="answer_optin answer answer_hostandpost isNotAnswered" data-value="res_gen--null" tabindex="0" type="submit"> null <i></i><span class="icon"><svg
xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;" xml:space="preserve">
<g>
<g>
<polygon class="st0" points="59.98,39.04 39.21,23.42 39.2,32.21 20.23,32.19 20.22,45.8 39.19,45.82 39.18,54.62 "></polygon>
</g>
<g>
<path class="st0"
d="M37.9,75.88C16.98,75.86-0.02,58.82,0,37.9C0.02,16.98,17.06-0.02,37.98,0C58.9,0.02,75.9,17.06,75.88,37.98 C75.86,58.9,58.82,75.9,37.9,75.88z M37.97,6.46C20.61,6.44,6.48,20.55,6.46,37.91C6.44,55.27,20.55,69.4,37.91,69.42 c17.36,0.02,31.49-14.09,31.51-31.45C69.43,20.61,55.33,6.48,37.97,6.46z">
</path>
</g>
</g>
</svg></span></button></div>
</div>
<div class="question visually-hidden" id="q-zaPI7vnOlGIJWok6VvbYk">
<h5 class="question__title">769 - Creekview - PLM General Data Feed</h5>
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<div class="list question__answer-list question__answer-list--hidden"><button class="answer_optin answer answer_hostandpost isNotAnswered" data-value="creekview_plm_gen--null" tabindex="0" type="submit"> null <i></i><span
class="icon"><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;"
xml:space="preserve">
<g>
<g>
<polygon class="st0" points="59.98,39.04 39.21,23.42 39.2,32.21 20.23,32.19 20.22,45.8 39.19,45.82 39.18,54.62 "></polygon>
</g>
<g>
<path class="st0"
d="M37.9,75.88C16.98,75.86-0.02,58.82,0,37.9C0.02,16.98,17.06-0.02,37.98,0C58.9,0.02,75.9,17.06,75.88,37.98 C75.86,58.9,58.82,75.9,37.9,75.88z M37.97,6.46C20.61,6.44,6.48,20.55,6.46,37.91C6.44,55.27,20.55,69.4,37.91,69.42 c17.36,0.02,31.49-14.09,31.51-31.45C69.43,20.61,55.33,6.48,37.97,6.46z">
</path>
</g>
</g>
</svg></span></button></div>
</div>
<div class="question visually-hidden" id="q-eedRgie016K2V2J5aoQlL">
<h5 class="question__title">789 - Popular Marketing - CBS 56+</h5>
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<div class="list question__answer-list question__answer-list--hidden"><button class="answer_optin answer answer_hostandpost isNotAnswered" data-value="pop_mkt_cbs--null" tabindex="0" type="submit"> null <i></i><span class="icon"><svg
xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;" xml:space="preserve">
<g>
<g>
<polygon class="st0" points="59.98,39.04 39.21,23.42 39.2,32.21 20.23,32.19 20.22,45.8 39.19,45.82 39.18,54.62 "></polygon>
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<g>
<path class="st0"
d="M37.9,75.88C16.98,75.86-0.02,58.82,0,37.9C0.02,16.98,17.06-0.02,37.98,0C58.9,0.02,75.9,17.06,75.88,37.98 C75.86,58.9,58.82,75.9,37.9,75.88z M37.97,6.46C20.61,6.44,6.48,20.55,6.46,37.91C6.44,55.27,20.55,69.4,37.91,69.42 c17.36,0.02,31.49-14.09,31.51-31.45C69.43,20.61,55.33,6.48,37.97,6.46z">
</path>
</g>
</g>
</svg></span></button></div>
</div>
<div class="question visually-hidden" id="q-SrTywTZ8pAiiaJ7NRZoI2">
<h5 class="question__title">840 - Creekview - General Data Feed 55+</h5>
<div class="list question__subquestion-list question__subquestion-list--hidden"></div>
<div class="list question__answer-list question__answer-list--hidden"><button class="answer_optin answer answer_hostandpost isNotAnswered" data-value="creekview-gen-df--null" tabindex="0" type="submit"> null <i></i><span
class="icon"><svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;"
xml:space="preserve">
<g>
<g>
<polygon class="st0" points="59.98,39.04 39.21,23.42 39.2,32.21 20.23,32.19 20.22,45.8 39.19,45.82 39.18,54.62 "></polygon>
</g>
<g>
<path class="st0"
d="M37.9,75.88C16.98,75.86-0.02,58.82,0,37.9C0.02,16.98,17.06-0.02,37.98,0C58.9,0.02,75.9,17.06,75.88,37.98 C75.86,58.9,58.82,75.9,37.9,75.88z M37.97,6.46C20.61,6.44,6.48,20.55,6.46,37.91C6.44,55.27,20.55,69.4,37.91,69.42 c17.36,0.02,31.49-14.09,31.51-31.45C69.43,20.61,55.33,6.48,37.97,6.46z">
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</g>
</svg></span></button></div>
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<div class="question visually-hidden" id="q-_mM9h4pmQML1z_0jfBWAI">
<h5 class="question__title">865 - NetSpend - Wax</h5>
<div class="list question__subquestion-list question__subquestion-list--hidden"></div>
<div class="list question__answer-list question__answer-list--hidden"><button class="answer_optin answer answer_hostandpost isNotAnswered" data-value="netspnd_wax--null" tabindex="0" type="submit"> null <i></i><span class="icon"><svg
xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" version="1.1" id="Layer_1" x="0px" y="0px" viewBox="0 0 75.88 75.88" style="enable-background:new 0 0 75.88 75.88;" xml:space="preserve">
<g>
<g>
<polygon class="st0" points="59.98,39.04 39.21,23.42 39.2,32.21 20.23,32.19 20.22,45.8 39.19,45.82 39.18,54.62 "></polygon>
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<g>
<path class="st0"
d="M37.9,75.88C16.98,75.86-0.02,58.82,0,37.9C0.02,16.98,17.06-0.02,37.98,0C58.9,0.02,75.9,17.06,75.88,37.98 C75.86,58.9,58.82,75.9,37.9,75.88z M37.97,6.46C20.61,6.44,6.48,20.55,6.46,37.91C6.44,55.27,20.55,69.4,37.91,69.42 c17.36,0.02,31.49-14.09,31.51-31.45C69.43,20.61,55.33,6.48,37.97,6.46z">
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</g>
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<div class="question visually-hidden" id="q-KyJF5fG0NivbI_e0qIP1H">
<h5 class="question__title">976 - Notify AI External ID Data</h5>
<div class="list question__subquestion-list question__subquestion-list--hidden"></div>
<div class="list question__answer-list question__answer-list--hidden"><button data-value="notifyAI_external--null" tabindex="0" type="submit" class="answer answer_default answer--isNotOptin answer_default--hidden">
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CHECK TO SEE WHICH BENEFITS & RESOURCES ARE AVAILABLE IN YOUR AREA WHAT IS YOUR HOUSING STATUS? What is your housing status? What is your housing status? Click to choose:RentingHomeownerHomeless / Living in a shelterLiving with family / friend Next WHAT IS YOUR EMPLOYMENT STATUS? What is your employment status? What is your employment status? Click to choose:Employed for wagesSelf-employedOut of work - looking for workOut of work - not currently looking for workHomemakerStudentMilitaryRetiredUnable to work Next WHAT IS YOUR MARITAL STATUS? What is your marital status? What is your marital status? Click to choose:Single - never marriedMarried or domestic partnershipWidowedDivorcedSeparated Next WHAT IS YOUR EDUCATION LEVEL? What is your education level What is your education level Click to choose:Did not graduate high schoolHigh school diploma / GEDSome college completedGraduated collegeGraduate degree or above Next WHAT IS YOUR GENDER? Male Female WHAT IS YOUR DATE OF BIRTH? 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View Benefits M16 - RAPID FIRE - SPAOA 672 - CITIZENS DISABILITY - NATIONAL DISABILITY null 695 - POPULAR MARKET - CBS null 908 - POPULAR MARKETING - SMS null 707 - RESULTS GENERATION null 769 - CREEKVIEW - PLM GENERAL DATA FEED null 789 - POPULAR MARKETING - CBS 56+ null 840 - CREEKVIEW - GENERAL DATA FEED 55+ null 865 - NETSPEND - WAX null 976 - NOTIFY AI EXTERNAL ID DATA null 1104 - PUSHNAMI SMS null SPAOA - Single Parents Alliance of America (spaoa.org) is a privately held for profit entity. spaoa.org has no affiliation or relationship (financial or otherwise) with any political party, government agency, or any other outside group or persons. We pay our operating costs through our advertising revenue. Furthermore, spaoa.org is not affiliated with or endorsed by the U.S. Department of Education. We urge you not to pay any products that you can get for free elsewhere. 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Coral Media Solutions, I Dial U, MyDegree LLC, OmniResearch, StudentDebtHelper, Tax Hardship Center LLC, National Disability, Citizens Disability, Disability Advisor, Grand Alliance Assets, Raccoon Media Ou, Digital Marketing Lead Solutions Ltd, Global Digital Revenue LLC, Payoff Pilot, Heard and Smith, Ridgeville Entities LLC, RJ Publishing, Hosting Response LLC, Media Devoted, ApS, TD Edge Media, DS Prospecting, DSN Information, Jacob Group Marketing, Help Advisors, Lifeline Screening, Protege Digital LLC, Green Acres, LLC, Hearing Better Now, Vivid Hear, Request Results, eLocal, American Hope Resources (AHR), Single Parents Alliance of America (SPAOA), Alliance Tax Advocate, All Work Travel Company, Purple Dog Marketing, LLC, Alliance Advisors, Health Alliance, Support Alliance, Insider Referral Services, Signal-vault.com, Citizens Disability, National Disability, Disability Advisor, Heard and Smith, Advocator Group, Premier Disability, Citizen’s Disability, Ad Heavens - ADH, Claim Your Benefits, Email Magic LLC, Integrity Marketing Group & its subsidiaries, aisms.io, Boost Health, iLawLeads, Progrexion Marketing, Inc., Advertising inc, Hero Warranty, American Auto Care, National Auto Protection, Omigos Group LLC, Conversion Kings, Iconic Results, American Disability Helpline, JMJ Ads Inc, Insurance Guide, Medical Support Group, Health Support, Gerber Life, Grand Caribbean Cruises, Grand Bahama Cruises, Platinum Medical Supplies, Integrity orthopedic supplies, Royal Med Supplies, Pushnami LLC, Rise Up Medical Supplies, AZ Diabetic Supply, Festive Health, Back Pain Discount Club, Disability Help, Your Help HQ, Perfect Legal Match, Complete Home Services, Consumer Awareness, New Moon Sport Fishing, Airworx Air Conditioning & Refrigeration, Inc., A-1 Wash, Inc, All American Pool Safety Fence Co., Berkley's Gourmet BBQ, Emma Js BBQ, Palm Beach Bakery, Mails Scandi ApS, sixteen media, ltd, Online Insurance Solutions, 21st Century, Allstate, All Web Leads, American Family, Amica, Charity Guide, Farm Bureau, Farmers, LCN, Liberty Mutual, MAPFRE, Nationwide, Plymouth Rock, Progressive, Safeco, Select Quote, Solid Quote, State Farm, The General, United States Disability, American Disability, The Hartford, The Lead Company, Travelers, Tri-State Consumer Insurance, USAA, Get Loan (GTLN), Concussion Media, Delivery Associates Online, LLC, Otis Productions, LLC, Greenfield Advantage, LLC, RegenxRx Skin Solutions, Cheri's Styling Studio, Max Healthcare Services, Automotive Service Center, Auto Care Warranties, Centurion, Core Home Security, Customer Engagement Services, Senior Care USA, Vercy Tax, SouthTrust Group, Auto Warranty Finders, Final Expense Direct, Top Offers, Adzio LLC, Ennovate Media LLC, Synergy Credit Services, Quest Health Solutions, Complete Home Services, Insurance Guide, Home Support Group, Medicals Support Group, Grand Caribbean Cruises, Infinity One, Support First, Pain Center, Senior Support, GreenChem Industries (GCI), United Advisors, Estore National USA, National Debt Helpers, USA Travel Club, Hardship Aid, US Solar Savings, 100 Insure and Medicare Benefits Review Hotline, United Advisors, Ace Ace Group Fz, Mobile Response Ou, Patrick Hockey Development, The-Solar-Project & its partners at (www.localsolarclients.com), New Strata, TrialSearch, Medicare Finder