apply.fisherserviceaward.org
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2600:9000:2140:b600:1f:ec53:7b00:93a1
Public Scan
Submitted URL: http://apply.fisherserviceaward.org/
Effective URL: https://apply.fisherserviceaward.org/
Submission: On February 15 via api from IE — Scanned from US
Effective URL: https://apply.fisherserviceaward.org/
Submission: On February 15 via api from IE — Scanned from US
Form analysis
2 forms found in the DOM#
<form role="form" action="#">
<div class="input-combo email"><label class="" for="input-58ea032ce6c71229d133da071b660f01">Email Address</label><input class="" type="email" id="input-58ea032ce6c71229d133da071b660f01" maxlength="128" required="" autocomplete="username"
data-field="" value=""></div>
<div class="input-combo password"><label class="" for="input-ab2482392817aa4e61a2c9e9a885f03e">Password</label><input class="" type="password" id="input-ab2482392817aa4e61a2c9e9a885f03e" maxlength="128" required="" autocomplete="current-password"
data-field="" value=""></div><input type="submit" class="btn-primary" value="Log In">
<p>Forgot your password or want to change it? <a href="/forgot-password">Reset it now</a></p>
</form>
#
<form role="form" action="#" id="new-account-form">
<div class="name-block">
<div class="input-combo first-name"><label class="" for="input-de28bd6c574b39359beb59192b579121">First Name</label><input class="" type="text" id="input-de28bd6c574b39359beb59192b579121" maxlength="128" required="" data-field="" value=""></div>
<div class="input-combo mi"><label class="" for="input-fa5a48d981a7e7b80fb6afad9d9dcde1">MI</label><input class="" type="text" id="input-fa5a48d981a7e7b80fb6afad9d9dcde1" maxlength="1" data-field="" value=""></div>
<div class="input-combo last-name"><label class="" for="input-90181b2ffe66750d34c9dbda4c3f6ceb">Last Name</label><input class="" type="text" id="input-90181b2ffe66750d34c9dbda4c3f6ceb" maxlength="128" required="" data-field="" value=""></div>
</div>
<div class="input-combo email"><label class="" for="input-1ccbf31502bf46aba5566d53f9c40e1c">Email Address</label><input class="" type="email" id="input-1ccbf31502bf46aba5566d53f9c40e1c" maxlength="128" required="" autocomplete="username"
data-field="" value=""></div>
<div class="input-combo password"><label class="" for="input-e8add0c8fc6faf9f95987b875f3d1429">Password</label><input class="" type="password" id="input-e8add0c8fc6faf9f95987b875f3d1429" maxlength="128" required="" autocomplete="new-password"
data-field="" value=""></div>
<div class="input-combo password"><label class="" for="input-9656210150651e04da95aeccb7b3b16a">Confirm Password</label><input class="" type="password" id="input-9656210150651e04da95aeccb7b3b16a" maxlength="128" required=""
autocomplete="new-password" data-field="" value=""></div>
<div class="recaptcha">
<div>
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6Lec5_YjAAAAAAXGiJpRfhsnvhRQKR3SLBhv285Z&co=aHR0cHM6Ly9hcHBseS5maXNoZXJzZXJ2aWNlYXdhcmQub3JnOjQ0Mw..&hl=en&type=image&v=O4xzMiFqEvA4YhWjk5t8Xuas&theme=light&size=normal&badge=bottomright&cb=yh45u5mxifn"
width="304" height="78" role="presentation" name="a-dey6xvqgsejb" frameborder="0" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe>
</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
</div><input type="submit" class="btn-primary" value="Submit">
</form>
Text Content
FISHER SERVICE AWARD WELCOME TO THE 2023 FISHER SERVICE AWARD APPLICATION PORTAL! All users must create a new user account. Even if you have applied in previous years. Each award cycle, we erase all data resetting our application portal, so your information will not be found. There are three parts to the application, which you can complete in any order you choose. You may return at any time to modify your application before the application period closes on Thursday, March 23, 2023, at 9:00 PM EST. Once the closing date has passed, no more modifications can be made — there are no exemptions or exceptions to this deadline. Remember, your organization must be a not-for-profit organization as defined in Section 501(c) of the Internal Revenue Service Code. Please visit the Fisher Service Award webpage to learn more about eligibility requirements, and to review our frequently asked questions. LOG IN Email Address Password Forgot your password or want to change it? Reset it now Create a new user account First Name MI Last Name Email Address Password Confirm Password DATA GOVERNANCE POLICY Information collected from award applicants is intended only for the use of Fisher House/Fisher Service Award to evaluate applicants and may contain confidential and/or privileged material. Any review, re-transmission, dissemination, or other use of this information by persons or entities other than Fisher House/Fisher Service Award is prohibited. DATA GOVERNANCE PROCEDURES * Only information necessary for evaluating applications and analyzing usage should be collected from applicants. * Review all information collected from applicants to ensure no unnecessary sensitive information is stored and maintained. * Password protect all databases and limit administrative access to Fisher Service Award and Confluent Design staff * Do not send exported data or databases to external parties (other than Confluent Design for troubleshooting bugs/glitches in the online system.) * When asked for information regarding Fisher Service Award, do not provide access to the database. * Fisher Service Award may only provide general statistics (i.e. number of applicants, number of awards, applicant categories, etc.) as it relates to the award program. * Do not export reports with applicant information or save a copy of the database on personal drives/computers. Fisher Service Award