www.uagc.edu
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urlscan Pro
104.18.9.43
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URL:
https://www.uagc.edu/
Submission: On September 30 via manual from US — Scanned from DE
Submission: On September 30 via manual from US — Scanned from DE
Form analysis 9 forms found in the DOM
POST /
<form
class="webform-submission-form webform-submission-add-form webform-submission-lead-flow-system-cta-form webform-submission-lead-flow-system-cta-add-form webform-submission-lead-flow-system-cta-node-29066-form webform-submission-lead-flow-system-cta-node-29066-add-form"
data-drupal-selector="webform-submission-lead-flow-system-cta-node-29066-add-form-2" action="/" method="post" id="webform-submission-lead-flow-system-cta-node-29066-add-form--2" accept-charset="UTF-8"
data-drupal-form-fields="edit-state--5,edit-college-of-interest--5,edit-clientdegreeid--5,edit-registerednurse-yes--5,edit-registerednurse-no--5,edit-actions-submit--5">
<div data-drupal-selector="edit-interest-information" id="edit-interest-information--5" class="js-form-wrapper form-wrapper">
<div class="js-form-item form-item js-form-type-select form-item-state js-form-item-state">
<label for="edit-state--5" class="js-form-required form-required">State</label>
<select data-drupal-selector="edit-state" id="edit-state--5" name="state" class="form-select required" required="required" aria-required="true">
<option value="" selected="selected">Select a 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="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="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="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>
<option value="AA">Armed Forces Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="GU">Guam</option>
<option value="MP">Northern Mariana Islands</option>
<option value="VI">Virgin Islands</option>
<option value="OC">Ontario, Canada</option>
</select>
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-select form-item-college-of-interest js-form-item-college-of-interest">
<label for="edit-college-of-interest--5" class="js-form-required form-required">Area of Interest</label>
<select data-drupal-selector="edit-college-of-interest" id="edit-college-of-interest--5" name="college_of_interest" class="form-select required" required="required" aria-required="true">
<option value="" selected="">Select Your Degree</option>
</select>
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-select form-item-clientdegreeid js-form-item-clientdegreeid">
<label for="edit-clientdegreeid--5" class="js-form-required form-required">Select Your Degree</label>
<select data-drupal-selector="edit-clientdegreeid" id="edit-clientdegreeid--5" name="clientdegreeid" class="form-select required" required="required" aria-required="true">
<option value="" selected="">Select Your Degree</option>
</select>
<span class="input-outline"></span>
</div>
<fieldset data-drupal-selector="edit-registerednurse" id="edit-registerednurse--5--wrapper"
class="radios--wrapper fieldgroup form-composite webform-composite-visible-title js-webform-type-radios webform-type-radios js-form-item form-item js-form-wrapper form-wrapper">
<legend>
<span class="fieldset-legend">Are you currently a licensed RN?</span>
</legend>
<div class="fieldset-wrapper">
<div id="edit-registerednurse--5" class="js-webform-radios webform-options-display-side-by-side">
<div class="js-form-item form-item js-form-type-radio form-item-registerednurse js-form-item-registerednurse">
<input data-drupal-selector="edit-registerednurse-yes-5" type="radio" id="edit-registerednurse-yes--5" name="registerednurse" value="Yes" class="form-radio">
<label for="edit-registerednurse-yes--5" class="option">Yes</label>
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-radio form-item-registerednurse js-form-item-registerednurse">
<input data-drupal-selector="edit-registerednurse-no-5" type="radio" id="edit-registerednurse-no--5" name="registerednurse" value="No" class="form-radio">
<label for="edit-registerednurse-no--5" class="option">No</label>
<span class="input-outline"></span>
</div>
</div>
</div>
</fieldset>
<div class="form-item validation-message validation-message--error js-registerednurse-validation-message js-webform-states-hidden js-form-wrapper form-wrapper" data-drupal-selector="edit-registerednurse-validation-message-container"
data-drupal-states="{"visible":{".webform-submission-lead-flow-system-cta-node-29066-add-form :input[name=\u0022registerednurse\u0022]":{"value":"No"}}}"
id="edit-registerednurse-validation-message-container--5" style="display: none;">
<div id="edit-registerednurse-validation-message--5" class="js-form-item form-item js-form-type-processed-text form-item- js-form-item- form-no-label">
<p>This program requires you to be a current licensed registered nurse. Please check out other programs to reach your education goals such as the BA in Health and Wellness.</p>
<span class="input-outline"></span>
</div>
</div>
</div>
<div data-drupal-selector="edit-marketing" id="edit-marketing--5" class="js-form-wrapper form-wrapper"><input data-drupal-selector="edit-referrer" type="hidden" name="referrer" value="">
<input data-drupal-selector="edit-originpage" type="hidden" name="originpage" value="https://www.uagc.edu/">
</div>
<div data-drupal-selector="edit-actions" class="form-actions webform-actions js-form-wrapper form-wrapper" id="edit-actions--10"><button class="form-submit--substitute js-form-submit" type="submit">Next <span>Step 1 of 2</span></button><input
class="webform-button--submit button button--primary js-form-submit form-submit" data-drupal-selector="edit-actions-submit-5" type="submit" id="edit-actions-submit--5" name="op" value="Submit"
data-drupal-states="{"disabled":[{"form#webform-submission-lead-flow-system-cta-node-29066-add-form:input[name=\u0022clientdegreeid\u0022]":{"value":1818},"form#webform-submission-lead-flow-system-cta-node-29066-add-form:input[name=\u0022registerednurse\u0022]":{"value":null}},{"form#webform-submission-lead-flow-system-cta-node-29066-add-form :input[name=\u0022clientdegreeid\u0022]":{"value":1818},"form#webform-submission-lead-flow-system-cta-node-29066-add-form :input[name=\u0022registerednurse\u0022]":{"value":"No"}},{"form#webform-submission-lead-flow-system-cta-node-29066-add-form :input[name=\u0022state\u0022]":{"value":"MA"}}]}"
style="display: none;">
</div>
<input autocomplete="off" data-drupal-selector="form-1girsknr6p3ni2f0rjmp9qfgnzji5ajpvjydrqmwuxy" type="hidden" name="form_build_id" value="form-1giRsknr6P3Ni2F0rjMP9qfgNzjI5aJpVJydRqmwUxY">
<input data-drupal-selector="edit-webform-submission-lead-flow-system-cta-node-29066-add-form-2" type="hidden" name="form_id" value="webform_submission_lead_flow_system_cta_node_29066_add_form">
</form>GET /search/node
<form action="/search/node" method="get" id="custom-search-block-form" accept-charset="UTF-8" class="main-nav__search-form" data-drupal-form-fields="edit-keys-mobile">
<label for="edit-keys" class="visually-hidden">Search this site</label>
<input title="Enter the terms you wish to search for." class="main-nav__search-form-input custom_search-keys form-search" type="search" id="edit-keys-mobile" name="keys" value="" size="15" maxlength="128" data-id="custom_search_form"
autocomplete="off" placeholder="Search Our School">
<button type="submit" value="Search" class="main-nav__search-form-button" aria-label="search"></button>
</form>GET /search/node
<form action="/search/node" method="get" id="custom-search-block-form-main" accept-charset="UTF-8" data-drupal-form-fields="edit-keys" class="site-header__search-form js-site-search">
<div class="js-form-item form-item js-form-type-search form-item-keys js-form-item-keys form-no-label site-header__search-controls">
<label for="edit-keys-mobile" class="visually-hidden">Search this site</label>
<input title="Enter the terms you wish to search for." class="custom_search-keys form-search form-autocomplete ui-autocomplete-input js-search-form-input" data-drupal-selector="edit-keys" type="search" id="edit-keys" name="keys" value=""
size="15" maxlength="128" data-id="custom_search_form" autocomplete="off" placeholder="Search our school">
</div>
<input autocomplete="off" data-drupal-selector="form-zsarllkm8iqcsxxwwlo7cqxnxgkdsmnlrm-hri2mjps" type="hidden" name="form_build_id" value="form-zSarLLKM8iqcsXxWwLO7cqxNXGKdsMnLRm_hrI2MJPs">
<input data-drupal-selector="edit-custom-search-block-form-main" type="hidden" name="form_id" value="custom_search_block_form">
<button class="site-header__search-close js-search-close" type="button" aria-label="close"></button>
<div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper site-header__search-submit-container">
<button data-drupal-selector="edit-submit" type="submit" id="edit-submit--2" value="Search" class="button js-form-submit form-submit" aria-label="search"></button>
</div>
<ul tabindex="0" class="ui-menu ui-widget ui-widget-content ui-autocomplete ui-front site-header__search-results" data-sa-theme="minimal" style="display: none;">
</ul>
<ul id="ui-id-1" tabindex="0" class="ui-menu ui-widget ui-widget-content ui-autocomplete ui-front" data-sa-theme="minimal" style="display: none;"></ul>
</form>POST /
<form
class="webform-submission-form webform-submission-add-form webform-submission-lead-flow-system-cta-form webform-submission-lead-flow-system-cta-add-form webform-submission-lead-flow-system-cta-node-29066-form webform-submission-lead-flow-system-cta-node-29066-add-form"
data-drupal-selector="webform-submission-lead-flow-system-cta-node-29066-add-form" action="/" method="post" id="webform-submission-lead-flow-system-cta-node-29066-add-form" accept-charset="UTF-8"
data-drupal-form-fields="edit-state,edit-college-of-interest,edit-clientdegreeid,edit-registerednurse-yes,edit-registerednurse-no,edit-actions-submit">
<div data-drupal-selector="edit-interest-information" id="edit-interest-information" class="js-form-wrapper form-wrapper">
<div class="js-form-item form-item js-form-type-select form-item-state js-form-item-state">
<label for="edit-state" class="js-form-required form-required">State</label>
<select data-drupal-selector="edit-state" id="edit-state" name="state" class="form-select required" required="required" aria-required="true">
<option value="" selected="selected">Please Select</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="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="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="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>
<option value="AA">Armed Forces Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="GU">Guam</option>
<option value="MP">Northern Mariana Islands</option>
<option value="VI">Virgin Islands</option>
<option value="OC">Ontario, Canada</option>
</select>
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-select form-item-college-of-interest js-form-item-college-of-interest">
<label for="edit-college-of-interest" class="js-form-required form-required">Area of Interest</label>
<select data-drupal-selector="edit-college-of-interest" id="edit-college-of-interest" name="college_of_interest" class="form-select required" required="required" aria-required="true">
<option value="" selected="">Please Select</option>
</select>
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-select form-item-clientdegreeid js-form-item-clientdegreeid">
<label for="edit-clientdegreeid" class="js-form-required form-required">Select Your Degree</label>
<select data-drupal-selector="edit-clientdegreeid" id="edit-clientdegreeid" name="clientdegreeid" class="form-select required" required="required" aria-required="true">
<option value="" selected="">Please Select</option>
</select>
<span class="input-outline"></span>
</div>
<fieldset data-drupal-selector="edit-registerednurse" id="edit-registerednurse--wrapper"
class="radios--wrapper fieldgroup form-composite webform-composite-visible-title js-webform-type-radios webform-type-radios js-form-item form-item js-form-wrapper form-wrapper">
<legend>
<span class="fieldset-legend">Are you currently a licensed RN?</span>
</legend>
<div class="fieldset-wrapper">
<div id="edit-registerednurse" class="js-webform-radios webform-options-display-side-by-side">
<div class="js-form-item form-item js-form-type-radio form-item-registerednurse js-form-item-registerednurse">
<input data-drupal-selector="edit-registerednurse-yes" type="radio" id="edit-registerednurse-yes" name="registerednurse" value="Yes" class="form-radio">
<label for="edit-registerednurse-yes" class="option">Yes</label>
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-radio form-item-registerednurse js-form-item-registerednurse">
<input data-drupal-selector="edit-registerednurse-no" type="radio" id="edit-registerednurse-no" name="registerednurse" value="No" class="form-radio">
<label for="edit-registerednurse-no" class="option">No</label>
<span class="input-outline"></span>
</div>
</div>
</div>
</fieldset>
<div class="form-item validation-message validation-message--error js-registerednurse-validation-message js-webform-states-hidden js-form-wrapper form-wrapper" data-drupal-selector="edit-registerednurse-validation-message-container"
data-drupal-states="{"visible":{".webform-submission-lead-flow-system-cta-node-29066-add-form :input[name=\u0022registerednurse\u0022]":{"value":"No"}}}"
id="edit-registerednurse-validation-message-container" style="display: none;">
<div id="edit-registerednurse-validation-message" class="js-form-item form-item js-form-type-processed-text form-item- js-form-item- form-no-label">
<p>This program requires you to be a current licensed registered nurse. Please check out other programs to reach your education goals such as the BA in Health and Wellness.</p>
<span class="input-outline"></span>
</div>
</div>
</div>
<div data-drupal-selector="edit-marketing" id="edit-marketing" class="js-form-wrapper form-wrapper"><input data-drupal-selector="edit-referrer" type="hidden" name="referrer" value="">
<input data-drupal-selector="edit-originpage" type="hidden" name="originpage" value="https://www.uagc.edu/">
</div>
<div data-drupal-selector="edit-actions" class="form-actions webform-actions js-form-wrapper form-wrapper" id="edit-actions"><button class="form-submit--substitute js-form-submit" type="submit">Next <span>Step 1 of 2</span></button><input
class="webform-button--submit button button--primary js-form-submit form-submit" data-drupal-selector="edit-actions-submit" type="submit" id="edit-actions-submit" name="op" value="Submit"
data-drupal-states="{"disabled":[{"form#webform-submission-lead-flow-system-cta-node-29066-add-form:input[name=\u0022clientdegreeid\u0022]":{"value":1818},"form#webform-submission-lead-flow-system-cta-node-29066-add-form:input[name=\u0022registerednurse\u0022]":{"value":null}},{"form#webform-submission-lead-flow-system-cta-node-29066-add-form :input[name=\u0022clientdegreeid\u0022]":{"value":1818},"form#webform-submission-lead-flow-system-cta-node-29066-add-form :input[name=\u0022registerednurse\u0022]":{"value":"No"}},{"form#webform-submission-lead-flow-system-cta-node-29066-add-form :input[name=\u0022state\u0022]":{"value":"MA"}}]}"
style="display: none;">
</div>
<input autocomplete="off" data-drupal-selector="form-dtoldds0r7boluezjlkvm8ncwopo1kkxgzhg9jvjmqq" type="hidden" name="form_build_id" value="form-dTolDDS0R7BOLuEZjLKvm8ncwOPO1kKXGzhG9jVJMQQ">
<input data-drupal-selector="edit-webform-submission-lead-flow-system-cta-node-29066-add-form" type="hidden" name="form_id" value="webform_submission_lead_flow_system_cta_node_29066_add_form">
</form>POST /
<form
class="webform-submission-form webform-submission-add-form webform-submission-footer-request-information-form webform-submission-footer-request-information-add-form webform-submission-footer-request-information-node-29066-form webform-submission-footer-request-information-node-29066-add-form"
data-drupal-selector="webform-submission-footer-request-information-node-29066-add-form" action="/" method="post" id="webform-submission-footer-request-information-node-29066-add-form" accept-charset="UTF-8"
data-drupal-form-fields="edit-firstname,edit-lastname,edit-phone1--2,edit-emailaddress--2,edit-state--2,edit-college-of-interest--2,edit-clientdegreeid--2,edit-registerednurse-yes--2,edit-registerednurse-no--2,edit-actions-submit--2">
<div data-drupal-selector="edit-preface" id="edit-preface" class="js-form-wrapper form-wrapper">
<div class="ASHRET-737__title js-form-item form-item js-form-type-processed-text form-item- js-form-item- form-no-label" id="edit-title">
<p class="text-align-center">Your Education Begins Here</p>
<span class="input-outline"></span>
</div>
</div>
<div class="ASHRET-737__contact-information js-form-wrapper form-wrapper" data-drupal-selector="edit-contact-information" id="edit-contact-information--2">
<div class="js-form-item form-item js-form-type-textfield form-item-firstname js-form-item-firstname">
<label for="edit-firstname" class="js-form-required form-required">First Name</label>
<input data-drupal-selector="edit-firstname" type="text" id="edit-firstname" name="firstname" value="" size="60" maxlength="50" class="form-text required" required="required" aria-required="true">
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-textfield form-item-lastname js-form-item-lastname">
<label for="edit-lastname" class="js-form-required form-required">Last Name</label>
<input data-drupal-selector="edit-lastname" type="text" id="edit-lastname" name="lastname" value="" size="60" maxlength="50" class="form-text required" required="required" aria-required="true">
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-tel form-item-phone1 js-form-item-phone1">
<label for="edit-phone1--2" class="js-form-required form-required">Phone</label>
<input pattern="^(?!(([1,2,3,4,5,6,8,9,0])\2{9}))(?!((1234567890|0987654321)))((\(?\d{3}\)?([\s.-])?\d{3}[\s.-]\d{4})|(\d{10}))$" data-drupal-selector="edit-phone1" type="tel" id="edit-phone1--2" name="phone1" value="" size="30" maxlength="30"
class="form-tel required" required="required" aria-required="true">
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-email form-item-emailaddress js-form-item-emailaddress">
<label for="edit-emailaddress--2" class="js-form-required form-required">Email</label>
<input data-drupal-selector="edit-emailaddress" type="email" id="edit-emailaddress--2" name="emailaddress" value="" size="60" maxlength="100" class="form-email required" required="required" aria-required="true">
<span class="input-outline"></span>
</div>
</div>
<div class="ASHRET-737__interest-information js-form-wrapper form-wrapper" data-drupal-selector="edit-interest-information" id="edit-interest-information--2">
<div class="js-form-item form-item js-form-type-select form-item-state js-form-item-state">
<label for="edit-state--2" class="js-form-required form-required">State</label>
<select data-drupal-selector="edit-state" id="edit-state--2" name="state" class="form-select required" required="required" aria-required="true">
<option value="" selected="selected">Please Select</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="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="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="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>
<option value="AA">Armed Forces Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="GU">Guam</option>
<option value="MP">Northern Mariana Islands</option>
<option value="VI">Virgin Islands</option>
<option value="OC">Ontario, Canada</option>
</select>
<span class="input-outline"></span>
</div>
<div style="display:none;" class="form-item validation-message validation-message--error js-state-validation-message js-form-wrapper form-wrapper" data-drupal-selector="edit-state-validation-message-container"
id="edit-state-validation-message-container">
<div id="edit-state-validation-message" class="js-form-item form-item js-form-type-processed-text form-item- js-form-item- form-no-label">
<p>Programs currently not available in this state.</p>
<span class="input-outline"></span>
</div>
</div>
<div class="js-form-item form-item js-form-type-select form-item-college-of-interest js-form-item-college-of-interest">
<label for="edit-college-of-interest--2" class="js-form-required form-required">Area of Interest</label>
<select data-drupal-selector="edit-college-of-interest" id="edit-college-of-interest--2" name="college_of_interest" class="form-select required" required="required" aria-required="true">
<option value="" selected="selected">Please Select</option>
<option value="0">Accounting & Finance</option>
<option value="1">Business</option>
<option value="2">Communications</option>
<option value="3">Criminal Justice</option>
<option value="4">Education</option>
<option value="5">Health Care</option>
<option value="6">Information Technology</option>
<option value="7">Liberal Arts</option>
<option value="8">Political Science</option>
<option value="9">Social & Behavioral Science</option>
<option value="10">Undecided</option>
</select>
<span class="input-outline"></span>
</div>
<div class="ASHRET-737__flex-wrapper js-form-wrapper form-wrapper" data-drupal-selector="edit-flex-wrapper" id="edit-flex-wrapper">
<div class="js-form-item form-item js-form-type-select form-item-clientdegreeid js-form-item-clientdegreeid" style="display: none;">
<label for="edit-clientdegreeid--2" class="js-form-required form-required">Select Your Degree</label>
<select data-drupal-selector="edit-clientdegreeid" id="edit-clientdegreeid--2" name="clientdegreeid" class="form-select required" required="required" aria-required="true">
<option value="" selected="selected">Please Select</option>
<option value="1295">AA in Early Childhood Education</option>
<option value="1298">BA in Accounting</option>
<option value="1300">BA in Applied Behavioral Science</option>
<option value="1302">BA in Business Administration</option>
<option value="1304">BA in Business Information Systems</option>
<option value="1305">BA in Business Leadership</option>
<option value="1306">BA in Child Development</option>
<option value="1312">BA in Early Childhood Education</option>
<option value="1313">BA in Early Childhood Education Administration</option>
<option value="1315">BA in Education Studies</option>
<option value="1321">BA in Finance</option>
<option value="1323">BA in Health and Human Services</option>
<option value="1325">BA in Health Care Administration</option>
<option value="1331">BA in Homeland Security and Emergency Management</option>
<option value="1332">BA in Human Resources Management</option>
<option value="1333">BA in Instructional Design</option>
<option value="1337">BA in Liberal Arts</option>
<option value="1340">BA in Operations Management and Analysis</option>
<option value="1341">BA in Organizational Management</option>
<option value="1343">BA in Project Management</option>
<option value="1344">BA in Psychology</option>
<option value="1349">BA in Social and Criminal Justice</option>
<option value="1351">BA in Sociology</option>
<option value="1681">BS in Health Information Management</option>
<option value="1818">BS in Nursing (RN to BSN)</option>
<option value="1355">MA in Education</option>
<option value="1370">MA in Health Care Administration</option>
<option value="1371">MA in Organizational Management</option>
<option value="1689">MA in Psychology</option>
<option value="1817">MA in Special Education</option>
<option value="1694">Master of Science in Criminal Justice</option>
<option value="1688">Ma Accountancy</option>
<option value="1373">Master of Business Administration: Online MBA</option>
<option value="1840">Master of Information Systems Management (MSIM)</option>
<option value="1841">Master of Human Resources Management</option>
<option value="1846">MA in Early Childhood Education Leadership</option>
<option value="1845">MS in Instructional Design & Technology</option>
<option value="1847">Master of Public Health (MPH)</option>
<option value="1848">BS in Information Technology</option>
<option value="1849">BA in Early Childhood Development with Differentiated Instruction</option>
<option value="1850">BA in Marketing</option>
<option value="1859">BS in Computer Software Technology</option>
<option value="1853">MS in Finance</option>
<option value="1890">MA in Human Services</option>
<option value="1886">Doctor of Philosophy in Education</option>
<option value="1887">Doctor of Philosophy in Human Services</option>
<option value="1889">Doctor of Psychology</option>
<option value="1888">PhD in Organizational Development and Leadership</option>
<option value="1857">BS in Cyber & Data Security Technology</option>
<option value="1893">MS in Technology Management</option>
<option value="1854">MS in Health Informatics & Analytics</option>
<option value="1302@">Entrepreneurship Program</option>
<option value="1325@">Health & Wellness Program</option>
<option value="1302@@">Sports & Recreation Management Program</option>
<option value="1302@@@">Real Estate Studies Program</option>
<option value="1341@">Supply Chain Management Program</option>
<option value="1337@">English Program</option>
<option value="1337@@">History Program</option>
<option value="1850@">Communication Studies Program</option>
<option value="1337@@@">Journalism & Mass Communication Program</option>
<option value="1349@">Political Science & Government Program</option>
<option value="1321@">Business Economics Program</option>
<option value="1325@@">Health Education Program</option>
<option value="1321@@">Consumer & Family Financial Services Program</option>
<option value="1829">Undecided</option>
<option value="1830">Undecided</option>
<option value="1831">Undecided</option>
<option value="1832">Undecided</option>
<option value="1833">Undecided</option>
<option value="1834">Undecided</option>
<option value="1835">Undecided</option>
<option value="1836">Undecided</option>
<option value="1837">Undecided</option>
<option value="1838">Undecided</option>
<option value="1839">Undecided</option>
</select>
<span class="input-outline"></span>
</div>
<fieldset data-drupal-selector="edit-registerednurse"
class="ASHRET-737__registerednurse radios--wrapper fieldgroup form-composite webform-composite-visible-title js-webform-type-radios webform-type-radios js-form-item form-item js-form-wrapper form-wrapper"
id="edit-registerednurse--2--wrapper">
<legend>
<span class="fieldset-legend">Are you currently a licensed RN?</span>
</legend>
<div class="fieldset-wrapper">
<div id="edit-registerednurse--2" class="js-webform-radios webform-options-display-side-by-side">
<div class="js-form-item form-item js-form-type-radio form-item-registerednurse js-form-item-registerednurse">
<input data-drupal-selector="edit-registerednurse-yes-2" type="radio" id="edit-registerednurse-yes--2" name="registerednurse" value="Yes" class="form-radio">
<label for="edit-registerednurse-yes--2" class="option">Yes</label>
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-radio form-item-registerednurse js-form-item-registerednurse">
<input data-drupal-selector="edit-registerednurse-no-2" type="radio" id="edit-registerednurse-no--2" name="registerednurse" value="No" class="form-radio">
<label for="edit-registerednurse-no--2" class="option">No</label>
<span class="input-outline"></span>
</div>
</div>
</div>
</fieldset>
</div>
<div class="form-item validation-message validation-message--error js-registerednurse-validation-message js-form-wrapper form-wrapper" data-drupal-selector="edit-registerednurse-validation-message-container"
id="edit-registerednurse-validation-message-container--2">
<div class="ASHRET-737__registerednurse-validation js-form-item form-item js-form-type-processed-text form-item- js-form-item- form-no-label" id="edit-registerednurse-validation-message--2">
<p>This program requires you to be a current licensed registered nurse. Please check out other programs to reach your education goals such as the BA in Health and Wellness.</p>
<span class="input-outline"></span>
</div>
</div>
</div>
<div class="form-disclaimer js-form-wrapper form-wrapper" data-drupal-selector="edit-marketing" id="edit-marketing--2">
<div class="ASHRET-737__consent js-form-item form-item js-form-type-processed-text form-item- js-form-item- form-no-label" id="edit-consent">
<p>
<sup>By submitting this form, I consent to receive phone calls, pre-recorded message and/or text messages about educational services from Ashford University at the phone number provided, including a wireless number, using automated technology. Submitting this form is required for Ashford University to contact me, without obligation to attend the University. Certain degree programs may not be available in all states. id=ASH.060419.</sup>
</p>
<span class="input-outline"></span>
</div>
<input data-drupal-selector="edit-clientdocumentid" type="hidden" name="clientdocumentid" value="215">
<input data-drupal-selector="edit-refererurl" type="hidden" name="refererurl" value="www.ashford.edu">
<input data-drupal-selector="edit-revisionid" type="hidden" name="revisionid" value="ASH.060419">
<input data-drupal-selector="edit-sourceid" type="hidden" name="sourceid" value="ADE219">
<input data-drupal-selector="edit-referrer" type="hidden" name="referrer" value="">
<input data-drupal-selector="edit-originpage" type="hidden" name="originpage" value="https://www.uagc.edu/">
<input data-drupal-selector="edit-clientid" type="hidden" name="clientid" value="F1C13481-7DDF-4F5C-9810-1FADE250A6A9">
<input data-drupal-selector="edit-programselect" type="hidden" name="programselect" value="">
<input data-drupal-selector="edit-device-type" type="hidden" name="device_type" value="desktop">
<input data-drupal-selector="edit-lid-lead-id" type="hidden" name="lid_lead_id" value="CDCFD905-6629-2D36-3327-B96F8EC7AC69">
</div>
<div data-drupal-selector="edit-actions" class="form-actions webform-actions js-form-wrapper form-wrapper" id="edit-actions--3"><input class="webform-button--submit button button--primary js-form-submit form-submit"
data-drupal-selector="edit-actions-submit-2" type="submit" id="edit-actions-submit--2" name="op" value="Request Information">
</div>
<input autocomplete="off" data-drupal-selector="form-j-yz0tzwfnfs2brab80-bhocvimftirz3czsopemdog" type="hidden" name="form_build_id" value="form-j_Yz0TzwfNfS2BraB80_BhOcviMFtIRZ3CzSoPEmdog">
<input data-drupal-selector="edit-webform-submission-footer-request-information-node-29066-add-form" type="hidden" name="form_id" value="webform_submission_footer_request_information_node_29066_add_form">
</form>POST /
<form
class="webform-submission-form webform-submission-add-form webform-submission-modal-request-information-form webform-submission-modal-request-information-add-form webform-submission-modal-request-information-node-29066-form webform-submission-modal-request-information-node-29066-add-form"
data-drupal-selector="webform-submission-modal-request-information-node-29066-add-form" action="/" method="post" id="webform-submission-modal-request-information-node-29066-add-form" accept-charset="UTF-8"
data-drupal-form-fields="edit-firstname--2,edit-lastname--2,edit-emailaddress--3,edit-phone1--3,edit-state--3,edit-college-of-interest--3,edit-clientdegreeid--3,edit-registerednurse-yes--3,edit-registerednurse-no--3,edit-actions-submit--3,leadid_tcpa_disclosure">
<div data-drupal-selector="edit-preface" id="edit-preface--2" class="js-form-wrapper form-wrapper">
<div class="ASHRET-737__title js-form-item form-item js-form-type-processed-text form-item- js-form-item- form-no-label" id="edit-title--2">
<h2>Let us help.</h2>
<h4>Fill out this form to talk with an advisor.</h4>
<span class="input-outline"></span>
</div>
</div>
<div class="ASHRET-737__contact-information js-form-wrapper form-wrapper" data-drupal-selector="edit-contact-information" id="edit-contact-information--3">
<div class="js-form-item form-item js-form-type-textfield form-item-firstname js-form-item-firstname">
<label for="edit-firstname--2" class="js-form-required form-required">First Name</label>
<input data-drupal-selector="edit-firstname" type="text" id="edit-firstname--2" name="firstname" value="" size="60" maxlength="50" class="form-text required" required="required" aria-required="true">
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-textfield form-item-lastname js-form-item-lastname">
<label for="edit-lastname--2" class="js-form-required form-required">Last Name</label>
<input data-drupal-selector="edit-lastname" type="text" id="edit-lastname--2" name="lastname" value="" size="60" maxlength="50" class="form-text required" required="required" aria-required="true">
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-email form-item-emailaddress js-form-item-emailaddress">
<label for="edit-emailaddress--3" class="js-form-required form-required">Email</label>
<input data-drupal-selector="edit-emailaddress" type="email" id="edit-emailaddress--3" name="emailaddress" value="" size="60" maxlength="100" class="form-email required" required="required" aria-required="true">
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-tel form-item-phone1 js-form-item-phone1">
<label for="edit-phone1--3" class="js-form-required form-required">Phone</label>
<input pattern="^(?!(([1,2,3,4,5,6,8,9,0])\2{9}))(?!((1234567890|0987654321)))((\(?\d{3}\)?([\s.-])?\d{3}[\s.-]\d{4})|(\d{10}))$" data-drupal-selector="edit-phone1" type="tel" id="edit-phone1--3" name="phone1" value="" size="30" maxlength="30"
class="form-tel required" required="required" aria-required="true">
<span class="input-outline"></span>
</div>
</div>
<div class="ASHRET-737__interest-information js-form-wrapper form-wrapper" data-drupal-selector="edit-interest-information" id="edit-interest-information--3">
<div class="js-form-item form-item js-form-type-select form-item-state js-form-item-state">
<label for="edit-state--3" class="js-form-required form-required">State</label>
<select data-drupal-selector="edit-state" id="edit-state--3" name="state" class="form-select required" required="required" aria-required="true">
<option value="" selected="selected">Please Select</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="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="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="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>
<option value="AA">Armed Forces Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="GU">Guam</option>
<option value="MP">Northern Mariana Islands</option>
<option value="VI">Virgin Islands</option>
<option value="OC">Ontario, Canada</option>
</select>
<span class="input-outline"></span>
</div>
<div style="display:none;" class="form-item validation-message validation-message--error js-state-validation-message js-form-wrapper form-wrapper" data-drupal-selector="edit-state-validation-message-container"
id="edit-state-validation-message-container--2">
<div id="edit-state-validation-message--2" class="js-form-item form-item js-form-type-processed-text form-item- js-form-item- form-no-label">
<p>Programs currently not available in this state.</p>
<span class="input-outline"></span>
</div>
</div>
<div class="js-form-item form-item js-form-type-select form-item-college-of-interest js-form-item-college-of-interest">
<label for="edit-college-of-interest--3" class="js-form-required form-required">Area of Interest</label>
<select data-drupal-selector="edit-college-of-interest" id="edit-college-of-interest--3" name="college_of_interest" class="form-select required" required="required" aria-required="true">
<option value="" selected="selected">Please Select</option>
<option value="0">Accounting & Finance</option>
<option value="1">Business</option>
<option value="2">Communications</option>
<option value="3">Criminal Justice</option>
<option value="4">Education</option>
<option value="5">Health Care</option>
<option value="6">Information Technology</option>
<option value="7">Liberal Arts</option>
<option value="8">Political Science</option>
<option value="9">Social & Behavioral Science</option>
<option value="10">Undecided</option>
</select>
<span class="input-outline"></span>
</div>
<div class="ASHRET-737__flex-wrapper js-form-wrapper form-wrapper" data-drupal-selector="edit-flex-wrapper" id="edit-flex-wrapper--2">
<div class="js-form-item form-item js-form-type-select form-item-clientdegreeid js-form-item-clientdegreeid" style="display: none;">
<label for="edit-clientdegreeid--3" class="js-form-required form-required">Select Your Degree</label>
<select data-drupal-selector="edit-clientdegreeid" id="edit-clientdegreeid--3" name="clientdegreeid" class="form-select required" required="required" aria-required="true">
<option value="" selected="selected">Please Select</option>
<option value="1295">AA in Early Childhood Education</option>
<option value="1298">BA in Accounting</option>
<option value="1300">BA in Applied Behavioral Science</option>
<option value="1302">BA in Business Administration</option>
<option value="1304">BA in Business Information Systems</option>
<option value="1305">BA in Business Leadership</option>
<option value="1306">BA in Child Development</option>
<option value="1312">BA in Early Childhood Education</option>
<option value="1313">BA in Early Childhood Education Administration</option>
<option value="1315">BA in Education Studies</option>
<option value="1321">BA in Finance</option>
<option value="1323">BA in Health and Human Services</option>
<option value="1325">BA in Health Care Administration</option>
<option value="1331">BA in Homeland Security and Emergency Management</option>
<option value="1332">BA in Human Resources Management</option>
<option value="1333">BA in Instructional Design</option>
<option value="1337">BA in Liberal Arts</option>
<option value="1340">BA in Operations Management and Analysis</option>
<option value="1341">BA in Organizational Management</option>
<option value="1343">BA in Project Management</option>
<option value="1344">BA in Psychology</option>
<option value="1349">BA in Social and Criminal Justice</option>
<option value="1351">BA in Sociology</option>
<option value="1681">BS in Health Information Management</option>
<option value="1818">BS in Nursing (RN to BSN)</option>
<option value="1355">MA in Education</option>
<option value="1370">MA in Health Care Administration</option>
<option value="1371">MA in Organizational Management</option>
<option value="1689">MA in Psychology</option>
<option value="1817">MA in Special Education</option>
<option value="1694">Master of Science in Criminal Justice</option>
<option value="1688">Ma Accountancy</option>
<option value="1373">Master of Business Administration: Online MBA</option>
<option value="1840">Master of Information Systems Management (MSIM)</option>
<option value="1841">Master of Human Resources Management</option>
<option value="1846">MA in Early Childhood Education Leadership</option>
<option value="1845">MS in Instructional Design & Technology</option>
<option value="1847">Master of Public Health (MPH)</option>
<option value="1848">BS in Information Technology</option>
<option value="1849">BA in Early Childhood Development with Differentiated Instruction</option>
<option value="1850">BA in Marketing</option>
<option value="1859">BS in Computer Software Technology</option>
<option value="1853">MS in Finance</option>
<option value="1890">MA in Human Services</option>
<option value="1886">Doctor of Philosophy in Education</option>
<option value="1887">Doctor of Philosophy in Human Services</option>
<option value="1889">Doctor of Psychology</option>
<option value="1888">PhD in Organizational Development and Leadership</option>
<option value="1857">BS in Cyber & Data Security Technology</option>
<option value="1893">MS in Technology Management</option>
<option value="1854">MS in Health Informatics & Analytics</option>
<option value="1302@">Entrepreneurship Program</option>
<option value="1325@">Health & Wellness Program</option>
<option value="1302@@">Sports & Recreation Management Program</option>
<option value="1302@@@">Real Estate Studies Program</option>
<option value="1341@">Supply Chain Management Program</option>
<option value="1337@">English Program</option>
<option value="1337@@">History Program</option>
<option value="1850@">Communication Studies Program</option>
<option value="1337@@@">Journalism & Mass Communication Program</option>
<option value="1349@">Political Science & Government Program</option>
<option value="1321@">Business Economics Program</option>
<option value="1325@@">Health Education Program</option>
<option value="1321@@">Consumer & Family Financial Services Program</option>
<option value="1829">Undecided</option>
<option value="1830">Undecided</option>
<option value="1831">Undecided</option>
<option value="1832">Undecided</option>
<option value="1833">Undecided</option>
<option value="1834">Undecided</option>
<option value="1835">Undecided</option>
<option value="1836">Undecided</option>
<option value="1837">Undecided</option>
<option value="1838">Undecided</option>
<option value="1839">Undecided</option>
</select>
<span class="input-outline"></span>
</div>
<fieldset data-drupal-selector="edit-registerednurse"
class="ASHRET-737__registerednurse registered-nurse js-registered-nurse radios--wrapper fieldgroup form-composite webform-composite-visible-title js-webform-type-radios webform-type-radios js-form-item form-item js-form-wrapper form-wrapper"
id="edit-registerednurse--3--wrapper" style="display: none;">
<legend>
<span class="fieldset-legend">Are you currently a licensed RN?</span>
</legend>
<div class="fieldset-wrapper">
<div id="edit-registerednurse--3" class="js-webform-radios webform-options-display-side-by-side">
<div class="js-form-item form-item js-form-type-radio form-item-registerednurse js-form-item-registerednurse">
<input data-drupal-selector="edit-registerednurse-yes-3" type="radio" id="edit-registerednurse-yes--3" name="registerednurse" value="Yes" class="form-radio">
<label for="edit-registerednurse-yes--3" class="option">Yes</label>
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-radio form-item-registerednurse js-form-item-registerednurse">
<input data-drupal-selector="edit-registerednurse-no-3" type="radio" id="edit-registerednurse-no--3" name="registerednurse" value="No" class="form-radio">
<label for="edit-registerednurse-no--3" class="option">No</label>
<span class="input-outline"></span>
</div>
</div>
</div>
</fieldset>
</div>
<div class="form-item validation-message validation-message--error js-registerednurse-validation-message js-form-wrapper form-wrapper" data-drupal-selector="edit-registerednurse-validation-message-container"
id="edit-registerednurse-validation-message-container--3" style="display: none;">
<div class="ASHRET-737__registerednurse-validation registerednurse-validation-text js-form-item form-item js-form-type-processed-text form-item- js-form-item- form-no-label" id="edit-registerednurse-validation-message--3">
<p>This program requires you to be a current licensed registered nurse. Please check out other programs to reach your education goals such as the BA in Health and Wellness.</p>
<span class="input-outline"></span>
</div>
</div>
</div>
<div class="form-disclaimer js-form-wrapper form-wrapper" data-drupal-selector="edit-marketing" id="edit-marketing--3"><input data-drupal-selector="edit-clientdocumentid" type="hidden" name="clientdocumentid" value="215">
<input data-drupal-selector="edit-refererurl" type="hidden" name="refererurl" value="www.ashford.edu">
<input data-drupal-selector="edit-revisionid" type="hidden" name="revisionid" value="ASH.060419">
<input data-drupal-selector="edit-sourceid" type="hidden" name="sourceid" value="ADE219">
<input data-drupal-selector="edit-referrer" type="hidden" name="referrer" value="">
<input data-drupal-selector="edit-originpage" type="hidden" name="originpage" value="https://www.uagc.edu/">
<input data-drupal-selector="edit-clientid" type="hidden" name="clientid" value="F1C13481-7DDF-4F5C-9810-1FADE250A6A9">
<input data-drupal-selector="edit-programselect" type="hidden" name="programselect" value="">
<input data-drupal-selector="edit-device-type" type="hidden" name="device_type" value="desktop">
<input data-drupal-selector="edit-lid-lead-id" type="hidden" name="lid_lead_id" value="CDCFD905-6629-2D36-3327-B96F8EC7AC69">
</div>
<div class="edit-consent-container js-form-wrapper form-wrapper" data-drupal-selector="edit-consent-container" id="edit-consent-container">
<div data-drupal-selector="edit-actions" class="form-actions webform-actions js-form-wrapper form-wrapper" id="edit-actions--5"><input class="webform-button--submit button button--primary js-form-submit form-submit"
data-drupal-selector="edit-actions-submit-3" type="submit" id="edit-actions-submit--3" name="op" value="Request Information">
</div>
<label class="form-consent-text">
<div id="block-rfitermsmodal" class="block block--rfi-terms-modal">
<div class="block__content">
<p>
<sup>I consent to receive calls, texts, and emails from UAGC using the contact information provided, including mobile numbers, which may be sent with prerecorded or automated technology. Message and data rates may apply. Consent is not a condition of purchase and I may opt-out at any time. Degree programs may not be available in all U.S. states or foreign countries. id=ASH.072620.</sup>
</p>
</div>
</div>
<input id="leadid_tcpa_disclosure" data-drupal-selector="edit-leadid-tcpa-disclosure" type="hidden" name="leadid_tcpa_disclosure" value="true">
</label>
</div>
<input data-drupal-selector="edit-uagc-analytics-google-id" type="hidden" name="uagc_analytics_google_id" value="GA1.2.714532770.1633042439">
<input data-drupal-selector="edit-unique-lead-id" type="hidden" name="unique_lead_id" value="uagc-website-1633042438314">
<input data-drupal-selector="edit-subsource1" type="hidden" name="subsource1" value="">
<input data-drupal-selector="edit-subsource2" type="hidden" name="subsource2" value="">
<input data-drupal-selector="edit-webinitiatingurl" type="hidden" name="webinitiatingurl" value="">
<input data-drupal-selector="edit-weblandingurl" type="hidden" name="weblandingurl" value="https://www.uagc.edu/">
<input data-drupal-selector="edit-callcenterurl" type="hidden" name="callcenterurl" value="">
<input data-drupal-selector="edit-vendor" type="hidden" name="vendor" value="uagc-homegrown">
<input data-drupal-selector="edit-optimizely-id" type="hidden" name="optimizely_id" value="oeu1633042438465r0.4467522821149261">
<input data-drupal-selector="edit-test-variation" type="hidden" name="test_variation" value="control">
<input autocomplete="off" data-drupal-selector="form-h1qvifugkgno575fsw2v5bh-uggiay6vvue1-ahznry" type="hidden" name="form_build_id" value="form-h1qVIFuGKGno575FSW2V5bh-UGGIAY6vvuE1-AHZNrY">
<input data-drupal-selector="edit-webform-submission-modal-request-information-node-29066-add-form" type="hidden" name="form_id" value="webform_submission_modal_request_information_node_29066_add_form">
</form>POST /
<form class="webform-submission-form webform-submission-add-form webform-submission-popup-survey-form webform-submission-popup-survey-add-form webform-submission-popup-survey-node-29066-form webform-submission-popup-survey-node-29066-add-form"
data-drupal-selector="webform-submission-popup-survey-node-29066-add-form" action="/" method="post" id="webform-submission-popup-survey-node-29066-add-form" accept-charset="UTF-8"
data-drupal-form-fields="edit-what-you-where-looking-for-,edit-what-information-is-most-important-to-you-at-this-point-in-time-admissions-process,edit-what-information-is-most-important-to-you-at-this-point-in-time-degrees,edit-what-information-is-most-important-to-you-at-this-point-in-time-tuition-cost,edit-what-information-is-most-important-to-you-at-this-point-in-time-transfer-credits,edit-what-information-is-most-important-to-you-at-this-point-in-time-length-of-programs,edit-what-information-is-most-important-to-you-at-this-point-in-time-talk-to-an-advisor,edit-submit--4">
<div class="js-form-item form-item js-form-type-textfield form-item-what-you-where-looking-for- js-form-item-what-you-where-looking-for-">
<label for="edit-what-you-where-looking-for-">What were you where looking for?</label>
<input data-drupal-selector="edit-what-you-where-looking-for-" type="text" id="edit-what-you-where-looking-for-" name="what_you_where_looking_for_" value="" size="60" maxlength="255" class="form-text">
<span class="input-outline"></span>
</div>
<fieldset data-drupal-selector="edit-what-information-is-most-important-to-you-at-this-point-in-time-" id="edit-what-information-is-most-important-to-you-at-this-point-in-time---wrapper"
class="radios--wrapper fieldgroup form-composite webform-composite-visible-title required js-webform-type-radios webform-type-radios js-form-item form-item js-form-wrapper form-wrapper" aria-required="true">
<legend>
<span class="fieldset-legend js-form-required form-required">What information is most important to you at this point in time?</span>
</legend>
<div class="fieldset-wrapper">
<div id="edit-what-information-is-most-important-to-you-at-this-point-in-time-" class="js-webform-radios webform-options-display-one-column">
<div class="js-form-item form-item js-form-type-radio form-item-what-information-is-most-important-to-you-at-this-point-in-time- js-form-item-what-information-is-most-important-to-you-at-this-point-in-time-">
<input data-drupal-selector="edit-what-information-is-most-important-to-you-at-this-point-in-time-admissions-process" type="radio" id="edit-what-information-is-most-important-to-you-at-this-point-in-time-admissions-process"
name="what_information_is_most_important_to_you_at_this_point_in_time_" value="Admissions Process" class="form-radio" required="required">
<label for="edit-what-information-is-most-important-to-you-at-this-point-in-time-admissions-process" class="option">Admissions Process</label>
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-radio form-item-what-information-is-most-important-to-you-at-this-point-in-time- js-form-item-what-information-is-most-important-to-you-at-this-point-in-time-">
<input data-drupal-selector="edit-what-information-is-most-important-to-you-at-this-point-in-time-degrees" type="radio" id="edit-what-information-is-most-important-to-you-at-this-point-in-time-degrees"
name="what_information_is_most_important_to_you_at_this_point_in_time_" value="Degrees" class="form-radio" required="required">
<label for="edit-what-information-is-most-important-to-you-at-this-point-in-time-degrees" class="option">Degrees</label>
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-radio form-item-what-information-is-most-important-to-you-at-this-point-in-time- js-form-item-what-information-is-most-important-to-you-at-this-point-in-time-">
<input data-drupal-selector="edit-what-information-is-most-important-to-you-at-this-point-in-time-tuition-cost" type="radio" id="edit-what-information-is-most-important-to-you-at-this-point-in-time-tuition-cost"
name="what_information_is_most_important_to_you_at_this_point_in_time_" value="Tuition Cost" class="form-radio" required="required">
<label for="edit-what-information-is-most-important-to-you-at-this-point-in-time-tuition-cost" class="option">Tuition Cost</label>
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-radio form-item-what-information-is-most-important-to-you-at-this-point-in-time- js-form-item-what-information-is-most-important-to-you-at-this-point-in-time-">
<input data-drupal-selector="edit-what-information-is-most-important-to-you-at-this-point-in-time-transfer-credits" type="radio" id="edit-what-information-is-most-important-to-you-at-this-point-in-time-transfer-credits"
name="what_information_is_most_important_to_you_at_this_point_in_time_" value="Transfer Credits" class="form-radio" required="required">
<label for="edit-what-information-is-most-important-to-you-at-this-point-in-time-transfer-credits" class="option">Transfer Credits</label>
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-radio form-item-what-information-is-most-important-to-you-at-this-point-in-time- js-form-item-what-information-is-most-important-to-you-at-this-point-in-time-">
<input data-drupal-selector="edit-what-information-is-most-important-to-you-at-this-point-in-time-length-of-programs" type="radio" id="edit-what-information-is-most-important-to-you-at-this-point-in-time-length-of-programs"
name="what_information_is_most_important_to_you_at_this_point_in_time_" value="Length of Programs" class="form-radio" required="required">
<label for="edit-what-information-is-most-important-to-you-at-this-point-in-time-length-of-programs" class="option">Length of Programs</label>
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-radio form-item-what-information-is-most-important-to-you-at-this-point-in-time- js-form-item-what-information-is-most-important-to-you-at-this-point-in-time-">
<input data-drupal-selector="edit-what-information-is-most-important-to-you-at-this-point-in-time-talk-to-an-advisor" type="radio" id="edit-what-information-is-most-important-to-you-at-this-point-in-time-talk-to-an-advisor"
name="what_information_is_most_important_to_you_at_this_point_in_time_" value="Talk to an Advisor" class="form-radio" required="required">
<label for="edit-what-information-is-most-important-to-you-at-this-point-in-time-talk-to-an-advisor" class="option">Talk to an Advisor</label>
<span class="input-outline"></span>
</div>
</div>
</div>
</fieldset>
<input autocomplete="off" data-drupal-selector="form-t5dfh2veotvviodgfk4v-fjz0y2mehtscrpxgqpky0i" type="hidden" name="form_build_id" value="form-T5Dfh2veotVVIOdgFK4V_fJz0y2MeHTscRPxGqPKy0I">
<input data-drupal-selector="edit-webform-submission-popup-survey-node-29066-add-form" type="hidden" name="form_id" value="webform_submission_popup_survey_node_29066_add_form">
<div data-drupal-selector="edit-actions" class="form-actions js-form-wrapper form-wrapper" id="edit-actions--7"><input class="webform-button--submit button button--primary js-form-submit form-submit" data-drupal-selector="edit-submit"
data-disable-refocus="true" type="submit" id="edit-submit--4" name="op" value="Submit">
</div>
</form>POST /
<form
class="webform-submission-form webform-submission-add-form webform-submission-lead-flow-system-form webform-submission-lead-flow-system-add-form webform-submission-lead-flow-system-node-29066-form webform-submission-lead-flow-system-node-29066-add-form"
data-drupal-selector="webform-submission-lead-flow-system-node-29066-add-form" action="/" method="post" id="webform-submission-lead-flow-system-node-29066-add-form" accept-charset="UTF-8"
data-drupal-form-fields="edit-firstname--3,edit-lastname--3,edit-phone1--4,edit-emailaddress--4,edit-state--4,edit-college-of-interest--4,edit-clientdegreeid--4,edit-registerednurse-yes--4,edit-registerednurse-no--4,edit-tcpa-checkbox,edit-actions-submit--4,leadid_token">
<div class="--preface js-form-wrapper form-wrapper" data-drupal-selector="edit-preface" id="edit-preface--3">
<div id="edit-title--3" class="js-form-item form-item js-form-type-processed-text form-item- js-form-item- form-no-label">
<h2>Please provide a few details</h2>
<span class="input-outline"></span>
</div>
</div>
<div class="js-form-wrapper form-wrapper" data-drupal-selector="edit-contact-information" id="edit-contact-information--4">
<div class="js-form-item form-item js-form-type-textfield form-item-firstname js-form-item-firstname form-no-label">
<label for="edit-firstname--3" class="visually-hidden js-form-required form-required">First Name</label>
<input data-drupal-selector="edit-firstname" type="text" id="edit-firstname--3" name="firstname" value="" size="60" maxlength="50" placeholder="First Name" class="form-text required" required="required" aria-required="true">
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-textfield form-item-lastname js-form-item-lastname form-no-label">
<label for="edit-lastname--3" class="visually-hidden js-form-required form-required">Last Name</label>
<input data-drupal-selector="edit-lastname" type="text" id="edit-lastname--3" name="lastname" value="" size="60" maxlength="50" placeholder="Last Name" class="form-text required" required="required" aria-required="true">
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-tel form-item-phone1 js-form-item-phone1 form-no-label">
<label for="edit-phone1--4" class="visually-hidden js-form-required form-required">Phone</label>
<input pattern="^(?!(([1,2,3,4,5,6,8,9,0])\2{9}))(?!((1234567890|0987654321)))((\(?\d{3}\)?([\s.-])?\d{3}[\s.-]\d{4})|(\d{10}))$" data-drupal-selector="edit-phone1" type="tel" id="edit-phone1--4" name="phone1" value="" size="30" maxlength="30"
placeholder="Phone Number" class="form-tel required" required="required" aria-required="true">
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-email form-item-emailaddress js-form-item-emailaddress form-no-label">
<label for="edit-emailaddress--4" class="visually-hidden js-form-required form-required">Email</label>
<input data-drupal-selector="edit-emailaddress" pattern="^[a-zA-Z0-9._%+-]+@[a-zA-Z0-9.-]+\.[a-zA-Z]{2,}$" type="email" id="edit-emailaddress--4" name="emailaddress" value="" size="60" maxlength="100" placeholder="Email"
class="form-email required" required="required" aria-required="true">
<span class="input-outline"></span>
</div>
</div>
<div class="js-form-wrapper form-wrapper" data-drupal-selector="edit-interest-information" id="edit-interest-information--4">
<div class="js-form-item form-item js-form-type-select form-item-state js-form-item-state form-no-label">
<label for="edit-state--4" class="visually-hidden js-form-required form-required">State</label>
<select data-drupal-selector="edit-state" id="edit-state--4" name="state" class="form-select required" required="required" aria-required="true">
<option value="" selected="selected">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="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="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="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>
<option value="AA">Armed Forces Americas</option>
<option value="AE">Armed Forces Europe</option>
<option value="AP">Armed Forces Pacific</option>
<option value="GU">Guam</option>
<option value="MP">Northern Mariana Islands</option>
<option value="VI">Virgin Islands</option>
<option value="OC">Ontario, Canada</option>
</select>
<span class="input-outline"></span>
</div>
<div style="display:none;" class="form-item validation-message validation-message--error js-state-validation-message js-form-wrapper form-wrapper" data-drupal-selector="edit-state-validation-message-container"
id="edit-state-validation-message-container--3">
<div id="edit-state-validation-message--3" class="js-form-item form-item js-form-type-processed-text form-item- js-form-item- form-no-label">
<p>Programs currently not available in this state.</p>
<span class="input-outline"></span>
</div>
</div>
<div class="js-form-item form-item js-form-type-select form-item-college-of-interest js-form-item-college-of-interest form-no-label">
<label for="edit-college-of-interest--4" class="visually-hidden js-form-required form-required">Area of Interest</label>
<select data-drupal-selector="edit-college-of-interest" id="edit-college-of-interest--4" name="college_of_interest" class="form-select required" required="required" aria-required="true">
<option value="" selected="selected">Select Area of Interest</option>
<option value="0">Accounting & Finance</option>
<option value="1">Business</option>
<option value="2">Communications</option>
<option value="3">Criminal Justice</option>
<option value="4">Education</option>
<option value="5">Health Care</option>
<option value="6">Information Technology</option>
<option value="7">Liberal Arts</option>
<option value="8">Political Science</option>
<option value="9">Social & Behavioral Science</option>
<option value="10">Undecided</option>
</select>
<span class="input-outline"></span>
</div>
<div class="js-form-item form-item js-form-type-select form-item-clientdegreeid js-form-item-clientdegreeid form-no-label">
<label for="edit-clientdegreeid--4" class="visually-hidden js-form-required form-required">Select Your Degree</label>
<select data-drupal-selector="edit-clientdegreeid" id="edit-clientdegreeid--4" name="clientdegreeid" class="form-select required" required="required" aria-required="true">
<option value="" selected="selected">Select Your Degree</option>
<option value="1295">AA in Early Childhood Education</option>
<option value="1298">BA in Accounting</option>
<option value="1300">BA in Applied Behavioral Science</option>
<option value="1302">BA in Business Administration</option>
<option value="1304">BA in Business Information Systems</option>
<option value="1305">BA in Business Leadership</option>
<option value="1306">BA in Child Development</option>
<option value="1312">BA in Early Childhood Education</option>
<option value="1313">BA in Early Childhood Education Administration</option>
<option value="1315">BA in Education Studies</option>
<option value="1321">BA in Finance</option>
<option value="1323">BA in Health and Human Services</option>
<option value="1325">BA in Health Care Administration</option>
<option value="1331">BA in Homeland Security and Emergency Management</option>
<option value="1332">BA in Human Resources Management</option>
<option value="1333">BA in Instructional Design</option>
<option value="1337">BA in Liberal Arts</option>
<option value="1340">BA in Operations Management and Analysis</option>
<option value="1341">BA in Organizational Management</option>
<option value="1343">BA in Project Management</option>
<option value="1344">BA in Psychology</option>
<option value="1349">BA in Social and Criminal Justice</option>
<option value="1351">BA in Sociology</option>
<option value="1681">BS in Health Information Management</option>
<option value="1818">BS in Nursing (RN to BSN)</option>
<option value="1355">MA in Education</option>
<option value="1370">MA in Health Care Administration</option>
<option value="1371">MA in Organizational Management</option>
<option value="1689">MA in Psychology</option>
<option value="1817">MA in Special Education</option>
<option value="1694">Master of Science in Criminal Justice</option>
<option value="1688">Ma Accountancy</option>
<option value="1373">Master of Business Administration: Online MBA</option>
<option value="1840">Master of Information Systems Management (MSIM)</option>
<option value="1841">Master of Human Resources Management</option>
<option value="1846">MA in Early Childhood Education Leadership</option>
<option value="1845">MS in Instructional Design & Technology</option>
<option value="1847">Master of Public Health (MPH)</option>
<option value="1848">BS in Information Technology</option>
<option value="1849">BA in Early Childhood Development with Differentiated Instruction</option>
<option value="1850">BA in Marketing</option>
<option value="1859">BS in Computer Software Technology</option>
<option value="1853">MS in Finance</option>
<option value="1890">MA in Human Services</option>
<option value="1886">Doctor of Philosophy in Education</option>
<option value="1887">Doctor of Philosophy in Human Services</option>
<option value="1889">Doctor of Psychology</option>
<option value="1888">PhD in Organizational Development and Leadership</option>
<option value="1857">BS in Cyber & Data Security Technology</option>
<option value="1893">MS in Technology Management</option>
<option value="1854">MS in Health Informatics & Analytics</option>
<option value="1302@">Entrepreneurship Program</option>
<option value="1325@">Health & Wellness Program</option>
<option value="1302@@">Sports & Recreation Management Program</option>
<option value="1302@@@">Real Estate Studies Program</option>
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