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www2.apchaplains.org Open in urlscan Pro
3.232.28.37  Public Scan

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Submitted URL: http://www2.apchaplains.org/users_only/IndividualFormPublic/edit
Effective URL: https://www2.apchaplains.org/forms/cas/login?service=/users_only/IndividualFormPublic/edit
Submission: On April 25 via manual from US — Scanned from DE

Form analysis 3 forms found in the DOM

GET https://www.apchaplains.org/

<form action="https://www.apchaplains.org/" aria-label="Search for:" class="search-form" method="get" role="search">
  <label for="search-form-1">
    <span class="screen-reader-text">Search for:</span>
    <input class="search-field mx-0 tracking-normal h-20 xl:h-24 pr-24" id="search-form-1" name="s" placeholder="enter keyword(s)" type="search" value="">
  </label>
  <button class="button absolute inset-y-0 right-4 h-16 w-16 p-4 my-auto" type="submit"><!-- Generated by IcoMoon.io -->
    <svg 2000=""="http:="" height=" 32" svg"="" version="1.1" viewBox="0 0 32 32" width="32" www.w3.org="" aria-hidden="true" focusable="false">
      <title>search</title>
      <path
        d="M12.203 1.051c-6.721 0-12.203 5.482-12.203 12.203s5.482 12.203 12.203 12.203c6.721 0 12.203-5.482 12.203-12.203s-5.482-12.203-12.203-12.203zM12.203 4.306c4.962 0 8.948 3.986 8.948 8.948s-3.986 8.948-8.948 8.948c-4.962 0-8.948-3.986-8.948-8.948s3.986-8.948 8.948-8.948z">
      </path>
      <path d="M20.341 19.728c-0.662 0-1.257 0.401-1.507 1.014-0.249 0.613-0.102 1.316 0.372 1.779l8.948 8.954c0.638 0.635 1.669 0.633 2.303-0.003s0.633-1.667-0.003-2.303l-8.948-8.948c-0.307-0.314-0.726-0.493-1.165-0.493v0z"></path>
    </svg>
  </button>
</form>

Name: login — POST /forms/cas/login

<form method="POST" action="/forms/cas/login" name="login" id="login">
  <span class="field_label">Username: </span><br>
  <input type="text" name="username" value="">
  <br><br>
  <span class="field_label">Password: </span><br>
  <input type="password" name="password">
  <br><br>
  <div id="forgotPassword">
    <a href="/forms/login/pushAndJump?ret=/auth&amp;word=Back%20to%20what%20I%20was%20doing&amp;dst=/forms/UserFormPublic/lostPassword">Get Password</a>
    <input type="submit" class="onlyClickOnce" value="Log In">
    <input type="hidden" name="service" value="/users_only/IndividualFormPublic/edit">
    <input type="hidden" name="warn" value="">
    <input type="hidden" name="lt" value="LT-1682440744-KpLvqWJjsFi76eVrwflp7d3hMVnzPsXw">
  </div>
</form>

Name: editPO — POST /forms/applications/NewUserPublic/edit

<form id="editPO" name="editPO" action="/forms/applications/NewUserPublic/edit" method="POST">
  <!-- <table class="createProfileTable" cellpadding="0" cellspacing="0" width="100%"> -->
  <div class="control-group">
    <span class="field_label">First Name:</span><span
      class="required_field">&nbsp;*</span><a class="helpIcon" helptext="Please use capitalization that represents how your name should properly appear on mailings, directories, badges, etc.  Don't use all caps unless it is appropriate for it to be that way. e.g., John McShannon rather than JOHN MCSHANNON"><img src="/themes/images/helpMark.gif"></a><br>
    <input type="text" name="Individual_firstName" id="Individual_firstName" maxlength="255">
  </div>
  <div class="control-group">
    <span class="field_label">Last Name:</span><span
      class="required_field">&nbsp;*</span><a class="helpIcon" helptext="Please use capitalization that represents how your name should properly appear on mailings, directories, badges, etc.  Don't use all caps unless it is appropriate for it to be that way. e.g., John McShannon rather than JOHN MCSHANNON"><img src="/themes/images/helpMark.gif"></a><br>
    <input type="text" name="Individual_lastName" id="Individual_lastName" maxlength="255">
  </div>
  <div class="control-group">
    <span class="field_label">Email:</span><span
      class="required_field">&nbsp;*</span><a class="helpIcon" helptext="This should be an email account that you have access to. It will be used to send you confirmation emails, etc."><img src="/themes/images/helpMark.gif"></a><br>
    <input type="text" name="Individual_email" id="Individual_email" maxlength="255">
    <input type="hidden" name="pushLink" value="/users_only/IndividualFormPublic/edit">
  </div>
  <div class="control-group form-actions">
    <input class="invite" name="invite">
    <input class="button onlyClickOnce" type="submit" name="action" value="Continue">
    <input type="hidden" name="save" value="True">
  </div>
</form>

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 * JoinShow sub menu
   * Application & Dues
   * Corporate Partnership
   * Membership Categories
   * Retired Status
 * BCCI Certification
 * EventsShow sub menu
   * Event Calendar
   * 2023 Annual Conference
   * Submit a Webinar Proposal
   * Essentials of Palliative Care Chaplaincy
   * Other Educational Opportunities
   * Past Event Recordings
 * ResourcesShow sub menu
   * Chaplain Resource Submission Form
   * Dealing With Grief: Videos
   * The Impact of Professional Spiritual Care
   * Members Only Pages
   * Professional Advocacy
   * Professional Contacts
   * Program Development
   * Reading Room
   * Research
 * StandardsShow sub menu
   * Common Qualifications and Competencies
   * Professional Ethics
   * Standards of Practice for Professional Chaplains
 * PublicationsShow sub menu
   * Advertising Opportunities & Rates
   * APC ForumShow sub menu
     * APC Forum Archives
   * Chaplaincy Today Archives
   * Journal of Health Care Chaplaincy
   * Journal of Pastoral Care & Counseling
   * Journal of Religion, Spirituality & Aging
 * AboutShow sub menu
   * 2023-2025 Strategic Plan
   * Board of Directors 2022 – 2023
   * Annual Leadership Awards
   * Corporate Partners
   * History
   * Mission, Vision & Values
   * National Office
   * Organizational Structure
   * Volunteer PositionsShow sub menu
     * Committee Descriptions
     * Leadership Position Descriptions

 * JoinShow sub menu
   * Application & Dues
   * Corporate Partnership
   * Membership Categories
   * Retired Status
 * BCCI Certification
 * EventsShow sub menu
   * Event Calendar
   * 2023 Annual Conference
   * Submit a Webinar Proposal
   * Essentials of Palliative Care Chaplaincy
   * Other Educational Opportunities
   * Past Event Recordings
 * ResourcesShow sub menu
   * Chaplain Resource Submission Form
   * Dealing With Grief: Videos
   * The Impact of Professional Spiritual Care
   * Members Only Pages
   * Professional Advocacy
   * Professional Contacts
   * Program Development
   * Reading Room
   * Research
 * StandardsShow sub menu
   * Common Qualifications and Competencies
   * Professional Ethics
   * Standards of Practice for Professional Chaplains
 * PublicationsShow sub menu
   * Advertising Opportunities & Rates
   * APC ForumShow sub menu
     * APC Forum Archives
   * Chaplaincy Today Archives
   * Journal of Health Care Chaplaincy
   * Journal of Pastoral Care & Counseling
   * Journal of Religion, Spirituality & Aging
 * AboutShow sub menu
   * 2023-2025 Strategic Plan
   * Board of Directors 2022 – 2023
   * Annual Leadership Awards
   * Corporate Partners
   * History
   * Mission, Vision & Values
   * National Office
   * Organizational Structure
   * Volunteer PositionsShow sub menu
     * Committee Descriptions
     * Leadership Position Descriptions




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