epic.avature.net Open in urlscan Pro
209.137.158.135  Public Scan

Submitted URL: https://epic.avature.net/ltrk/eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ9.eyJpZCI6MjA0MTc0MywiaGFzaCI6ImI5NmE1ZmRjOGNiN2FkZGZlNG...
Effective URL: https://epic.avature.net/DataCompletionRequest?uid=s-mbn5ChTEKJVm79&folderId=23067&emailCampaignId=1214
Submission: On October 05 via manual from EG — Scanned from US

Form analysis 1 forms found in the DOM

POST

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      type="hidden" name="currentStepIndex" value="0"><input type="hidden" name="entityData"
      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                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2454-1-1" class="datasetFieldContainer" data-schema-field-id="1516">
                      <div class="datasetfieldSpec TextField" id="fieldSpecContainer2454-1-1">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2454-1-1-label">Employer</div><input type="text" id="2454-1-1" name="2454-1-1" tabindex="0" class=" TextField WizardFieldInputContainer WizardFieldInput"
                                value="Options in Community Living" dir="auto" placeholder="" autocomplete="on">
                            </label></div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2454-2-1" class="datasetFieldContainer" data-schema-field-id="1517">
                      <div class="datasetfieldSpec TextField" id="fieldSpecContainer2454-2-1">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2454-2-1-label">Position Title</div><input type="text" id="2454-2-1" name="2454-2-1" tabindex="0"
                                class=" TextField WizardFieldInputContainer WizardFieldInput" value="Cashier" dir="auto" placeholder="" autocomplete="on">
                            </label></div>
                        </div>
                      </div>
                    </div>
                  </div>
                  <div id="multipleDatasetEntry_2454_2"><a href="javascript:void(0)" name="removeRowFor_2454" class="removeDatasetRow WizardFieldLink" tabindex="0" role="button" data-row-index="2">remove</a>
                    <div id="datasetFieldContainer2454-3-2" class="datasetFieldContainer" data-schema-field-id="1518">
                      <div class="datasetfieldSpec DateFormField" id="fieldSpecContainer2454-3-2">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle">
                            <div class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2454-3-2-label">Start Date</div><input type="month" id="2454-3-2" name="2454-3-2" tabindex="0"
                                class=" DateFormField WizardFieldInputContainer WizardFieldInput" value="2018-07" dir="auto" autocomplete="on" min="1904-01" max="2144-12">
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2454-4-2" class="datasetFieldContainer" data-schema-field-id="1519">
                      <div class="datasetfieldSpec DateFormField" id="fieldSpecContainer2454-4-2">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle">
                            <div class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2454-4-2-label">End Date</div><input type="month" id="2454-4-2" name="2454-4-2" tabindex="0"
                                class=" DateFormField WizardFieldInputContainer WizardFieldInput" value="2019-01" dir="auto" autocomplete="on" min="1904-01" max="2144-12">
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2454-1-2" class="datasetFieldContainer" data-schema-field-id="1516">
                      <div class="datasetfieldSpec TextField" id="fieldSpecContainer2454-1-2">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2454-1-2-label">Employer</div><input type="text" id="2454-1-2" name="2454-1-2" tabindex="0" class=" TextField WizardFieldInputContainer WizardFieldInput"
                                value="Integrity Residential Service" dir="auto" placeholder="" autocomplete="on">
                            </label></div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2454-2-2" class="datasetFieldContainer" data-schema-field-id="1517">
                      <div class="datasetfieldSpec TextField" id="fieldSpecContainer2454-2-2">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2454-2-2-label">Position Title</div><input type="text" id="2454-2-2" name="2454-2-2" tabindex="0"
                                class=" TextField WizardFieldInputContainer WizardFieldInput" value="Cashier" dir="auto" placeholder="" autocomplete="on">
                            </label></div>
                        </div>
                      </div>
                    </div>
                  </div>
                  <div id="multipleDatasetEntry_2454_3"><a href="javascript:void(0)" name="removeRowFor_2454" class="removeDatasetRow WizardFieldLink" tabindex="0" role="button" data-row-index="3">remove</a>
                    <div id="datasetFieldContainer2454-3-3" class="datasetFieldContainer" data-schema-field-id="1518">
                      <div class="datasetfieldSpec DateFormField" id="fieldSpecContainer2454-3-3">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle">
                            <div class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2454-3-3-label">Start Date</div><input type="month" id="2454-3-3" name="2454-3-3" tabindex="0"
                                class=" DateFormField WizardFieldInputContainer WizardFieldInput" value="2017-05" dir="auto" autocomplete="on" min="1904-01" max="2144-12">
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2454-4-3" class="datasetFieldContainer" data-schema-field-id="1519">
                      <div class="datasetfieldSpec DateFormField" id="fieldSpecContainer2454-4-3">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle">
                            <div class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2454-4-3-label">End Date</div><input type="month" id="2454-4-3" name="2454-4-3" tabindex="0"
                                class=" DateFormField WizardFieldInputContainer WizardFieldInput" value="2017-08" dir="auto" autocomplete="on" min="1904-01" max="2144-12">
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2454-1-3" class="datasetFieldContainer" data-schema-field-id="1516">
                      <div class="datasetfieldSpec TextField" id="fieldSpecContainer2454-1-3">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2454-1-3-label">Employer</div><input type="text" id="2454-1-3" name="2454-1-3" tabindex="0" class=" TextField WizardFieldInputContainer WizardFieldInput"
                                value="Home Depot" dir="auto" placeholder="" autocomplete="on">
                            </label></div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2454-2-3" class="datasetFieldContainer" data-schema-field-id="1517">
                      <div class="datasetfieldSpec TextField" id="fieldSpecContainer2454-2-3">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2454-2-3-label">Position Title</div><input type="text" id="2454-2-3" name="2454-2-3" tabindex="0"
                                class=" TextField WizardFieldInputContainer WizardFieldInput" value="" dir="auto" placeholder="" autocomplete="on">
                            </label></div>
                        </div>
                      </div>
                    </div>
                  </div>
                  <div id="multipleDatasetEntry_2454_4"><a href="javascript:void(0)" name="removeRowFor_2454" class="removeDatasetRow WizardFieldLink" tabindex="0" role="button" data-row-index="4">remove</a>
                    <div id="datasetFieldContainer2454-3-4" class="datasetFieldContainer" data-schema-field-id="1518">
                      <div class="datasetfieldSpec DateFormField" id="fieldSpecContainer2454-3-4">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle">
                            <div class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2454-3-4-label">Start Date</div><input type="month" id="2454-3-4" name="2454-3-4" tabindex="0"
                                class=" DateFormField WizardFieldInputContainer WizardFieldInput" value="2016-11" dir="auto" autocomplete="on" min="1904-01" max="2144-12">
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2454-4-4" class="datasetFieldContainer" data-schema-field-id="1519">
                      <div class="datasetfieldSpec DateFormField" id="fieldSpecContainer2454-4-4">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle">
                            <div class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2454-4-4-label">End Date</div><input type="month" id="2454-4-4" name="2454-4-4" tabindex="0"
                                class=" DateFormField WizardFieldInputContainer WizardFieldInput" value="2017-01" dir="auto" autocomplete="on" min="1904-01" max="2144-12">
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2454-1-4" class="datasetFieldContainer" data-schema-field-id="1516">
                      <div class="datasetfieldSpec TextField" id="fieldSpecContainer2454-1-4">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2454-1-4-label">Employer</div><input type="text" id="2454-1-4" name="2454-1-4" tabindex="0" class=" TextField WizardFieldInputContainer WizardFieldInput"
                                value="Kohl's" dir="auto" placeholder="" autocomplete="on">
                            </label></div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2454-2-4" class="datasetFieldContainer" data-schema-field-id="1517">
                      <div class="datasetfieldSpec TextField" id="fieldSpecContainer2454-2-4">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2454-2-4-label">Position Title</div><input type="text" id="2454-2-4" name="2454-2-4" tabindex="0"
                                class=" TextField WizardFieldInputContainer WizardFieldInput" value="" dir="auto" placeholder="" autocomplete="on">
                            </label></div>
                        </div>
                      </div>
                    </div>
                  </div>
                </div><a href="#" id="addRowFor_2454" class="addDatasetRow WizardFieldLink" tabindex="0" role="button">add another</a><input type="hidden" id="multipleDatasetEntry_2454_rowOffset" name="multipleDatasetEntry_2454_rowOffset" value="4">
              </div>
            </div>
          </div>
        </div><input id="2454_hidden" name="2454_hidden" type="hidden" value="1">
      </div>
      <div class="fieldSpec" id="fieldSpecContainer2456" hidden="hidden">
        <div class="fieldSpecPadder">
          <div class="specTitle"><label class="fieldLabel">
              <div class="labelText WizardFieldLabel tc_formLabel" id="2456-label"></div>
              <div class="description WizardFieldDescription tc_formDescription">
                <div>Grade Point Average for your Bachelor's degree</div>
              </div>
              <div id="2456" class="tc_formField"></div>
            </label></div>
        </div>
      </div>
      <div class="fieldSpec" id="fieldSpecContainer2457" hidden="hidden">
        <div class="fieldSpecPadder">
          <div class="specTitle"><label class="fieldLabel">
              <div class="labelText WizardFieldLabel tc_formLabel" id="2457-label"></div>
              <div class="description WizardFieldDescription tc_formDescription">
                <div>Grade Point Average for your Master's degree</div>
              </div>
              <div id="2457" class="tc_formField"></div>
            </label></div>
        </div>
      </div>
      <div class="fieldSpec MultipleDatasetEntryFormField isRequired" id="fieldSpecContainer2455" hidden="hidden">
        <div class="fieldSpecPadder">
          <div class="specTitle">
            <div class="fieldLabel">
              <div class="labelText WizardFieldLabel tc_formLabel" id="2455-label">Please update your profile with your full academic history post High School<span class="requiredField">&nbsp;*</span></div>
              <div class="multipleDatasetWrapper tc_formField" id="2455">
                <div id="multipleDatasetRowsContainer_2455">
                  <div id="multipleDatasetEntry_2455_sample" class="TableSampleRow" aria-hidden="true">
                    <a href="javascript:void(0)" name="removeRowFor_2455" class="removeDatasetRow WizardFieldLink" tabindex="0" role="button" data-row-index="sample">remove</a>
                    <div id="datasetFieldContainer2455-15-sample" class="datasetFieldContainer" data-schema-field-id="7123" data-samplerow="1">
                      <div class="datasetfieldSpec  SelectFormField AutoCompleteField isRequired" id="fieldSpecContainer2455-15-sample">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-15-sample-label">Degree Level<span class="datasetrequiredField">&nbsp;*</span></div>
                              <div id="ui-widget_2455-15-sample" class="ui-widget AutocompleteSelectFieldUIWidget tc_formField" lang="en"><select name="2455-15-sample" tabindex="0"
                                  class=" SelectFormField AutoCompleteField AutocompleteSelectFieldChildHtmlElement" id="2455-15-sample" multiple="">
                                  <option></option>
                                </select></div>
                            </label></div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2455-7-sample" class="datasetFieldContainer" data-schema-field-id="2421" data-samplerow="1">
                      <div class="datasetfieldSpec  SelectFormField AutoCompleteField isRequired" id="fieldSpecContainer2455-7-sample">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-7-sample-label">Institution<span class="datasetrequiredField">&nbsp;*</span></div>
                              <div id="ui-widget_2455-7-sample" class="ui-widget AutocompleteSelectFieldUIWidget tc_formField" lang="en"><select name="2455-7-sample" tabindex="0"
                                  class=" SelectFormField AutoCompleteField AutocompleteSelectFieldChildHtmlElement" id="2455-7-sample" multiple="">
                                  <option></option>
                                </select></div>
                            </label></div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2455-6-sample" class="datasetFieldContainer" data-schema-field-id="2422" data-samplerow="1">
                      <div class="datasetfieldSpec  CheckBoxListFormField AutoCompleteField isRequired" id="fieldSpecContainer2455-6-sample">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle">
                            <div class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-6-sample-label">Major(s)<span class="datasetrequiredField">&nbsp;*</span></div>
                              <div id="ui-widget_2455-6-sample" class="ui-widget AutocompleteSelectFieldUIWidget tc_formField" lang="en"><select name="2455-6-sample[]" tabindex="0"
                                  class=" CheckBoxListFormField AutoCompleteField AutocompleteSelectFieldChildHtmlElement" id="2455-6-sample" multiple="1"></select></div>
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2455-8-sample" class="datasetFieldContainer" data-schema-field-id="2423" data-samplerow="1">
                      <div class="datasetfieldSpec  DateFormField" id="fieldSpecContainer2455-8-sample">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle">
                            <div class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-8-sample-label">Start Date</div><input type="month" id="2455-8-sample" name="2455-8-sample" tabindex="0"
                                class=" DateFormField WizardFieldInputContainer WizardFieldInput" value="" dir="auto" autocomplete="on">
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2455-9-sample" class="datasetFieldContainer" data-schema-field-id="2424" data-samplerow="1">
                      <div class="datasetfieldSpec  DateFormField isRequired" id="fieldSpecContainer2455-9-sample">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle">
                            <div class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-9-sample-label">Graduation Date<span class="datasetrequiredField">&nbsp;*</span></div><input type="month" id="2455-9-sample" name="2455-9-sample"
                                tabindex="0" class=" DateFormField WizardFieldInputContainer WizardFieldInput" value="" dir="auto" autocomplete="on">
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2455-10-sample" class="datasetFieldContainer" data-schema-field-id="2425" data-samplerow="1">
                      <div class="datasetfieldSpec  NumberField isRequired" id="fieldSpecContainer2455-10-sample">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-10-sample-label">GPA<span class="datasetrequiredField">&nbsp;*</span></div><input type="number" id="2455-10-sample" name="2455-10-sample" tabindex="0"
                                class=" NumberField WizardFieldInputContainer WizardFieldInput" value="" dir="auto" placeholder="" autocomplete="on" step="any">
                            </label></div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2455-12-sample" class="datasetFieldContainer" data-schema-field-id="2426" data-samplerow="1">
                      <div class="datasetfieldSpec  NumberField isRequired" id="fieldSpecContainer2455-12-sample">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-12-sample-label">GPA out of<span class="datasetrequiredField">&nbsp;*</span></div><input type="number" id="2455-12-sample" name="2455-12-sample"
                                tabindex="0" class=" NumberField WizardFieldInputContainer WizardFieldInput" value="" dir="auto" placeholder="" autocomplete="on" step="any">
                            </label></div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2455-11-sample" class="datasetFieldContainer" data-schema-field-id="2427" data-samplerow="1">
                      <div class="datasetfieldSpec  CheckBoxListFormField AutoCompleteField" id="fieldSpecContainer2455-11-sample">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle">
                            <div class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-11-sample-label">Minor(s)</div>
                              <div id="ui-widget_2455-11-sample" class="ui-widget AutocompleteSelectFieldUIWidget tc_formField" lang="en"><select name="2455-11-sample[]" tabindex="0"
                                  class=" CheckBoxListFormField AutoCompleteField AutocompleteSelectFieldChildHtmlElement" id="2455-11-sample" multiple="1"></select></div>
                            </div>
                          </div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2455-16-sample" class="datasetFieldContainer" data-schema-field-id="15905" data-samplerow="1">
                      <div class="datasetfieldSpec  SelectFormField AutoCompleteField isRequired" id="fieldSpecContainer2455-16-sample">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-16-sample-label">Is Institution Eligible?<span class="datasetrequiredField">&nbsp;*</span></div>
                              <div id="ui-widget_2455-16-sample" class="ui-widget AutocompleteSelectFieldUIWidget tc_formField" lang="en"><select name="2455-16-sample" tabindex="0"
                                  class=" SelectFormField AutoCompleteField AutocompleteSelectFieldChildHtmlElement" id="2455-16-sample" multiple="">
                                  <option></option>
                                </select></div>
                            </label></div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2455-20-sample" class="datasetFieldContainer" data-schema-field-id="25620" data-samplerow="1">
                      <div class="datasetfieldSpec  SelectFormField AutoCompleteField isRequired" id="fieldSpecContainer2455-20-sample">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-20-sample-label">Institution Country Code<span class="datasetrequiredField">&nbsp;*</span></div>
                              <div id="ui-widget_2455-20-sample" class="ui-widget AutocompleteSelectFieldUIWidget tc_formField" lang="en"><select name="2455-20-sample" tabindex="0"
                                  class=" SelectFormField AutoCompleteField AutocompleteSelectFieldChildHtmlElement" id="2455-20-sample" multiple="">
                                  <option></option>
                                </select></div>
                            </label></div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2455-19-sample" class="datasetFieldContainer" data-schema-field-id="19014" data-samplerow="1">
                      <div class="datasetfieldSpec  TextField" id="fieldSpecContainer2455-19-sample">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-19-sample-label">Other Institution Comments</div><input type="text" id="2455-19-sample" name="2455-19-sample" tabindex="0"
                                class=" TextField WizardFieldInputContainer WizardFieldInput" value="" dir="auto" placeholder="" autocomplete="on">
                            </label></div>
                        </div>
                      </div>
                    </div>
                  </div>
                  <div id="multipleDatasetEntry_2455_0"><a href="javascript:void(0)" name="removeRowFor_2455" class="removeDatasetRow WizardFieldLink" tabindex="0" role="button" data-row-index="0">remove</a>
                    <div id="datasetFieldContainer2455-15-0" class="datasetFieldContainer" data-schema-field-id="7123">
                      <div class="datasetfieldSpec SelectFormField AutoCompleteField isRequired" id="fieldSpecContainer2455-15-0">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-15-0-label">Degree Level<span class="datasetrequiredField">&nbsp;*</span></div>
                              <div id="ui-widget_2455-15-0" class="ui-widget AutocompleteSelectFieldUIWidget tc_formField" lang="en"><select name="2455-15-0" tabindex="-1"
                                  class="SelectFormField AutoCompleteField AutocompleteSelectFieldChildHtmlElement select2-hidden-accessible" id="2455-15-0" data-select2-id="2455-15-0" aria-hidden="true">
                                  <option data-select2-id="2"></option>
                                  <option value="28074" selected="1" data-select2-id="3">Bachelor's Degree (completed or in progress)</option>
                                </select><span class="select2 select2-container WizardFieldInputContainer WizardFieldInput select2-container--default" dir="ltr" data-select2-id="1" style="width: 100%;"><span class="selection"><span
                                      class="select2-selection select2-selection--single select2Container2455-15-0" role="listbox" aria-labelledby="2455-15-0-label" aria-haspopup="true" aria-expanded="false" aria-multiselectable="false"
                                      aria-required="true" tabindex="0" aria-disabled="false"><span class="select2-selection__rendered WizardFieldInput" id="select2-2455-15-0-container" role="textbox" aria-readonly="true" tabindex="-1"
                                        title="Bachelor's Degree (completed or in progress)">Bachelor's Degree (completed or in progress)<span class="select2-selection__clear" role="button" aria-label="Degree Level " tabindex="0"
                                          data-select2-id="4"><span aria-hidden="true">×</span></span></span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
                                    aria-hidden="true"></span></span></div>
                            </label></div>
                        </div>
                      </div>
                    </div>
                    <div id="datasetFieldContainer2455-7-0" class="datasetFieldContainer" data-schema-field-id="2421">
                      <div class="datasetfieldSpec SelectFormField AutoCompleteField isRequired" id="fieldSpecContainer2455-7-0">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-7-0-label">Institution<span class="datasetrequiredField">&nbsp;*</span></div>
                              <div id="ui-widget_2455-7-0" class="ui-widget AutocompleteSelectFieldUIWidget tc_formField" lang="en"><select name="2455-7-0" tabindex="-1"
                                  class="SelectFormField AutoCompleteField AutocompleteSelectFieldChildHtmlElement select2-hidden-accessible" id="2455-7-0" data-select2-id="2455-7-0" aria-hidden="true">
                                  <option data-select2-id="6"></option>
                                  <option value="9502" selected="1" data-select2-id="7">University of Wisconsin, Green Bay [3829]</option>
                                </select><span class="select2 select2-container WizardFieldInputContainer WizardFieldInput select2-container--default" dir="ltr" data-select2-id="5" style="width: 100%;"><span class="selection"><span
                                      class="select2-selection select2-selection--single select2Container2455-7-0" role="listbox" aria-labelledby="2455-7-0-label" aria-haspopup="true" aria-expanded="false" aria-multiselectable="false"
                                      aria-required="true" tabindex="0" aria-disabled="false"><span class="select2-selection__rendered WizardFieldInput" id="select2-2455-7-0-container" role="textbox" aria-readonly="true" tabindex="-1"
                                        title="University of Wisconsin, Green Bay [3829]">University of Wisconsin, Green Bay [3829]<span class="select2-selection__clear" role="button" aria-label="Institution " tabindex="0" data-select2-id="8"><span
                                            aria-hidden="true">×</span></span></span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper"
                                    aria-hidden="true"></span></span></div>
                            </label></div>
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                    <div id="datasetFieldContainer2455-6-0" class="datasetFieldContainer" data-schema-field-id="2422">
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                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle">
                            <div class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-6-0-label">Major(s)<span class="datasetrequiredField">&nbsp;*</span></div>
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                                      class="select2-selection select2-selection--multiple select2Container2455-6-0" role="listbox" aria-labelledby="2455-6-0-label" aria-haspopup="true" aria-expanded="false" aria-multiselectable="true"
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                                      <ul class="select2-selection__rendered">
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                                            role="button" tabindex="0" aria-label="Major(s): Information Technology "><span aria-hidden="true">×</span></span>Information Technology</li>
                                        <li class="select2-selection__clear" role="button" aria-label="Major(s) " tabindex="0" data-select2-id="12"><span aria-hidden="true">×</span></li>
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                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle">
                            <div class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-8-0-label">Start Date</div><input type="month" id="2455-8-0" name="2455-8-0" tabindex="0"
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                      <div class="datasetfieldSpec DateFormField isRequired" id="fieldSpecContainer2455-9-0">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle">
                            <div class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-9-0-label">Graduation Date<span class="datasetrequiredField">&nbsp;*</span></div><input type="month" id="2455-9-0" name="2455-9-0" tabindex="0"
                                class=" DateFormField WizardFieldInputContainer WizardFieldInput" value="2021-05" dir="auto" autocomplete="on" min="1904-01" max="2144-12">
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                          </div>
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                      <div class="datasetfieldSpec NumberField isRequired" id="fieldSpecContainer2455-10-0">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-10-0-label">GPA<span class="datasetrequiredField">&nbsp;*</span></div><input type="number" id="2455-10-0" name="2455-10-0" tabindex="0"
                                class=" NumberField WizardFieldInputContainer WizardFieldInput" value="3.2" dir="auto" placeholder="" autocomplete="on" step="any">
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                    <div id="datasetFieldContainer2455-12-0" class="datasetFieldContainer" data-schema-field-id="2426">
                      <div class="datasetfieldSpec NumberField isRequired" id="fieldSpecContainer2455-12-0">
                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-12-0-label">GPA out of<span class="datasetrequiredField">&nbsp;*</span></div><input type="number" id="2455-12-0" name="2455-12-0" tabindex="0"
                                class=" NumberField WizardFieldInputContainer WizardFieldInput" value="4" dir="auto" placeholder="" autocomplete="on" step="any">
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                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle">
                            <div class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-11-0-label">Minor(s)</div>
                              <div id="ui-widget_2455-11-0" class="ui-widget AutocompleteSelectFieldUIWidget tc_formField" lang="en"><select name="2455-11-0[]" tabindex="-1"
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                                  <option value="25902" selected="1" data-select2-id="15">Communications</option>
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                                            aria-label="Minor(s): Psychology "><span aria-hidden="true">×</span></span>Psychology</li>
                                        <li class="select2-selection__choice" tabindex="0" title="Communications" aria-label="Minor(s): Communications. " data-select2-id="17"><span class="select2-selection__choice__remove" role="button" tabindex="0"
                                            aria-label="Minor(s): Communications "><span aria-hidden="true">×</span></span>Communications</li>
                                        <li class="select2-selection__clear" role="button" aria-label="Minor(s) " tabindex="0" data-select2-id="18"><span aria-hidden="true">×</span></li>
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                                    </span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span></div>
                            </div>
                          </div>
                        </div>
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                              <div id="ui-widget_2455-16-0" class="ui-widget AutocompleteSelectFieldUIWidget tc_formField" lang="en"><select name="2455-16-0" tabindex="-1"
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                                  <option value="35622" selected="1" data-select2-id="21">Yes</option>
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                                      class="select2-selection select2-selection--single select2Container2455-16-0" role="listbox" aria-labelledby="2455-16-0-label" aria-haspopup="true" aria-expanded="false" aria-multiselectable="false"
                                      aria-required="true" tabindex="0" aria-disabled="false"><span class="select2-selection__rendered WizardFieldInput" id="select2-2455-16-0-container" role="textbox" aria-readonly="true" tabindex="-1"
                                        title="Yes">Yes<span class="select2-selection__clear" role="button" aria-label="Is Institution Eligible? " tabindex="0" data-select2-id="22"><span aria-hidden="true">×</span></span></span><span
                                        class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span></div>
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                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-20-0-label">Institution Country Code<span class="datasetrequiredField">&nbsp;*</span></div>
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                                      class="select2-selection select2-selection--single select2Container2455-20-0" role="listbox" aria-labelledby="2455-20-0-label" aria-haspopup="true" aria-expanded="false" aria-multiselectable="false"
                                      aria-required="true" tabindex="0" aria-disabled="false"><span class="select2-selection__rendered WizardFieldInput" id="select2-2455-20-0-container" role="textbox" aria-readonly="true" tabindex="-1"
                                        title="USA">USA<span class="select2-selection__clear" role="button" aria-label="Institution Country Code " tabindex="0" data-select2-id="26"><span aria-hidden="true">×</span></span></span><span
                                        class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span></div>
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                        <div class="datasetfieldSpecPadder">
                          <div class="datasetspecTitle"><label class="datasetfieldLabel">
                              <div class="datasetlabelText WizardFieldLabel tc_formLabel" id="2455-19-0-label">Other Institution Comments</div><input type="text" id="2455-19-0" name="2455-19-0" tabindex="0"
                                class=" TextField WizardFieldInputContainer WizardFieldInput" value="" dir="auto" placeholder="" autocomplete="on">
                            </label></div>
                        </div>
                      </div>
                    </div>
                  </div>
                </div><a href="#" id="addRowFor_2455" class="addDatasetRow WizardFieldLink" tabindex="0" role="button">add another</a><input type="hidden" id="multipleDatasetEntry_2455_rowOffset" name="multipleDatasetEntry_2455_rowOffset" value="0">
              </div>
            </div>
          </div>
        </div><input id="2455_hidden" name="2455_hidden" type="hidden" value="1">
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        <div class="fieldSpecPadder">
          <div class="specTitle"><label class="fieldLabel">
              <div class="labelText WizardFieldLabel tc_formLabel" id="2458-label">A copy of your resume (PDF or Word Document preferred)<span class="requiredField">&nbsp;*</span></div>
              <div class="description WizardFieldDescription tc_formDescription">You can either upload the file to your profile or e-mail it to us directly at <a href="http://careers@epic.com">careers@epic.com</a></div>
              <div id="fileInput_2458" class="tc_formField" data-drivechoosertext="Choose from Google Drive"><input type="hidden" name="file_2458_fileNumber" value=""><input type="hidden" id="dropboxFileName_2458" name="dropboxFileName_2458"
                  value=""><input type="hidden" id="dropboxLink_2458" name="dropboxLink_2458" value=""><input type="hidden" id="dropboxFileSize_2458" name="dropboxFileSize_2458" value=""><input type="hidden" id="driveFileName_2458"
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                  class=" FileField WizardFieldInputContainer WizardFieldInput"
                  data-check-oversize="1"><a href="#" class=" dropbox-dropin-btn dropbox-dropin-default"><span class="dropin-btn-status"></span>Choose from Dropbox</a><a id="drivePicker" href="#" class="drivePickerButton">Choose from Google Drive</a>
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        </div><input id="2458_hidden" name="2458_hidden" type="hidden" value="1">
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      <div class="fieldSpec ParagraphWithFormatFormField isRequired" id="fieldSpecContainer2461" hidden="hidden">
        <div class="fieldSpecPadder">
          <div class="specTitle"><label class="fieldLabel">
              <div class="labelText WizardFieldLabel tc_formLabel" id="2461-label">Three references (former supervisors or professors), including email addresses and phone numbers<span class="requiredField">&nbsp;*</span></div><textarea id="2461"
                name="2461" tabindex="0" class=" ParagraphWithFormatFormField ParagraphWithFormatTextArea WizardFieldInputContainer WizardFieldInput" dir="auto" placeholder="" aria-hidden="true" style="display: none;"></textarea>
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Text Content

INFORMATION REQUEST

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Work HistoryEducationBachelor's GPAMaster's
GPAResumeReferencesPortfolioRembrandtTranscripts
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Please update your profile with your full employment history post High School *
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Grade Point Average for your Master's degree

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Degree Level *
Bachelor's Degree (completed or in progress)Bachelor's Degree (completed or in
progress)×
Institution *
University of Wisconsin, Green Bay [3829]University of Wisconsin, Green Bay
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Major(s) *
Information Technology
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Start Date
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PsychologyCommunications
 * ×Psychology
 * ×Communications
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USAUSA×
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Please provide the URL to your portfolio or samples of your work here: *
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