www.vision6.com.au Open in urlscan Pro
203.14.199.85  Public Scan

Submitted URL: https://bit.ly/3F4dpPl
Effective URL: https://www.vision6.com.au/em/forms/subscribe.php?db=628682&s=392960&a=36755&k=_355PLx5M0k8gyMEappzwpq7bH9H_bZJYxJ56-oQiio
Submission: On December 06 via manual from AU — Scanned from AU

Form analysis 1 forms found in the DOM

Name: em_subscribe_formPOST https://www.vision6.com.au/em/forms/subscribe.php?db=628682&s=392960&a=36755&k=_355PLx5M0k8gyMEappzwpq7bH9H_bZJYxJ56-oQiio&wt=1

<form method="POST" data-is-embed="" class="em_subscribe_form-392960 em_wfe_form" data-account-id="36755" data-webform-id="392960" id="em_subscribe_form" name="em_subscribe_form" onsubmit="return checkForm(this);"
  action="https://www.vision6.com.au/em/forms/subscribe.php?db=628682&amp;s=392960&amp;a=36755&amp;k=_355PLx5M0k8gyMEappzwpq7bH9H_bZJYxJ56-oQiio&amp;wt=1" enctype="multipart/form-data">
  <input type="hidden" name="webform_submit_catch" value="em_subscribe_form">
  <input type="hidden" name="sf_catch" value="em_subscribe_form">
  <div class="webform_step" style="margin:0px auto;padding:10px;width:500px;border:1px solid transparent;border-radius:5px;background-color:#51247A;">
    <div style="margin:0px;">
      <div rel="1" class="wfe_component" id="4847838" style="padding:20px;border-radius:0px;background-color:#FFFFFF;">
        <div class="wysiwyg">
          <h1 style="margin:0;font-size:24px;">
            <a href="https://law.uq.edu.au/" title="UQ logo"><img border="0" height="72" src="https://emarketing-au.s3-ap-southeast-2.amazonaws.com/55763/vQrOPt8Muz6KyStBzY7tzAcd5PuYA6PCT70ude4BfU8/2056905.png" width="180" alt="2056905.png"></a></h1>
        </div>
      </div>
    </div>
    <div style="margin:0px;">
      <div rel="1" class="wfe_component" id="4852712" style="padding:10px;border-radius:0px;background-color:#51247A;">
        <div class="wysiwyg">
          <p style="font-size:24px;margin:0px;">Subscribe to CBEH</p>
        </div>
      </div>
    </div>
    <div style="margin:0px;">
      <div rel="1" class="wfe_component" id="4847839" style="padding:10px;border-radius:0px;background-color:#FFFFFF;">
        <div class="wysiwyg"><span style="font-size:14px;"><span style="color:#000000;">Sign up to hear about the latest news, events and training from UQ's&nbsp;Centre for the Business and Economics of Health (CBEH)</span></span></div>
      </div>
    </div>
    <div style="margin:0px;">
      <div rel="5" class="wfe_component" id="5384846" style="padding:10px;border-radius:0px;background-color:#FFFFFF;">
        <table class="em_wfe_form_container" width="100%" cellspacing="0" cellpadding="0">
          <tbody>
            <tr>
              <td valign="top" align="left" width="30%" style="text-align:left;padding:2px 0;overflow:hidden;"><label for="em_wfs_formfield_5717883_fieldset" style="color:#000000;">Are you a UQ alumnus?</label></td>
              <td valign="top" style="text-align:left;padding:2px 0;overflow:hidden;"><span style="color:#000000;">
                  <fieldset id="em_wfs_formfield_5717883_fieldset" style="border:0; margin:0; padding:0">
                    <table class="em_wfe_form_container" cellspacing="0" cellpadding="0">
                      <tbody>
                        <tr>
                          <td valign="top"><span>
                              <table class="em_wfe_form_field_container" cellspacing="0" cellpadding="0">
                                <tbody>
                                  <tr>
                                    <td valign="top" align="left" style="padding:0px 4px 2px 0px;"><input style="margin:2px 0px 0px 0px;padding:0px;" type="radio" id="em_wfs_formfield_5717883_option_0" mandatory="false"
                                        sf_title="Are you a UQ alumnus?" name="em_wfs_formfield_5717883" value="Yes"></td>
                                    <td valign="top" align="left" style="padding:0px 10px 2px 0px;"><label for="em_wfs_formfield_5717883_option_0">Yes</label></td>
                                  </tr>
                                </tbody>
                              </table>
                            </span></td>
                        </tr>
                        <tr>
                          <td valign="top"><span>
                              <table class="em_wfe_form_field_container" cellspacing="0" cellpadding="0">
                                <tbody>
                                  <tr>
                                    <td valign="top" align="left" style="padding:0px 4px 2px 0px;"><input style="margin:2px 0px 0px 0px;padding:0px;" type="radio" id="em_wfs_formfield_5717883_option_1" mandatory="false"
                                        sf_title="Are you a UQ alumnus?" name="em_wfs_formfield_5717883" value="No"></td>
                                    <td valign="top" align="left" style="padding:0px 10px 2px 0px;"><label for="em_wfs_formfield_5717883_option_1">No</label></td>
                                  </tr>
                                </tbody>
                              </table>
                            </span></td>
                        </tr>
                      </tbody>
                    </table>
                  </fieldset>
                </span></td>
            </tr>
          </tbody>
        </table>
      </div>
    </div>
    <div style="margin:0px;">
      <div rel="5" class="wfe_component" id="4852711" style="padding:10px;border-radius:0px;background-color:#FFFFFF;">
        <table class="em_wfe_form_container" width="100%" cellspacing="0" cellpadding="0">
          <tbody>
            <tr>
              <td valign="top" align="left" width="30%" style="text-align:left;padding:2px 0;overflow:hidden;"><label for="em_wfs_formfield_5520300" style="color:#000000;">Which best describes you?<span style="color:#990000;">*</span><span
                    style="display:none;"> (required)</span></label></td>
              <td valign="top" style="text-align:left;padding:2px 0;overflow:hidden;"><span style="color:#000000;"><select id="em_wfs_formfield_5520300" name="em_wfs_formfield_5520300" mandatory="true" sf_title="Which best describes you?" ftype="5"
                    style="background-color:#FFFFFF;margin:0px;width:90%;">
                    <option value="Select..." selected="selected">Select...</option>
                    <option value="UQ Staff">UQ Staff</option>
                    <option value="UQ Student">UQ Student</option>
                    <option value="Prospective UQ student">Prospective UQ student</option>
                    <option value="Industry professional (External to UQ)">Industry professional (External to UQ)</option>
                    <option value="Academic or researcher (External to UQ)">Academic or researcher (External to UQ)</option>
                    <option value="Other">Other</option>
                  </select></span></td>
            </tr>
          </tbody>
        </table>
      </div>
    </div>
    <div style="margin:0px;">
      <div rel="5" class="wfe_component" id="4964025" style="padding:10px;border-radius:0px;background-color:#FFFFFF;">
        <table class="em_wfe_form_container" width="100%" cellspacing="0" cellpadding="0">
          <tbody>
            <tr>
              <td valign="top" align="left" width="30%" style="text-align:left;padding:2px 0;overflow:hidden;"><label for="em_wfs_formfield_5564135" style="color:#000000;">Prefix</label></td>
              <td valign="top" style="text-align:left;padding:2px 0;overflow:hidden;"><span style="color:#000000;"><input type="text" value="" id="em_wfs_formfield_5564135" name="em_wfs_formfield_5564135" mandatory="false" validation=""
                    sf_title="Prefix" ftype="1" maxlength="255" size="0" style="background-color:#FFFFFF;margin:0px;width:90%;"></span></td>
            </tr>
          </tbody>
        </table>
      </div>
    </div>
    <div style="margin:0px;">
      <div rel="5" class="wfe_component" id="4847840" style="padding:10px;border-radius:0px;background-color:#FFFFFF;">
        <table class="em_wfe_form_container" width="100%" cellspacing="0" cellpadding="0">
          <tbody>
            <tr>
              <td valign="top" align="left" width="30%" style="text-align:left;padding:2px 0;overflow:hidden;"><label for="em_wfs_formfield_5517623" style="color:#000000;">First Name<span style="color:#990000;">*</span><span style="display:none;">
                    (required)</span></label></td>
              <td valign="top" style="text-align:left;padding:2px 0;overflow:hidden;"><span style="color:#000000;"><input type="text" value="" id="em_wfs_formfield_5517623" name="em_wfs_formfield_5517623" mandatory="true" validation=""
                    sf_title="First Name" ftype="1" maxlength="80" size="30" style="background-color:#FFFFFF;margin:0px;width:90%;"></span></td>
            </tr>
          </tbody>
        </table>
      </div>
    </div>
    <div style="margin:0px;">
      <div rel="5" class="wfe_component" id="4847924" style="padding:10px;border-radius:0px;background-color:#FFFFFF;">
        <table class="em_wfe_form_container" width="100%" cellspacing="0" cellpadding="0">
          <tbody>
            <tr>
              <td valign="top" align="left" width="30%" style="text-align:left;padding:2px 0;overflow:hidden;"><label for="em_wfs_formfield_5517627" style="color:#000000;">Last Name<span style="color:#990000;">*</span><span style="display:none;">
                    (required)</span></label></td>
              <td valign="top" style="text-align:left;padding:2px 0;overflow:hidden;"><span style="color:#000000;"><input type="text" value="" id="em_wfs_formfield_5517627" name="em_wfs_formfield_5517627" mandatory="true" validation=""
                    sf_title="Last Name" ftype="1" maxlength="255" size="30" style="background-color:#FFFFFF;margin:0px;width:90%;"></span></td>
            </tr>
          </tbody>
        </table>
      </div>
    </div>
    <div style="margin:0px;">
      <div rel="5" class="wfe_component" id="4964024" style="padding:10px;border-radius:0px;background-color:#FFFFFF;">
        <table class="em_wfe_form_container" width="100%" cellspacing="0" cellpadding="0">
          <tbody>
            <tr>
              <td valign="top" align="left" width="30%" style="text-align:left;padding:2px 0;overflow:hidden;"><label for="em_wfs_formfield_5564136" style="color:#000000;">Suffix/ Post-nominal</label></td>
              <td valign="top" style="text-align:left;padding:2px 0;overflow:hidden;"><span style="color:#000000;"><input type="text" value="" id="em_wfs_formfield_5564136" name="em_wfs_formfield_5564136" mandatory="false" validation=""
                    sf_title="Suffix/ Post-nominal" ftype="1" maxlength="255" size="0" style="background-color:#FFFFFF;margin:0px;width:90%;"></span></td>
            </tr>
          </tbody>
        </table>
      </div>
    </div>
    <div style="margin:0px;">
      <div rel="5" class="wfe_component" id="4847841" style="padding:10px;border-radius:0px;background-color:#FFFFFF;">
        <table class="em_wfe_form_container" width="100%" cellspacing="0" cellpadding="0">
          <tbody>
            <tr>
              <td valign="top" align="left" width="30%" style="text-align:left;padding:2px 0;overflow:hidden;"><label for="em_wfs_formfield_5517624" style="color:#000000;">Email<span style="color:#990000;">*</span><span style="display:none;">
                    (required)</span></label></td>
              <td valign="top" style="text-align:left;padding:2px 0;overflow:hidden;"><span style="color:#000000;"><input type="text" value="" id="em_wfs_formfield_5517624" name="em_wfs_formfield_5517624" mandatory="true" validation="1"
                    sf_title="Email" ftype="1" maxlength="80" size="30" style="background-color:#FFFFFF;margin:0px;width:90%;"></span></td>
            </tr>
          </tbody>
        </table>
      </div>
    </div>
    <div style="margin:0px;">
      <div rel="5" class="wfe_component" id="4847923" style="padding:10px;border-radius:0px;background-color:#FFFFFF;">
        <table class="em_wfe_form_container" width="100%" cellspacing="0" cellpadding="0">
          <tbody>
            <tr>
              <td valign="top" align="left" width="30%" style="text-align:left;padding:2px 0;overflow:hidden;"><label for="em_wfs_formfield_5517628" style="color:#000000;">Postcode<span style="color:#990000;">*</span><span style="display:none;">
                    (required)</span></label></td>
              <td valign="top" style="text-align:left;padding:2px 0;overflow:hidden;"><span style="color:#000000;"><input type="text" value="" id="em_wfs_formfield_5517628" name="em_wfs_formfield_5517628" mandatory="true" validation=""
                    sf_title="Postcode" ftype="1" maxlength="255" size="0" style="background-color:#FFFFFF;margin:0px;width:90%;"></span></td>
            </tr>
          </tbody>
        </table>
      </div>
    </div>
    <div style="margin:0px;">
      <div rel="5" class="wfe_component" id="4847922" style="padding:10px;border-radius:0px;background-color:#FFFFFF;">
        <table class="em_wfe_form_container" width="100%" cellspacing="0" cellpadding="0">
          <tbody>
            <tr>
              <td valign="top" align="left" width="30%" style="text-align:left;padding:2px 0;overflow:hidden;"><label for="em_wfs_formfield_5517629" style="color:#000000;">Position title<span style="color:#990000;">*</span><span
                    style="display:none;"> (required)</span></label></td>
              <td valign="top" style="text-align:left;padding:2px 0;overflow:hidden;"><span style="color:#000000;"><input type="text" value="" id="em_wfs_formfield_5517629" name="em_wfs_formfield_5517629" mandatory="true" validation=""
                    sf_title="Position title" ftype="1" maxlength="255" size="0" style="background-color:#FFFFFF;margin:0px;width:90%;"></span></td>
            </tr>
          </tbody>
        </table>
      </div>
    </div>
    <div style="margin:0px;">
      <div rel="5" class="wfe_component" id="4852599" style="padding:10px;border-radius:0px;background-color:#FFFFFF;">
        <table class="em_wfe_form_container" width="100%" cellspacing="0" cellpadding="0">
          <tbody>
            <tr>
              <td valign="top" align="left" width="30%" style="text-align:left;padding:2px 0;overflow:hidden;"><label for="em_wfs_formfield_5520278" style="color:#000000;">Organisation<span style="color:#990000;">*</span><span style="display:none;">
                    (required)</span></label></td>
              <td valign="top" style="text-align:left;padding:2px 0;overflow:hidden;"><span style="color:#000000;"><input type="text" value="" id="em_wfs_formfield_5520278" name="em_wfs_formfield_5520278" mandatory="true" validation=""
                    sf_title="Organisation" ftype="1" maxlength="255" size="0" style="background-color:#FFFFFF;margin:0px;width:90%;"></span></td>
            </tr>
          </tbody>
        </table>
      </div>
    </div>
    <div style="margin:0px;">
      <div rel="5" class="wfe_component" id="6330352" style="padding:10px;border-radius:0px;background-color:#FFFFFF;">
        <table class="em_wfe_form_container" width="100%" cellspacing="0" cellpadding="0">
          <tbody>
            <tr>
              <td valign="top" align="left" width="30%" style="text-align:left;padding:2px 0;overflow:hidden;"><label for="em_wfs_formfield_6067883" style="color:#000000;">State<span style="color:#990000;">*</span><span style="display:none;">
                    (required)</span></label></td>
              <td valign="top" style="text-align:left;padding:2px 0;overflow:hidden;"><span style="color:#000000;"><select id="em_wfs_formfield_6067883" name="em_wfs_formfield_6067883" mandatory="true" sf_title="State" ftype="5"
                    style="background-color:#FFFFFF;margin:0px;width:90%;">
                    <option value="Select...">Select...</option>
                    <option value="Australian Capital Territory">Australian Capital Territory</option>
                    <option value="New South Wales">New South Wales</option>
                    <option value="Northern Territory">Northern Territory</option>
                    <option value="Queensland">Queensland</option>
                    <option value="South Australia">South Australia</option>
                    <option value="Tasmania">Tasmania</option>
                    <option value="Victoria">Victoria</option>
                    <option value="Western Australia">Western Australia</option>
                  </select></span></td>
            </tr>
          </tbody>
        </table>
      </div>
    </div>
    <div style="margin:0px;">
      <div rel="5" class="wfe_component" id="4852887" style="padding:10px;border-radius:0px;background-color:#FFFFFF;">
        <table class="em_wfe_form_container" width="100%" cellspacing="0" cellpadding="0">
          <tbody>
            <tr>
              <td valign="top" align="left" width="30%" style="text-align:left;padding:2px 0;overflow:hidden;"><label for="em_wfs_formfield_5520339_fieldset" style="color:#000000;">What are your main areas of interest? Select all that apply.<span
                    style="color:#990000;">*</span><span style="display:none;"> (required)</span></label></td>
              <td valign="top" style="text-align:left;padding:2px 0;overflow:hidden;"><span style="color:#000000;">
                  <fieldset id="em_wfs_formfield_5520339_fieldset" style="border:0; margin:0; padding:0">
                    <table class="em_wfe_form_container" cellspacing="0" cellpadding="0">
                      <tbody>
                        <tr>
                          <td valign="top"><span>
                              <table class="em_wfe_form_field_container" cellspacing="0" cellpadding="0">
                                <tbody>
                                  <tr>
                                    <td valign="top" align="left" style="padding:0px 4px 2px 0px;"><input style="margin:2px 0px 0px 0px;padding:0px;" type="checkbox" id="em_wfs_formfield_5520339_option_0" mandatory="true"
                                        sf_title="What are your main areas of interest? Select all that apply." name="em_wfs_formfield_5520339[Short Courses by CBEH]"></td>
                                    <td valign="top" align="left" style="padding:0px 10px 2px 0px;"><label for="em_wfs_formfield_5520339_option_0">Short Courses by CBEH</label></td>
                                  </tr>
                                </tbody>
                              </table>
                            </span></td>
                        </tr>
                        <tr>
                          <td valign="top"><span>
                              <table class="em_wfe_form_field_container" cellspacing="0" cellpadding="0">
                                <tbody>
                                  <tr>
                                    <td valign="top" align="left" style="padding:0px 4px 2px 0px;"><input style="margin:2px 0px 0px 0px;padding:0px;" type="checkbox" id="em_wfs_formfield_5520339_option_1" mandatory="true"
                                        sf_title="What are your main areas of interest? Select all that apply." name="em_wfs_formfield_5520339[CBEH seminars and events]"></td>
                                    <td valign="top" align="left" style="padding:0px 10px 2px 0px;"><label for="em_wfs_formfield_5520339_option_1">CBEH seminars and events</label></td>
                                  </tr>
                                </tbody>
                              </table>
                            </span></td>
                        </tr>
                        <tr>
                          <td valign="top"><span>
                              <table class="em_wfe_form_field_container" cellspacing="0" cellpadding="0">
                                <tbody>
                                  <tr>
                                    <td valign="top" align="left" style="padding:0px 4px 2px 0px;"><input style="margin:2px 0px 0px 0px;padding:0px;" type="checkbox" id="em_wfs_formfield_5520339_option_2" mandatory="true"
                                        sf_title="What are your main areas of interest? Select all that apply." name="em_wfs_formfield_5520339[Partnership opportunities]"></td>
                                    <td valign="top" align="left" style="padding:0px 10px 2px 0px;"><label for="em_wfs_formfield_5520339_option_2">Partnership opportunities</label></td>
                                  </tr>
                                </tbody>
                              </table>
                            </span></td>
                        </tr>
                        <tr>
                          <td valign="top"><span>
                              <table class="em_wfe_form_field_container" cellspacing="0" cellpadding="0">
                                <tbody>
                                  <tr>
                                    <td valign="top" align="left" style="padding:0px 4px 2px 0px;"><input style="margin:2px 0px 0px 0px;padding:0px;" type="checkbox" id="em_wfs_formfield_5520339_option_3" mandatory="true"
                                        sf_title="What are your main areas of interest? Select all that apply." name="em_wfs_formfield_5520339[Current projects]"></td>
                                    <td valign="top" align="left" style="padding:0px 10px 2px 0px;"><label for="em_wfs_formfield_5520339_option_3">Current projects</label></td>
                                  </tr>
                                </tbody>
                              </table>
                            </span></td>
                        </tr>
                        <tr>
                          <td valign="top"><span>
                              <table class="em_wfe_form_field_container" cellspacing="0" cellpadding="0">
                                <tbody>
                                  <tr>
                                    <td valign="top" align="left" style="padding:0px 4px 2px 0px;"><input style="margin:2px 0px 0px 0px;padding:0px;" type="checkbox" id="em_wfs_formfield_5520339_option_4" mandatory="true"
                                        sf_title="What are your main areas of interest? Select all that apply." name="em_wfs_formfield_5520339[Postgraduate training]"></td>
                                    <td valign="top" align="left" style="padding:0px 10px 2px 0px;"><label for="em_wfs_formfield_5520339_option_4">Postgraduate training</label></td>
                                  </tr>
                                </tbody>
                              </table>
                            </span></td>
                        </tr>
                        <tr>
                          <td valign="top"><span>
                              <table class="em_wfe_form_field_container" cellspacing="0" cellpadding="0">
                                <tbody>
                                  <tr>
                                    <td valign="top" align="left" style="padding:0px 4px 2px 0px;"><input style="margin:2px 0px 0px 0px;padding:0px;" type="checkbox" id="em_wfs_formfield_5520339_option_5" mandatory="true"
                                        sf_title="What are your main areas of interest? Select all that apply." name="em_wfs_formfield_5520339[Research results]"></td>
                                    <td valign="top" align="left" style="padding:0px 10px 2px 0px;"><label for="em_wfs_formfield_5520339_option_5">Research results</label></td>
                                  </tr>
                                </tbody>
                              </table>
                            </span></td>
                        </tr>
                      </tbody>
                    </table>
                  </fieldset>
                </span></td>
            </tr>
          </tbody>
        </table>
      </div>
    </div>
    <div style="margin:0px;">
      <div rel="1" class="wfe_component" id="4852888" style="padding:10px;border-radius:0px;background-color:#FFFFFF;">
        <div class="wysiwyg"><span style="color:#000000;">Your interests will help us to determine the content that is relevant to you&nbsp;in the future.&nbsp;Please note that your nominated interests are not the same as email preferences.</span>
        </div>
      </div>
    </div>
    <div style="margin:0px;">
      <div rel="1" class="wfe_component" id="4911301" style="padding:10px;border-radius:0px;background-color:#FFFFFF;">
        <div class="wysiwyg"><span style="color:#000000;">If you have used your work email address to subscribe please be mindful of your organisation's data security. Keep an eye out for a confirmation email from us within 24hrs. If you do not
            receive this email, please contact your IT Department and ask them to allow communications from&nbsp;<a href="mailto:cbeh@uq.edu.au?subject=Subscription%20communications%20issue" title="cbeh@uq.edu.au">cbeh@uq.edu.au.</a></span></div>
      </div>
    </div>
    <div style="margin:0px;">
      <div rel="5" class="wfe_component" id="4968881" style="padding:10px;border-radius:0px;background-color:#FFFFFF;">
        <table class="em_wfe_form_container" width="100%" cellspacing="0" cellpadding="0">
          <tbody>
            <tr>
              <td valign="top" align="left" width="30%" style="text-align:left;padding:2px 0;overflow:hidden;"><label for="em_wfs_formfield_5543541" style="color:#000000;">Secondary email address (optional)</label></td>
              <td valign="top" style="text-align:left;padding:2px 0;overflow:hidden;"><span style="color:#000000;"><input type="text" value="" id="em_wfs_formfield_5543541" name="em_wfs_formfield_5543541" mandatory="false" validation=""
                    sf_title="Secondary email address (optional)" ftype="1" maxlength="255" size="0" style="background-color:#FFFFFF;margin:0px;width:90%;"></span></td>
            </tr>
          </tbody>
        </table>
      </div>
    </div>
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