apply.communityamerica.com Open in urlscan Pro
35.158.127.51  Public Scan

Form analysis
2 forms found in the DOM

<form novalidate="" id="retrieve-application" class="ng-untouched ng-pristine ng-invalid">
  <div class="getting-started-container">
    <div class="form-container"><!---->
      <div>
        <h1 class="fw-bold">Verify It's You</h1>
        <div class="fw-500 mt-5 mb-4 p-2"> For your security, please verify your contact information. </div>
        <div><tf-email autocomplete="na" placeholder="ex. Jessie@gmail.com" required="true" floatlabel="true" t-model="PrimaryEmail__c" id="tf-email-0" class="tf-email ng-untouched ng-pristine ng-invalid">
            <div class="tf-form-group tf-floating-label tf-with-suffix"><label id="tf-email-0-label" for="tf-email-0-input" class="required floating-form-label"> Email Address <!----></label><!---->
              <div class="input-group tf-input-group">
                <div class="d-flex"></div><input type="email" class="form-control" id="tf-email-0-input" required="" autocomplete="na" tabindex="0" placeholder="ex. Jessie@gmail.com" aria-labelledby="tf-email-0-label" aria-invalid="false">
                <div class="d-flex"><span tfsuffix="" class="input-group-text"><span aria-hidden="true" position="top" class="fal fa-circle-question"></span><!----></span></div>
              </div><tf-hint-error>
                <div class="tf-input-subscript"><!----><!----><!----></div>
              </tf-hint-error><!---->
            </div>
          </tf-email><!----><!----><button type="submit" class="btn btn-light btn-secondary my-3 d-block btn-submit btn-padding"> Request Passcode </button><!----></div><!----><!---->
      </div>
      <div class="row align-bottom">
        <div class="col-12 text-center"><!----></div>
      </div>
    </div>
  </div>
</form>

Name: j_id0:j_id30 — POST /apptracker

<form id="j_id0:j_id30" name="j_id0:j_id30" method="post" action="/apptracker" enctype="application/x-www-form-urlencoded">
  <input type="hidden" name="j_id0:j_id30" value="j_id0:j_id30">
  <script id="j_id0:j_id30:j_id31" type="text/javascript">
    initialize = function() {
      A4J.AJAX.Submit('j_id0:j_id30', null, {
        'similarityGroupingId': 'j_id0:j_id30:j_id31',
        'oncomplete': function(request, event, data) {
          TFFA.onInitialize()
        },
        'parameters': {
          'j_id0:j_id30:j_id31': 'j_id0:j_id30:j_id31'
        }
      })
    };
  </script>
  <div xmlns="http://www.w3.org/1999/xhtml" id="j_id0:j_id30:j_id34"></div>
</form>

Text Content

Tessellate



INFO


RESUME YOUR APPLICATION

We save your application for 60 days.


REVIEW APPLICATION PROGRESS

Double-check the information you've entered and make any edits before you
complete your application


WELCOME BACK

Resume your application.


VERIFY IT'S YOU

For your security, please verify your contact information.
Email Address


Request Passcode

USA PATRIOT Act Identity Verification Notice: To help the government fight the
funding of terrorism and money laundering activities, Federal law requires all
financial institutions to obtain, verify and record information that identifies
each person who opens an account or applies to become a joint owner of an
account.
What this means for you: When you open or apply to become an owner or joint
owner of an account, we will ask for your name, address, date of birth, Social
Security Number or tax payer identification number and other information that
will allow us to identify you. We may also verify identification by
non-documentary sources such as bank history reports.
Message and Data rates may apply. You can opt-out at any time - simply text
'STOP' at any time to discontinue receiving texts.
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