pandaprojectal.org
Open in
urlscan Pro
35.237.26.157
Public Scan
Submitted URL: http://pandaprojectal.org/
Effective URL: https://pandaprojectal.org/
Submission: On April 14 via api from US — Scanned from DE
Effective URL: https://pandaprojectal.org/
Submission: On April 14 via api from US — Scanned from DE
Form analysis 2 forms found in the DOM
POST /
<form method="post" enctype="multipart/form-data" id="gform_1" action="/" novalidate="">
<div class="gform_body gform-body">
<div id="gform_fields_1" class="gform_fields top_label form_sublabel_below description_below">
<div id="field_1_1" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_1_1"><label class="gfield_label" for="input_1_1">Full Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_1_1" type="text" value="" class="large" aria-required="true" aria-invalid="false"></div>
</div>
<div id="field_1_3" class="gfield gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_1_3"><label class="gfield_label" for="input_1_3">Phone<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_3" id="input_1_3" type="tel" value="" class="large" aria-required="true" aria-invalid="false"></div>
</div>
<div id="field_1_4" class="gfield gfield--width-half email gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_1_4"><label class="gfield_label" for="input_1_4">Email<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email"> <input name="input_4" id="input_1_4" type="email" value="" class="large" aria-required="true" aria-invalid="false"></div>
</div>
<div id="field_1_5" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_1_5"><label class="gfield_label" for="input_1_5">Message<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_5" id="input_1_5" class="textarea small" aria-required="true" aria-invalid="false" rows="10" cols="50"></textarea></div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_1" class="gform_button button" value="Submit"
onclick="if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_1"]){return false;} if( !jQuery("#gform_1")[0].checkValidity || jQuery("#gform_1")[0].checkValidity()){window["gf_submitting_1"]=true;} jQuery("#gform_1").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_1" value="1"> <input type="hidden" class="gform_hidden" name="gform_submit" value="1"> <input type="hidden" class="gform_hidden" name="gform_unique_id" value=""> <input type="hidden"
class="gform_hidden" name="state_1" value="WyJbXSIsIjU3NjczYTY5ZWM2ZDVmMzRlMTYyMzIwNzI4ZDFhYjgyIl0="> <input type="hidden" class="gform_hidden" name="gform_target_page_number_1" id="gform_target_page_number_1" value="0"> <input type="hidden"
class="gform_hidden" name="gform_source_page_number_1" id="gform_source_page_number_1" value="1"> <input type="hidden" name="gform_field_values" value=""></div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_1" name="ak_js" value="1681467912489"></p>
</form>POST
<form class="ctct-form ctct-form-184 no-recaptcha" id="ctct-form-1647015438" data-doajax="off" style="" action="" method="post"><span class="ctct-form-description"></span>
<p class="ctct-form-field ctct-form-field-email ctct-form-field-required"><span class="ctct-label-top"><label for="email___3c59495a3edf2d27cd20fc1987544522_0_652666524">Email (required) <abbr title="required">*</abbr></label></span><input
required="" type="email" name="email___3c59495a3edf2d27cd20fc1987544522" value="" placeholder="" class="ctct-email ctct-label-top email___3c59495a3edf2d27cd20fc1987544522" id="email___3c59495a3edf2d27cd20fc1987544522_0_652666524"></p>
<div class="ctct-list-selector" style="display:none;">
<div class="ctct-form-field ctct-form-field-checkbox ctct-form-field-required">
<fieldset>
<legend class="ctct-label-top">Select list(s) to subscribe to</legend><input type="checkbox" name="lists___b5bef8f44bf82bd17ef45a7be7c553dc[]" id="lists___b5bef8f44bf82bd17ef45a7be7c553dc_0_0" value="1837675172"
class="ctct-checkbox ctct-label-right" checked=""><span class="ctct-label-right"><label for="lists___b5bef8f44bf82bd17ef45a7be7c553dc_0_0">PANDA</label></span>
</fieldset>
</div>
</div>
<div class="ctct-optin-hide" style="display:none;">
<p class="ctct-form-field ctct-form-field-checkbox"><span class="ctct-input-container"><input type="checkbox" checked="" name="ctct-opt-in" class="ctct-checkbox ctct-opt-in" value="1" id="ctct-opt-in_0"><label for="ctct-opt-in_0"> Example: Yes, I
would like to receive emails from Panda Project. (You can unsubscribe anytime)</label></span></p>
</div>
<div class="ctct_usage"><label for="ctct_usage_field">Constant Contact Use. Please leave this field blank.</label><input type="text" value="" id="ctct_usage_field" name="ctct_usage_field" class="ctct_usage_field" tabindex="-1"></div><input
type="hidden" name="ctct-id" value="184"><input type="hidden" name="ctct-verify" value="vBen15zTT4K0dcj8CgoRcP6AY"><input type="hidden" name="ctct-instance" value="0"><input type="hidden" name="ctct_time" value="1681464206">
<p class="ctct-form-field ctct-form-field-submit"><input type="submit" name="ctct-submitted" value="Submit" class="ctct-submit ctct-label-top ctct-submitted" id="ctct-submitted_0_3685360474"></p>
<div class="ctct-disclosure">
<hr><small>By submitting this form, you are consenting to receive marketing emails from: Central Alabama Aging Consortium, 2500 Fairlane Drive, Suite 200, Montgomery, AL, 36116-1651, https://dementiafriendlyal.org/. You can revoke your consent to
receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. <a href="https://www.constantcontact.com/legal/service-provider" target="_blank">Emails are serviced by Constant Contact</a></small>
</div>
</form>Text Content
Skip to content This project was supported, in part by grant number 90ADPI0075-01-00 from the U.S. Administration for Community Living, DHHS, Washington, D.C. 20201 Facebook Instagram Youtube * Home * About Us * Resources * PANDA Partners * Calendar * Contact Us Menu * Home * About Us * Resources * PANDA Partners * Calendar * Contact Us * Home * About Us * Resources * PANDA Partners * Calendar * Contact Us Menu * Home * About Us * Resources * PANDA Partners * Calendar * Contact Us * Home * About Us * Resources * PANDA Partners * Calendar * Contact Us Menu * Home * About Us * Resources * PANDA Partners * Calendar * Contact Us Menu IMPROVING LIVES TOGETHER ABOUT THE PANDA PROJECT The PANDA Project (Providing Alzheimer’s n’ Dementia Assistance) is an initiative piloted and duplicated by Central Alabama Aging Consortium. The PANDA Project provides supportive services for People with Dementia (PWD), aging adults with Intellectual or Developmental Disabilities (IDD) and Caregivers in Autauga, Elmore, and Montgomery counties at no cost to the consumer. The PANDA Project is made possible in part through a grant funded by the Administration for Community Living (ACL). Helping People with Dementia & Intellectual Development Disabilities Live and Thrive Within Their Communities PANDA PARTNERS Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur excepteur sint. Learn More PANDA SERVICES ADVOCACY Learn More CASE MANAGEMENT Learn More HOME MODIFICATIONS Learn More LEGAL ASSISTANCE Learn More PERSON-CENTERED CARE PLANS Learn More REMOTE MONITORING TECHNOLOGY Learn More RESPITE CARE Learn More SUPPLEMENTAL SUPPLIES Learn More TRAINING AND EDUCATION Learn More PANDA SUPPORTIVE SERVICES PANDA SUPPORTIVE SERVICES CONTACT US Feel free to contact us any time. We will get back to you as soon as we can! CONTACT FORM "*" indicates required fields Full Name* Phone* Email* Message* Δ INFO * (334) 240-4670 * caac.panda@adss.alabama.gov * 2500 Fairlane Drive, Suite 200 Montgomery, AL 36116 STAY CONNECTED TO THE PANDA PROJECT When you sign-up for our newsletter, you’ll receive updates on PANDA Project’s newest programs, services, and resources. Email (required) * Select list(s) to subscribe toPANDA Example: Yes, I would like to receive emails from Panda Project. (You can unsubscribe anytime) Constant Contact Use. Please leave this field blank. -------------------------------------------------------------------------------- By submitting this form, you are consenting to receive marketing emails from: Central Alabama Aging Consortium, 2500 Fairlane Drive, Suite 200, Montgomery, AL, 36116-1651, https://dementiafriendlyal.org/. You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email. Emails are serviced by Constant Contact Facebook Instagram Youtube * Central Alabama Aging Consortium * Dementia Friendly Alabama * PANDA Project Facebook Instagram Youtube * 2500 Fairlane Drive, Suite 200 Montgomery, AL 36116 * (334) 240-4670 This project was supported, in part by grant number 90ADPI0075-01-00 from the U.S. Administration for Community Living, DHHS, Washington, D.C. 20201 COPYRIGHT © 2023 PANDA PROJECT | DESIGNED BY PLEXAMEDIA Notifications