andornow.com Open in urlscan Pro
2a06:98c1:3120::7 Public Scan

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Submitted URL:
https://andornow.com/q/9Velk3uFZ4FnAoB
Effective URL:
https://andornow.com/wag/triage/PRE-ARRIVAL?uriCode=9Velk3uFZ4FnAoB
Submission: On February 25 via manual (February 25th 2022, 5:18:52 pm UTC) from US — Scanned from DE

Form analysis
1 forms found in the DOM

#

<form action="#">
  <div class="w-full max-w-screen-lg mx-auto rounded-md shadow-md bg-card min-h-3/4">
    <div class="flex flex-col items-center justify-center sm:flex-row sm:items-stretch">
      <div class="hidden w-full min-h-full overflow-hidden rounded-t-md sm:rounded-none sm:block">
        <div class="w-full h-full min-h-full bg-cover" style="background-image: url(&quot;/static/media/triagebg.85e651e5.png&quot;); min-height: 500px;"></div>
      </div>
      <div class="w-full px-2 py-8 sm:px-8 md:py-12 ">
        <div class="py-2 text-lg font-semibold text-on-card">Sign In</div>
        <div class="pb-4 text-xs text-on-card">Please verify yourself by entering your information below</div>
        <div class="mb-2 undefined"><label class="block mb-2 text-sm font-bold bg-card text-on-card undefined"><sup class="font-bold text-danger">*</sup>First Name</label><input
            class="disabled:opacity-50 shadow appearance-none border border-gray-500 rounded w-full mb-2 mr-0 py-2 px-4 text-on-card bg-card focus:outline-none focus:shadow-outline text-on-card bg-card" name="firstName" value="NICHOLAS"></div>
        <div class="mb-2 undefined"><label class="block mb-2 text-sm font-bold bg-card text-on-card undefined"><sup class="font-bold text-danger">*</sup>Last Name</label><input
            class="disabled:opacity-50 shadow appearance-none border border-gray-500 rounded w-full mb-2 mr-0 py-2 px-4 text-on-card bg-card focus:outline-none focus:shadow-outline text-on-card bg-card" name="lastName" value="CHRISTIANO"></div>
        <div class="mb-2 undefined"><label class="block mb-2 text-sm font-bold bg-card text-on-card undefined"><sup class="font-bold text-danger">*</sup>Company Email</label><input
            class="disabled:opacity-50 shadow appearance-none border border-gray-500 rounded w-full mb-2 mr-0 py-2 px-4 text-on-card bg-card focus:outline-none focus:shadow-outline text-on-card bg-card" name="externalEmployeeId"
            value="nicholas.christiano@walgreens.com"></div>
        <div class="mb-2 undefined"><label class="block mb-2 text-sm font-bold bg-card text-on-card undefined"><sup class="font-bold text-danger">*</sup>Preferred Email</label><input
            class="disabled:opacity-50 shadow appearance-none border border-gray-500 rounded w-full mb-2 mr-0 py-2 px-4 text-on-card bg-card focus:outline-none focus:shadow-outline text-on-card bg-card" name="preferredEmail" value=""></div>
        <div class="mb-2 undefined"><label class="block mb-2 text-sm font-bold bg-card text-on-card undefined"><sup class="font-bold text-danger">*</sup>Outreach Preference</label>
          <div class="relative inline-block w-full"><select
              class="block appearance-none w-full border hover:border-gray-500 text-on-card bg-card px-2 py-2 pr-6 rounded shadow focus:outline-none focus:shadow-outline text-on-card bg-card border-gray-500" name="outreachPreference">
              <option value="">Select</option>
              <option value="SMS">SMS</option>
              <option value="Email">Email</option>
            </select>
            <div class="absolute inset-y-0 right-0 flex items-center px-2 pointer-events-none text-on-card"><svg class="w-4 h-4 fill-current" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 20 20">
                <path d="M9.293 12.95l.707.707L15.657 8l-1.414-1.414L10 10.828 5.757 6.586 4.343 8z"></path>
              </svg></div>
          </div>
        </div>
        <div class="mb-2 undefined"><label class="block mb-2 text-sm font-bold bg-card text-on-card undefined"><sup class="font-bold text-danger">*</sup>Preferred Mobile Phone Number</label>
          <div class="sc-fznZeY gJlwEu bg-card disabled:opacity-50 shadow appearance-none border border-gray-500 rounded w-full px-3 text-on-card mb-3 focus:outline-none focus:shadow-outline PhoneInput">
            <div class="PhoneInputCountry"><select name="preferredPhoneNumberCountry" aria-label="Phone number country" class="PhoneInputCountrySelect">
                <option value="US">United States</option>
                <option value="CA">Canada</option>
                <option value="ZZ">International</option>
                <option value="AF">Afghanistan</option>
                <option value="AX">Åland Islands</option>
                <option value="AL">Albania</option>
                <option value="DZ">Algeria</option>
                <option value="AS">American Samoa</option>
                <option value="AD">Andorra</option>
                <option value="AO">Angola</option>
                <option value="AI">Anguilla</option>
                <option value="AG">Antigua and Barbuda</option>
                <option value="AR">Argentina</option>
                <option value="AM">Armenia</option>
                <option value="AW">Aruba</option>
                <option value="AC">Ascension Island</option>
                <option value="AU">Australia</option>
                <option value="AT">Austria</option>
                <option value="AZ">Azerbaijan</option>
                <option value="BS">Bahamas</option>
                <option value="BH">Bahrain</option>
                <option value="BD">Bangladesh</option>
                <option value="BB">Barbados</option>
                <option value="BY">Belarus</option>
                <option value="BE">Belgium</option>
                <option value="BZ">Belize</option>
                <option value="BJ">Benin</option>
                <option value="BM">Bermuda</option>
                <option value="BT">Bhutan</option>
                <option value="BO">Bolivia</option>
                <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
                <option value="BA">Bosnia and Herzegovina</option>
                <option value="BW">Botswana</option>
                <option value="BR">Brazil</option>
                <option value="IO">British Indian Ocean Territory</option>
                <option value="BN">Brunei Darussalam</option>
                <option value="BG">Bulgaria</option>
                <option value="BF">Burkina Faso</option>
                <option value="MM">Burma</option>
                <option value="BI">Burundi</option>
                <option value="KH">Cambodia</option>
                <option value="CM">Cameroon</option>
                <option value="CV">Cape Verde</option>
                <option value="KY">Cayman Islands</option>
                <option value="CF">Central African Republic</option>
                <option value="TD">Chad</option>
                <option value="CL">Chile</option>
                <option value="CN">China</option>
                <option value="CX">Christmas Island</option>
                <option value="CC">Cocos (Keeling) Islands</option>
                <option value="CO">Colombia</option>
                <option value="KM">Comoros</option>
                <option value="CG">Congo</option>
                <option value="CD">Congo, Democratic Republic of the</option>
                <option value="CK">Cook Islands</option>
                <option value="CR">Costa Rica</option>
                <option value="CI">Cote d'Ivoire</option>
                <option value="HR">Croatia</option>
                <option value="CU">Cuba</option>
                <option value="CW">Curaçao</option>
                <option value="CY">Cyprus</option>
                <option value="CZ">Czech Republic</option>
                <option value="DK">Denmark</option>
                <option value="DJ">Djibouti</option>
                <option value="DM">Dominica</option>
                <option value="DO">Dominican Republic</option>
                <option value="EC">Ecuador</option>
                <option value="EG">Egypt</option>
                <option value="SV">El Salvador</option>
                <option value="GQ">Equatorial Guinea</option>
                <option value="ER">Eritrea</option>
                <option value="EE">Estonia</option>
                <option value="ET">Ethiopia</option>
                <option value="FK">Falkland Islands</option>
                <option value="FO">Faroe Islands</option>
                <option value="FM">Federated States of Micronesia</option>
                <option value="FJ">Fiji</option>
                <option value="FI">Finland</option>
                <option value="FR">France</option>
                <option value="GF">French Guiana</option>
                <option value="PF">French Polynesia</option>
                <option value="GA">Gabon</option>
                <option value="GM">Gambia</option>
                <option value="GE">Georgia</option>
                <option value="DE">Germany</option>
                <option value="GH">Ghana</option>
                <option value="GI">Gibraltar</option>
                <option value="GR">Greece</option>
                <option value="GL">Greenland</option>
                <option value="GD">Grenada</option>
                <option value="GP">Guadeloupe</option>
                <option value="GU">Guam</option>
                <option value="GT">Guatemala</option>
                <option value="GG">Guernsey</option>
                <option value="GN">Guinea</option>
                <option value="GW">Guinea-Bissau</option>
                <option value="GY">Guyana</option>
                <option value="HT">Haiti</option>
                <option value="VA">Holy See (Vatican City State)</option>
                <option value="HN">Honduras</option>
                <option value="HK">Hong Kong</option>
                <option value="HU">Hungary</option>
                <option value="IS">Iceland</option>
                <option value="IN">India</option>
                <option value="ID">Indonesia</option>
                <option value="IR">Iran</option>
                <option value="IQ">Iraq</option>
                <option value="IE">Ireland</option>
                <option value="IM">Isle of Man</option>
                <option value="IL">Israel</option>
                <option value="IT">Italy</option>
                <option value="JM">Jamaica</option>
                <option value="JP">Japan</option>
                <option value="JE">Jersey</option>
                <option value="JO">Jordan</option>
                <option value="KZ">Kazakhstan</option>
                <option value="KE">Kenya</option>
                <option value="KI">Kiribati</option>
                <option value="XK">Kosovo</option>
                <option value="KW">Kuwait</option>
                <option value="KG">Kyrgyzstan</option>
                <option value="LA">Laos</option>
                <option value="LV">Latvia</option>
                <option value="LB">Lebanon</option>
                <option value="LS">Lesotho</option>
                <option value="LR">Liberia</option>
                <option value="LY">Libya</option>
                <option value="LI">Liechtenstein</option>
                <option value="LT">Lithuania</option>
                <option value="LU">Luxembourg</option>
                <option value="MO">Macao</option>
                <option value="MG">Madagascar</option>
                <option value="MW">Malawi</option>
                <option value="MY">Malaysia</option>
                <option value="MV">Maldives</option>
                <option value="ML">Mali</option>
                <option value="MT">Malta</option>
                <option value="MH">Marshall Islands</option>
                <option value="MQ">Martinique</option>
                <option value="MR">Mauritania</option>
                <option value="MU">Mauritius</option>
                <option value="YT">Mayotte</option>
                <option value="MX">Mexico</option>
                <option value="MD">Moldova</option>
                <option value="MC">Monaco</option>
                <option value="MN">Mongolia</option>
                <option value="ME">Montenegro</option>
                <option value="MS">Montserrat</option>
                <option value="MA">Morocco</option>
                <option value="MZ">Mozambique</option>
                <option value="NA">Namibia</option>
                <option value="NR">Nauru</option>
                <option value="NP">Nepal</option>
                <option value="NL">Netherlands</option>
                <option value="NC">New Caledonia</option>
                <option value="NZ">New Zealand</option>
                <option value="NI">Nicaragua</option>
                <option value="NE">Niger</option>
                <option value="NG">Nigeria</option>
                <option value="NU">Niue</option>
                <option value="NF">Norfolk Island</option>
                <option value="KP">North Korea</option>
                <option value="MK">North Macedonia</option>
                <option value="MP">Northern Mariana Islands</option>
                <option value="NO">Norway</option>
                <option value="OM">Oman</option>
                <option value="PK">Pakistan</option>
                <option value="PW">Palau</option>
                <option value="PS">Palestine</option>
                <option value="PA">Panama</option>
                <option value="PG">Papua New Guinea</option>
                <option value="PY">Paraguay</option>
                <option value="PE">Peru</option>
                <option value="PH">Philippines</option>
                <option value="PL">Poland</option>
                <option value="PT">Portugal</option>
                <option value="PR">Puerto Rico</option>
                <option value="QA">Qatar</option>
                <option value="RE">Reunion</option>
                <option value="RO">Romania</option>
                <option value="RU">Russia</option>
                <option value="RW">Rwanda</option>
                <option value="BL">Saint Barthélemy</option>
                <option value="SH">Saint Helena</option>
                <option value="KN">Saint Kitts and Nevis</option>
                <option value="LC">Saint Lucia</option>
                <option value="MF">Saint Martin (French Part)</option>
                <option value="PM">Saint Pierre and Miquelon</option>
                <option value="VC">Saint Vincent and the Grenadines</option>
                <option value="WS">Samoa</option>
                <option value="SM">San Marino</option>
                <option value="ST">Sao Tome and Principe</option>
                <option value="SA">Saudi Arabia</option>
                <option value="SN">Senegal</option>
                <option value="RS">Serbia</option>
                <option value="SC">Seychelles</option>
                <option value="SL">Sierra Leone</option>
                <option value="SG">Singapore</option>
                <option value="SX">Sint Maarten</option>
                <option value="SK">Slovakia</option>
                <option value="SI">Slovenia</option>
                <option value="SB">Solomon Islands</option>
                <option value="SO">Somalia</option>
                <option value="ZA">South Africa</option>
                <option value="KR">South Korea</option>
                <option value="SS">South Sudan</option>
                <option value="ES">Spain</option>
                <option value="LK">Sri Lanka</option>
                <option value="SD">Sudan</option>
                <option value="SR">Suriname</option>
                <option value="SJ">Svalbard and Jan Mayen</option>
                <option value="SZ">Swaziland</option>
                <option value="SE">Sweden</option>
                <option value="CH">Switzerland</option>
                <option value="SY">Syria</option>
                <option value="TW">Taiwan</option>
                <option value="TJ">Tajikistan</option>
                <option value="TZ">Tanzania</option>
                <option value="TH">Thailand</option>
                <option value="TL">Timor-Leste</option>
                <option value="TG">Togo</option>
                <option value="TK">Tokelau</option>
                <option value="TO">Tonga</option>
                <option value="TT">Trinidad and Tobago</option>
                <option value="TA">Tristan da Cunha</option>
                <option value="TN">Tunisia</option>
                <option value="TR">Turkey</option>
                <option value="TM">Turkmenistan</option>
                <option value="TC">Turks and Caicos Islands</option>
                <option value="TV">Tuvalu</option>
                <option value="UG">Uganda</option>
                <option value="UA">Ukraine</option>
                <option value="AE">United Arab Emirates</option>
                <option value="GB">United Kingdom</option>
                <option value="UY">Uruguay</option>
                <option value="UZ">Uzbekistan</option>
                <option value="VU">Vanuatu</option>
                <option value="VE">Venezuela</option>
                <option value="VN">Vietnam</option>
                <option value="VG">Virgin Islands, British</option>
                <option value="VI">Virgin Islands, U.S.</option>
                <option value="WF">Wallis and Futuna</option>
                <option value="EH">Western Sahara</option>
                <option value="YE">Yemen</option>
                <option value="ZM">Zambia</option>
                <option value="ZW">Zimbabwe</option>
              </select>
              <div class="PhoneInputCountryIcon PhoneInputCountryIcon--border"><img class="PhoneInputCountryIconImg" alt="United States" role="presentation" src="https://catamphetamine.gitlab.io/country-flag-icons/3x2/US.svg"></div>
              <div class="PhoneInputCountrySelectArrow"></div>
            </div><input type="tel" autocomplete="tel" name="preferredPhoneNumber" class="PhoneInputInput" value="">
          </div>
        </div>
        <div class="mb-2 undefined">
          <div class="flex items-center py-0 " value="false" name="temperatureConsent"><label class="relative flex items-center mt-3 cursor-pointer"><input type="checkbox" name="temperatureConsent" class="sc-AxmLO gmtmqV" value="false"><span
                class="sc-fzoLsD jBFjIH"></span><span class="sc-fzozJi dteCCc pl-5 ml-2 font-medium text-on-card">I agree to the temperature check at the point of entry
                <a href="https://prdandortenantstorage.blob.core.windows.net/public/wag/WalgreensTermsOfService.pdf" target="_blank">read more...</a><br><br>
                <p style="font-size:10px">I acknowledge and agree that I have received, read, and understood the information contained in the attached Illinois Biometric Privacy Act Notice and I voluntarily provide my consent and written release for
                  Walgreen Co.’s past, present, and/or future collection, use, and/or storage of my information as described therein. I understand and agree that by clicking this button I am electronically signing this acknowledgement, consent, and
                  release and that my electronic signature shall have the same force as my manual signature.</p>
              </span></label></div>
        </div>
        <div class="mb-2 undefined">
          <div class="flex items-center py-0 " name="requestedConsentEmail"><label class="relative flex items-center mt-3 cursor-pointer"><input type="checkbox" name="requestedConsentEmail" class="sc-AxmLO gmtmqV" value=""><span
                class="sc-fzoLsD jBFjIH"></span><span class="sc-fzozJi dteCCc pl-5 ml-2 font-medium text-on-card">Send me a copy of the BIPA acknowledgement to my email.</span></label></div>
        </div>
        <div class="w-full mt-8 text-right"><button class="false bg-brand hover:bg-brand text-on-brand font-bold p-2 rounded items-center justify-center flex py-3" type="submit">CONTINUE</button></div>
      </div>
    </div>
  </div>
</form>

Text Content

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Please verify yourself by entering your information below
*First Name
*Last Name
*Company Email
*Preferred Email
*Outreach Preference
SelectSMSEmail

*Preferred Mobile Phone Number
United StatesCanadaInternationalAfghanistanÅland IslandsAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAscension
IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire,
Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBrazilBritish Indian Ocean
TerritoryBrunei DarussalamBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCape
VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos
(Keeling) IslandsColombiaComorosCongoCongo, Democratic Republic of theCook
IslandsCosta RicaCote d'IvoireCroatiaCubaCuraçaoCyprusCzech
RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl
SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe
IslandsFederated States of MicronesiaFijiFinlandFranceFrench GuianaFrench
PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHoly
See (Vatican City State)HondurasHong
KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of
ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueNamibiaNauruNepalNetherlandsNew
CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth
MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New
GuineaParaguayPeruPhilippinesPolandPortugalPuerto
RicoQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and
NevisSaint LuciaSaint Martin (French Part)Saint Pierre and MiquelonSaint Vincent
and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi
ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint
MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth
SudanSpainSri LankaSudanSurinameSvalbard and Jan
MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad
and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos
IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited
KingdomUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin
Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe


I agree to the temperature check at the point of entry read more...



I acknowledge and agree that I have received, read, and understood the
information contained in the attached Illinois Biometric Privacy Act Notice and
I voluntarily provide my consent and written release for Walgreen Co.’s past,
present, and/or future collection, use, and/or storage of my information as
described therein. I understand and agree that by clicking this button I am
electronically signing this acknowledgement, consent, and release and that my
electronic signature shall have the same force as my manual signature.

Send me a copy of the BIPA acknowledgement to my email.
CONTINUE
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andornow.com Open in urlscan Pro 2a06:98c1:3120::7 Public Scan

Form analysis 1 forms found in the DOM

#

Text Content

andornow.com Open in urlscan Pro
2a06:98c1:3120::7 Public Scan

Form analysis
1 forms found in the DOM