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URL:
https://qflao-wqaaa-aaaag-ak72q-cai.icp0.io/index.html
Submission: On November 25 via api (November 25th 2024, 9:48:16 pm UTC) from US — Scanned from CH

Form analysis
1 forms found in the DOM

POST

<form id="donation-form" class="donation-form" method="post" onsubmit="event.preventDefault(); collectPayment();">
  <div class="errors hidden"></div>
  <div class="section donation">
    <h3>Donation</h3>
    <div class="field radio 215045 required"><label for="215045"><input id="215045" name="donation-level" class="required" type="radio" value="25.000000" maxlength="255"><span class="label">$25.00 - .</span></label></div>
    <div class="field radio 215046 required"><label for="215046"><input id="215046" name="donation-level" class="required" type="radio" value="50.000000" maxlength="255"><span class="label">$50.00 - .</span></label></div>
    <div class="field radio 215047 required"><label for="215047"><input id="215047" name="donation-level" class="required" type="radio" value="75.000000" maxlength="255"><span class="label">$75.00 - .</span></label></div>
    <div class="field radio 215048 required"><label for="215048"><input id="215048" name="donation-level" class="required" type="radio" value="100.000000" maxlength="255"><span class="label">$100.00 - .</span></label></div>
    <div class="field radio other-option required"><label for="other-option"><input id="other-option" name="donation-level" class="required" type="radio" maxlength="255"><span class="label">Other</span></label></div>
    <div class="field text other-amount"><input id="other-amount" name="other-amount" class="otherAmount" type="text" placeholder="$0.00"></div>
  </div>
  <div class="section recurring">
    <div class="field checkbox recurring"><label for="recurring"><input id="recurring" name="recurring" type="checkbox" maxlength="255"><span class="label">Show my support by making this a recurring donation</span></label></div>
    <div class="field  frequency required" style="display: none"><label for="frequency">Frequency<span class="required-star">*</span></label><select id="frequency" name="frequency" class="required">
        <option value=""></option>
        <option value="Weekly">Weekly</option>
        <option value="Monthly" selected="">Monthly</option>
        <option value="Quarterly">Quarterly</option>
        <option value="SemiAnnually">Every six months</option>
        <option value="Yearly">Yearly</option>
      </select></div>
  </div>
  <div class="section contact">
    <h3>Contact Information</h3>
    <div class="field text first-name required"><label for="first-name"><span class="label">First Name</span><span class="required-star">*</span></label><input id="first-name" name="first-name" class="required" type="text"></div>
    <div class="field text last-name required"><label for="last-name"><span class="label">Last Name</span><span class="required-star">*</span></label><input id="last-name" name="last-name" class="required" type="text"></div>
    <div class="field email email-address required"><label for="email-address"><span class="label">Email</span><span class="required-star">*</span></label><input id="email-address" name="email-address" class="email required" type="email"
        placeholder="someone@website.com"></div>
    <div class="field tel phone-number"><label for="phone-number"><span class="label">Phone</span></label><input id="phone-number" name="phone-number" class="phoneUS" type="tel"></div>
  </div>
  <div class="section billing-address">
    <h3>Billing Address</h3>
    <div class="field  country required"><label for="country">Country<span class="required-star">*</span></label><select id="country" name="country" class="required">
        <option value=""></option>
        <option value="AF">Afghanistan</option>
        <option value="AX">Aland 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="AQ">Antarctica</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="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="BA">Bosnia and Herzegovina</option>
        <option value="BW">Botswana</option>
        <option value="BV">Bouvet Island</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="BI">Burundi</option>
        <option value="KH">Cambodia</option>
        <option value="CM">Cameroon</option>
        <option value="CA">Canada</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">Democratic Republic of the Congo</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">Curacao</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="SZ">Eswatini</option>
        <option value="ET">Ethiopia</option>
        <option value="FK">Falkland Islands (Malvinas)</option>
        <option value="FO">Faroe Islands</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="TF">French Southern Territories</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="HM">Heard Island</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">Islamic Republic of Iran</option>
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        <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>
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        <option value="KI">Kiribati</option>
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        <option value="KR">Republic of Korea</option>
        <option value="KW">Kuwait</option>
        <option value="KG">Kyrgyzstan</option>
        <option value="LA">Lao People's Democratic Republic</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="MK">Macedonia</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="FM">Federated States of Micronesia</option>
        <option value="MD">Republic of Moldova</option>
        <option value="MC">Monaco</option>
        <option value="MN">Mongolia</option>
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        <option value="MS">Montserrat</option>
        <option value="MA">Morocco</option>
        <option value="MZ">Mozambique</option>
        <option value="MM">Myanmar</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="MP">Northern Mariana Islands</option>
        <option value="NO">Norway</option>
        <option value="OM">Oman</option>
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        <option value="PW">Palau</option>
        <option value="PS">State of 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="PN">Pitcairn</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">Russian Federation</option>
        <option value="RW">Rwanda</option>
        <option value="BL">Saint Barthelemy</option>
        <option value="SH">Ascension and Tristan da Cunha 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 (Dutch part)</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="GS">South Georgia</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="SE">Sweden</option>
        <option value="CH">Switzerland</option>
        <option value="SY">Syrian Arab Republic</option>
        <option value="TW">Taiwan</option>
        <option value="TJ">Tajikistan</option>
        <option value="TZ">United Republic of 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="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="US" selected="">United States</option>
        <option value="UM">United States Minor Outlying Islands</option>
        <option value="UY">Uruguay</option>
        <option value="UZ">Uzbekistan</option>
        <option value="VU">Vanuatu</option>
        <option value="VA">Vatican City</option>
        <option value="VE">Venezuela</option>
        <option value="VN">Viet Nam</option>
        <option value="VG">British Virgin Islands</option>
        <option value="VI">U.S. Virgin Islands</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>
    <div class="field  street-address required"><label for="street-address"><span class="label">Address</span><span class="required-star">*</span></label><textarea id="street-address" name="street-address" class="required"></textarea></div>
    <div class="field text city required"><label for="city"><span class="label">City</span><span class="required-star">*</span></label><input id="city" name="city" class="required" type="text" data-us-label="City" data-bm-label="Parish"></div>
    <div class="field  state required"><label for="state">State<span class="required-star">*</span></label><select id="state" name="state" class="required">
        <option value=""></option>
        <option value="AL">Alabama</option>
        <option value="AK">Alaska</option>
        <option value="AS">American Samoa</option>
        <option value="AZ">Arizona</option>
        <option value="AR">Arkansas</option>
        <option value="AE">Armed Forces Africa, Canada, Europe, Middle East</option>
        <option value="AA">Armed Forces Americas (except Canada)</option>
        <option value="AP">Armed Forces Pacific</option>
        <option value="CA">California</option>
        <option value="CO">Colorado</option>
        <option value="CT">Connecticut</option>
        <option value="DE">Delaware</option>
        <option value="DC">District of Columbia</option>
        <option value="FL">Florida</option>
        <option value="GA">Georgia</option>
        <option value="GU">Guam</option>
        <option value="HI">Hawaii</option>
        <option value="ID">Idaho</option>
        <option value="IL">Illinois</option>
        <option value="IN">Indiana</option>
        <option value="IA">Iowa</option>
        <option value="KS">Kansas</option>
        <option value="KY">Kentucky</option>
        <option value="LA">Louisiana</option>
        <option value="ME">Maine</option>
        <option value="MD">Maryland</option>
        <option value="MA">Massachusetts</option>
        <option value="MI">Michigan</option>
        <option value="MN">Minnesota</option>
        <option value="MS">Mississippi</option>
        <option value="MO">Missouri</option>
        <option value="MT">Montana</option>
        <option value="NE">Nebraska</option>
        <option value="NV">Nevada</option>
        <option value="NH">New Hampshire</option>
        <option value="NJ">New Jersey</option>
        <option value="NM">New Mexico</option>
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        <option value="TN">Tennessee</option>
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        <option value="VI">US Virgin Islands</option>
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        <option value="VT">Vermont</option>
        <option value="VA">Virginia</option>
        <option value="WA">Washington</option>
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      </select></div>
    <div class="field  province required" style="display: none"><label for="province">Province<span class="required-star">*</span></label><select id="province" name="province" class="required">
        <option value=""></option>
        <option value="AB">Alberta</option>
        <option value="BC">British Columbia</option>
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        <option value="NB">New Brunswick</option>
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        <option value="PE">Prince Edward Island</option>
        <option value="QC">Quebec</option>
        <option value="SK">Saskatchewan</option>
        <option value="YT">Yukon Territory</option>
      </select></div>
    <div class="field number zip-code required"><label for="zip-code"><span class="label">ZIP Code</span><span class="required-star">*</span></label><input id="zip-code" name="zip-code" class="zipcodeUS required" type="number" minlength="5"
        maxlength="10"></div>
    <div class="field text postal-code required" style="display: none"><label for="postal-code"><span class="label">Postal Code</span><span class="required-star">*</span></label><input id="postal-code" name="postal-code" class="required" type="text">
    </div>
  </div>
  <div class="section payment">
    <h3>Payment Information</h3>
    <div class="field radio DebitCard required"><label for="DebitCard"><input id="DebitCard" name="payment-type" class="required" type="radio" maxlength="255"><span class="label">Debit Card</span></label></div>
    <div class="field radio CreditCard required"><label for="CreditCard"><input id="CreditCard" name="payment-type" class="required" type="radio" maxlength="255"><span class="label">Credit Card</span></label></div>
    <div class="field radio Savings required"><label for="Savings"><input id="Savings" name="payment-type" class="required" type="radio" maxlength="255"><span class="label">Savings</span></label></div>
    <div class="field radio Checking required"><label for="Checking"><input id="Checking" name="payment-type" class="required" type="radio" maxlength="255"><span class="label">Checking</span></label></div>
    <div class="field number routingNumber required" style="display: none"><label for="routingNumber"><span class="label">Routing Number</span><span class="required-star">*</span></label><input id="routingNumber" name="routing-number"
        class="required" type="number" maxlength="255"></div>
    <div class="field number accountNumber required" style="display: none"><label for="accountNumber"><span class="label">Account Number</span><span class="required-star">*</span></label><input id="accountNumber" name="account-number"
        class="required" type="number" maxlength="255"></div>
    <div class="field text payment required" id="stripe-cc-fields"> <label for="card-element"> <span class="label">Credit or debit card</span> <span class="required-star">*</span> </label>
      <div id="card-element"></div>
      <div id="card-errors" role="alert"></div>
    </div>
  </div>
  <div class="section comment">
    <div class="field text comment"><label for="comment"><span class="label">Comments</span></label><textarea id="comment" name="comment" type="text" value="Comments"></textarea></div>
  </div>
  <div class="section consent hidden">
    <div class="field checkbox consent-all"><label for="consent-all"><input id="consent-all" name="consent-all" type="checkbox" maxlength="255"><span class="label">I would like to receive or continue receiving updates from Catholic Community
          Foundation Archdiocese of New Orleans</span></label></div>
    <div class="field checkbox consent-email" style="display: none"><label for="consent-email"><input id="consent-email" name="consent-email" type="checkbox" checked="checked" maxlength="255"><span class="label">by email</span></label></div>
    <div class="field checkbox consent-mail" style="display: none"><label for="consent-mail"><input id="consent-mail" name="consent-mail" type="checkbox" checked="checked" maxlength="255"><span class="label">by postal mail</span></label></div>
    <div class="field checkbox consent-phone" style="display: none"><label for="consent-phone"><input id="consent-phone" name="consent-phone" type="checkbox" checked="checked" maxlength="255"><span class="label">by phone</span></label></div>
  </div>
  <div class="section captcha" style="display: none"> <label id="noCaptchaResponseError" class="error noCaptchaResponseError" style="display: none">You must fill out the CAPTCHA</label>
    <div id="captcha211970"></div>
  </div>
  <div class="btn-group"> <input class="btn btn-submit btn-submit-donation" type="submit" value="Enter Payment" id="express-submit" disabled="true"> </div>
</form>

Text Content

 * Home (current)

Apply for Scholarship


ABOUT SPENCER COE

Coming Soon...

SPENCER COE ENGINEERING SCHOLARSHIP

This Scholarship will be awarded to two junior high school students (one boy and
one girl) each year who are attending Pope John Paul II. This scholarship will
be awarded every February and applied to senior year tuition.

DONATING

You can donate to the Spencer Coe Engineering Scholarship below through the
Catholic Community Foundation. All donations will directly benefit Pope John
Paul II for the yearly scholarship to the awarded students.




DONATION

$25.00 - .
$50.00 - .
$75.00 - .
$100.00 - .
Other

Show my support by making this a recurring donation
Frequency*WeeklyMonthlyQuarterlyEvery six monthsYearly


CONTACT INFORMATION

First Name*
Last Name*
Email*
Phone


BILLING ADDRESS

Country*AfghanistanAland IslandsAlbaniaAlgeriaAmerican
SamoaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia
and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei
DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman
IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling)
IslandsColombiaComorosCongoDemocratic Republic of the CongoCook IslandsCosta
RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech
RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl
SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland Islands
(Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench
Southern
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIslamic Republic of
IranIraqIrelandIsle of
ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiDemocratic People's
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