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Submitted URL: https://sailthru.perkspot.com/click/32848843.5040526/aHR0cHM6Ly9lbWFpbC5wZXJrc3BvdC5jb20vZS92My9jbGljay9vZmZlci8xNDM0MzMzL0Nhc...
Effective URL: https://www.capella.edu/partner/corporate/perkspot-pp/?employerid=18265270&seicid=e0e7f77abaf0417db8c962afcc6c40f2&SEICI...
Submission: On October 05 via manual from US — Scanned from DE
Effective URL: https://www.capella.edu/partner/corporate/perkspot-pp/?employerid=18265270&seicid=e0e7f77abaf0417db8c962afcc6c40f2&SEICI...
Submission: On October 05 via manual from US — Scanned from DE
Form analysis 2 forms found in the DOM
POST
<form data-id="BachelorRequestForm" class="sei-form error-as-modal" action="" method="post" data-btloadtrigger="irf_form" data-btconversationtrigger="irf_submit"
data-thankyoupageurl="/content/capella-shared-content/shared/form-profiles/eloquaonlyprofiles/partner/irfshortbachelor-partner-healthcare-040219/jcr:content/root/container/forms_profile/thankyoupage.addDynamicLink.html" data-show-backbutton="false"
data-trigger-conversion-thankyoupage="true" data-eloqua-form-id="19"
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data-eloqua-field-id-json="{"formid":"244","notes":"400","model_scoring":"242","TextConsentTransactional":"678","program":"227","subaffilid":"241","captureURL":"444","institution":"238","adobetargetattributes":"893","emailAddress":"221","revkey":"237","ec_emplid":"483","employerid":"563","state":"891","plan":"228","flexpath":"246","adobepagename":"243","pub_id":"240","rn_license":"229","masterdegree":"245","elqCookieWrite":"495","rn_license-add":"235","degree":"225","sei_campaign_id":"487","tags":"442","ec_form_leadsource":"484","firstName":"219","sms_consent":"493","DeviceType":"676","mobilePhone":"222","areaofstudy":"226","lastName":"220","zipPostal":"223","submit":"224","startdateCM":"767","validityresult":"743","ReferralShortCode":"674","educationLevel":"231","communication_mode":"232","elqCustomerGUID":"494","UserAgent":"675","employerTag":"480","degreecode":"239","timestamp":"496","TextConsentPromotional":"677","referrerUrl":"445","ismultiple":"892","va_benefits":"890","lead_source_id":"236","gclid":"564","kpid":"565","creativegrp":"443","seicid":"894","GoogleVisitorID":"446","age":"399","military_affiliation":"233"}"
data-address-auto-suggestion="false" data-custom-thankyou-page="true" novalidate="novalidate">
<input type="hidden" name=":formstart" value="/content/capella-shared-content/shared/form-profiles/eloquaonlyprofiles/partner/irfshortbachelor-partner-healthcare-040219/jcr:content/root/container/forms_profile">
<div class="clearfix p-l-1">
<h2 class="heading m-0 pt- pb-"> Request program information</h2>
</div>
<div class="clearfix p-l-1">
<div class="description pt-3 pb-3">
<p>Connect with an enrollment counselor to learn more. You’ll also receive our University Guide.</p>
<p><strong><em>All fields are required.</em></strong></p>
</div>
</div>
<div class="clearfix">
<div class="dropdown-wrapper cu-dropdown-wrapper" data-display-group="CU-PMLP-DisplayGroup" data-channel="[{"displayGroup":"CU-EducationAffiliate-DisplayGroup","channel":"ag"}]" data-nursing="true"
data-psychology="true" data-educationdisclaimer="true">
<div class="col-12 old-col-xs-16 form-group education-text hidden">
<div class="education-field-message pt-3 pb-3">
<p>Please be aware Capella does not offer programs that lead to initial teacher licensure.</p>
</div>
</div>
<div class="col-12 old-col-xs-16 form-group nursing-text hidden">
<div class="nursing-field-message pt-3 pb-3">
<p>Capella's nursing degree programs require a current, unrestricted RN license. Please select a different area of study to continue.</p>
</div>
</div>
<div class="col-12 old-col-xs-16 form-group">
<select data-default-label="Degree" class="degreeDropdownCapella form-control" title="Select your degree of interest here" name="degree" data-rule-required="true" data-msg-required="Please enter your degree" data-ignore="true">
<option value="">Degree</option>
</select>
<span class="icon icon-caret-right arrow-position"></span>
</div>
<div class="col-12 old-col-xs-16 form-group">
<select class="aosDropdownCapella form-control" title="Select your Area of Study here" name="aos" data-rule-required="true" data-msg-required="Please enter your area of study" data-ignore="true">
<option value="">Area of Study</option>
</select>
<span class="icon icon-caret-right arrow-position"></span>
</div>
<div class="form-group old-col-sm-16 col-12" style="display:none">
<fieldset>
<div role="radiogroup" class="nursing-field" aria-label="nursing field group">
<label class="d-block">Do you or will you (within six months) have an unrestricted RN license?</label>
<input type="radio" class="d-inline-block mx-1" name="rn_license" value="yes" data-km-value="yes" data-km-type="radio-button" aria-label="yes" data-ignore="" aria-checked="false">Yes <input type="radio" class="d-inline-block mx-1"
name="rn_license" value="no" data-km-value="no" data-km-type="radio-button" aria-label="no" checked="" aria-checked="true">No
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</fieldset>
</div>
<div class="col-12 old-col-xs-16 form-group">
<select class="specDropdownCapella form-control" title="Select your specialization of interest here" name="program_code" data-rule-required="true" data-msg-required="Please enter your specialization">
<option value="">Program/Specialization</option>
</select>
<span class="icon icon-caret-right arrow-position"></span>
</div>
<div class="form-group old-col-sm-16 col-12" style="display:none">
<fieldset>
<div role="radiogroup" class="nursing-field-add" aria-label="nursing field add group">
<label class="d-block">Do you or will you (within 6 months) have an unrestricted RN license?</label>
<input type="radio" class="d-inline-block mx-1" name="rn_license-add" data-km-value="yes" data-km-type="radio-button" aria-label="yes" data-ignore="" value="yes" aria-checked="false">Yes <input type="radio" class="d-inline-block mx-1"
name="rn_license-add" data-km-value="no" data-km-type="radio-button" aria-label="no" value="no" checked="" aria-checked="true">No
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</fieldset>
</div>
<div class="form-group old-col-sm-16 col-12 " style="display:none">
<fieldset>
<div role="radiogroup" class="flexpath-field active" aria-label="flexpath field group">
<label class="d-block">We have 2 online learning formats. Which one are you most interested in?</label>
<input type="radio" name="flexpath" value="guidedpath" data-km-value="guidedpath" data-km-type="radio-button" aria-label="guidedpath" class="d-inline-block mx-1" checked="true" data-ignore="true" aria-checked="true">GuidedPath: Follow our
schedule<br>
<input type="radio" name="flexpath" value="flexpath" data-km-value="flexpath" data-km-type="radio-button" aria-label="flexpath" class="d-inline-block mx-1" data-ignore="true" aria-checked="false">FlexPath: Set your own pace<br>
<input type="radio" name="flexpath" value="both" data-km-value="both" data-km-type="radio-button" aria-label="guidedpath & flexpath both" class="d-inline-block mx-1" data-ignore="true" aria-checked="false">I'd like information on both
</div>
</fieldset>
</div>
<div class="form-group old-col-sm-16 col-12" style="display:none">
<fieldset>
<div role="radiogroup" class="master-degree" aria-label="masterdegree group">
<label class="d-block">Do you have a master's degree?</label>
<input type="radio" name="masterdegree" aria-label="yes" class="d-inline-block mx-1" value="yes" data-ignore="true" aria-checked="false">Yes <input type="radio" name="masterdegree" aria-label="no" class="d-inline-block mx-1" value="no"
checked="" data-ignore="true" aria-checked="true">No
</div>
</fieldset>
</div>
</div>
</div>
<div class="clearfix">
<div class="col-12 old-col-xs-16 form-group dropdown-form-object ">
<select class="selectbox form-control educationLevel" title="- Current level of education -" name="educationLevel">
<option value="" selected="selected">- Current level of education -</option>
<option value="3">High School Diploma</option>
<option value="4">Less than 1 year of college (1-23 quarter credits)</option>
<option value="5">1-2 years of college (24-90 quarter credits)</option>
<option value="6">Associate's Degree or 2+ years of college</option>
<option value="11">Bachelor's Degree</option>
</select>
<span class="icon icon-caret-right arrow-position"></span>
</div>
</div>
<div class="clearfix">
<div class="col-12 old-col-xs-16 form-group dropdown-form-object ">
<select class="selectbox form-control age" title="What is your age?" name="age" data-rule-required="true" data-rule-blankcheck="true" data-msg-required="This is a required field" data-msg-blankcheck="Please enter values in this field">
<option value="" selected="selected">What is your age?</option>
<option value="17">17 and Under</option>
<option value="18">18-23</option>
<option value="24">24-29</option>
<option value="30">30-44</option>
<option value="45">45+</option>
</select>
<span class="icon icon-caret-right arrow-position"></span>
</div>
</div>
<div class="clearfix p-l-1">
<fieldset>
<div role="radiogroup" aria-label="military_affiliation" class="radioButton military_affiliation radiobtn-mandatory">
<p class=" military_affiliation" aria-label="Are you associated with the U.S. Military?">Are you associated with the U.S. Military?</p>
<span class="radio-section">
<input type="radio" data-km-type="radio-button" data-km-value="yes" value="1" name="military_affiliation" aria-label="Yes" aria-checked="false" data-msg-required="Please Select any of the options" data-rule-required="true">
<label>Yes</label>
</span>
<span class="radio-section">
<input type="radio" data-km-type="radio-button" data-km-value="no" value="0" name="military_affiliation" aria-label="No" aria-checked="true" checked="checked">
<label>No</label>
</span>
</div>
</fieldset>
</div>
<div class="clearfix p-l-1">
<fieldset>
<div role="radiogroup" aria-label="va_benefits" class="radioButton va_benefits hidden ">
<p class=" va_benefits" aria-label="If you enroll at Capella University, do you intend to use education benefits earned through military service?">If you enroll at Capella University, do you intend to use education benefits earned through
military service?</p>
<span class="radio-section">
<input type="radio" data-km-type="radio-button" data-km-value="yes" value="Y" name="va_benefits" aria-label="Yes" aria-checked="false">
<label>Yes</label>
</span>
<span class="radio-section">
<input type="radio" data-km-type="radio-button" data-km-value="no" value="N" name="va_benefits" aria-label="No" aria-checked="false">
<label>No</label>
</span>
<span class="radio-section">
<input type="radio" data-km-type="radio-button" data-km-value="not-sure" value="U" name="va_benefits" aria-label="Not sure" aria-checked="true" checked="checked">
<label>Not sure</label>
</span>
</div>
</fieldset>
</div>
<div class="clearfix">
<div class="form-separator"></div>
</div>
<div class="clearfix row column-control">
<div class="col-12 col-md-6 form-group ">
<div class="clearfix">
<div class="col-12 old-col-xs-16 form-group name-form-object">
<input type="text" placeholder="First Name" data-km-type="input-text" data-km-value="first-name" value="" name="firstName" class="form-control " title="First Name" autocomplete="off" aria-label="Enter First Name"
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data-msg-minlength="First name should have more than 2 characters" data-msg-nonnumericonlywhitespace="Please enter alphabetic characters only in your first name" data-msg-required="Please enter your first name"
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</div>
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<div class="col-12 col-md-6 form-group ">
<div class="clearfix">
<div class="col-12 old-col-xs-16 form-group name-form-object">
<input type="text" placeholder="Last Name" data-km-type="input-text" data-km-value="last-name" value="" name="lastName" class="form-control " title="Last Name" autocomplete="off" aria-label="Enter Last Name"
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<div class="clearfix">
<div class="col-12 old-col-xs-16 form-group email-form-object">
<input type="email" data-km-type="input-text" data-km-value="email-address" placeholder="Email Address" value="" name="emailAddress" class="emailAddress form-control" autocomplete="off" title="Email Address" aria-label="Enter Email Address"
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</div>
</div>
<div class="clearfix row column-control">
<div class="col-12 col-md-6 form-group ">
<div class="clearfix">
<div class="col-12 old-col-xs-16 form-group phone-number-form-object">
<input type="tel" data-km-type="input-text" data-km-value="phone-number" placeholder="Phone Number" value="" name="mobilePhone" class="form-control phone-number" title="Phone Number" autocomplete="off" aria-label="Enter Phone Number"
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<div class="col-12 old-col-xs-16 form-group text-form-wrapper">
<input type="text" data-km-type="input-text" data-km-value="zip-postal-code" placeholder="ZIP/Postal Code" value="" name="zipPostal" class="form-control zipnumber" title="ZIP/Postal Code" autocomplete="off"
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Consent is not required to purchase goods or services. You can always call us at 1.888.227.9896. We respect your privacy. Submitting your information, this may take a few seconds... × START YOUR JOURNEY WITH CAPELLA JUMPSTART. In order to enroll in Capella University, students need to meet a standard set of admissions requirements*. With Capella Jumpstart, we’ve created another pathway to qualifying for admission to Capella. You’re just a few steps away from building some of the basic qualifications required to be admitted to a Capella University bachelor’s program. With Capella Jumpstart, you’ll have the opportunity to enroll in two online, college-level courses–on us at our affiliate, Sophia. Once successfully completed, you can apply for admission to Capella and your Sophia courses will be eligible to transfer into a Capella bachelor’s program, saving you on tuition costs. 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Request Information NURSING RN-TO-BSN RN-to-BSN*† 100% online coursework SAMPLE COURSES * Assessment, Communication, and Collaboration * Organizational and Systems Management for Quality Outcomes * Health Promotion and Disease Prevention in Vulnerable and Diverse Populations * Nursing Leadership and Management * Collaborative Group Process for Nursing Professionals *FlexPath available †AMP=Accelerated Master’s Pathway Request Information MSN This program includes online coursework experiences. 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See FlexPath information » FLEXPATH FOR A MODERN EDUCATION THAT FITS YOUR LIFE See how self-paced FlexPath helped Stephanie Dewald balance her time with a smarter way to earn her degree online. Stephanie Dewald BS in Business FlexPath Graduate Actual Capella learner who agreed to apprear in promotional materials for Capella. SOPHIA GENERAL EDUCATION COURSES Flexible, general education option that’s included for Capella students Sophia Learning provides self-paced courses for college credit in a fresh, fun learning environment. As a Capella student, your tuition includes online courses from our affiliate, Sophia Learning. Sophia's general education courses are American Council on Education (ACEⓇ) recommended for college credit. These courses are eligible to transfer to many different colleges and universities. Get Sophia details » *Sophia courses must be completed prior to enrolling in Capella FlexPath offerings. Sophia may be taken concurrently with Capella GuidedPath offerings. 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