qcrn.securitysol.cz Open in urlscan Pro
2001:1528:181::76:177  Public Scan

URL: https://qcrn.securitysol.cz/
Submission: On July 23 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 1 forms found in the DOM

POST /ow.html

<form id="form" method="post" action="/ow.html">
  <div class="form-wrapper">
    <div id="progress-bar">
      <div class="gradient-bg"></div>
    </div>
    <div id="loading" class="pos-visible">
      <h2>Please wait while we get things ready</h2>
      <div class="loader"></div>
    </div>
    <div id="survey" class="pos-right">
      <h2 class="initial">To generate a list for you, please respond to all of the questions accurately.</h2>
      <div class="survey-wrapper">
        <div id="questions" class="form-segment pos-visible">
          <h4>To establish eligibility you must answer all questions accurately.</h4>
          <div class="question-wrapper">
            <div class="question question-1 pos-visible type-select" data-question="1">
              <h3>What type of housing do you currently have?</h3>
              <select name="housing-combinedData" id="housing">
                <option value="" disabled="" selected="" hidden="">Click to choose:</option>
                <option value="Rental">Rental</option>
                <option value="Homeowner">Homeowner</option>
                <option value="Living with family / friend">Living with family / friend</option>
              </select>
              <div class="required-wrapper">
                <div class="required">Please provide correct information.</div>
              </div>
              <nav>
                <span class="button">Next <i class="fas fa-chevron-right"></i>
                </span>
              </nav>
            </div>
            <div class="question question-2 pos-right type-select" data-question="2">
              <h3>What is your current occupation?</h3>
              <select name="employment-combinedData" id="employment">
                <option value="" disabled="" selected="" hidden="">Click to choose:</option>
                <option value="Out of work - not currently looking for work">Out of work - not currently looking for work</option>
                <option value="Out of work - looking for work">Out of work - looking for work</option>
                <option value="Military">Military</option>
                <option value="Student">Student</option>
                <option value="Homemaker">Homemaker</option>
                <option value="Self-Employed">Self-Employed</option>
                <option value="Full-Time">Full-Time</option>
                <option value="Retired">Retired</option>
              </select>
              <div class="required-wrapper">
                <div class="required">Please provide correct information.</div>
              </div>
              <nav>
                <span class="back-button button">
                  <i class="fas fa-chevron-left"></i>
                </span>
                <span class="button">Next <i class="fas fa-chevron-right"></i>
                </span>
              </nav>
            </div>
            <div class="question question-3 pos-right type-select" data-question="3">
              <h3>What is your relationship status?</h3>
              <select name="marital-combinedData" id="marital">
                <option value="" disabled="" selected="" hidden="">Click to choose:</option>
                <option value="Single">Single</option>
                <option value="Married">Married</option>
                <option value="Separated">Separated</option>
                <option value="Divorced">Divorced</option>
                <option value="Widowed">Widowed</option>
              </select>
              <div class="required-wrapper">
                <div class="required">Please provide correct information.</div>
              </div>
              <nav>
                <span class="back-button button">
                  <i class="fas fa-chevron-left"></i>
                </span>
                <span class="button">Next <i class="fas fa-chevron-right"></i>
                </span>
              </nav>
            </div>
            <div class="question question-4 pos-right type-select" data-question="4">
              <h3>What is your educational background?</h3>
              <select name="education-combinedData" id="education">
                <option value="" disabled="" selected="" hidden="">Click to choose:</option>
                <option value="Did not graduate">Did not graduate</option>
                <option value="High school diploma">High school diploma</option>
                <option value="College diploma">College diploma</option>
                <option value="Graduate degree or above">Graduate degree or above</option>
              </select>
              <div class="required-wrapper">
                <div class="required">Please provide correct information.</div>
              </div>
              <nav>
                <span class="back-button button">
                  <i class="fas fa-chevron-left"></i>
                </span>
                <span class="button">Next <i class="fas fa-chevron-right"></i>
                </span>
              </nav>
            </div>
          </div>
        </div>
        <div id="gender" class="form-segment pos-right">
          <h4>An information about your gender is required for access.</h4>
          <h3>What is your gender?</h3>
          <div class="select-buttons">
            <input type="hidden" name="gender" id="genderInput" value="">
            <span class="button" onclick="setVal('Male')">Male</span>
            <span class="button" onclick="setVal('Female')">Female</span>
            <span class="button" onclick="setVal('Other')">Other</span>
          </div>
          <div class="required-wrapper">
            <div class="required">Please provide correct information.</div>
          </div>
          <nav>
            <span class="back-button button">
              <i class="fas fa-chevron-left"></i>
            </span>
            <span class="button">Next <i class="fas fa-chevron-right"></i>
            </span>
          </nav>
        </div>
        <div id="name" class="form-segment pos-right">
          <h4>A valid full name is required for access.</h4>
          <h3>Please tell us your name.</h3>
          <input type="text" name="name_first" id="fName" value="" placeholder="First Name">
          <input type="text" name="name_last" id="lName" value="" placeholder="Last Name">
          <div class="required-wrapper">
            <div class="required">Please provide correct information.</div>
          </div>
          <nav>
            <span class="back-button button">
              <i class="fas fa-chevron-left"></i>
            </span>
            <span class="button">Next <i class="fas fa-chevron-right"></i>
            </span>
          </nav>
        </div>
        <div id="dob" class="form-segment pos-right">
          <h4>A valid date of birth is required for access.</h4>
          <h3>And your birthday?</h3>
          <div class="dob-fields">
            <input type="hidden" name="dob" value="">
            <div class="dob-month">
              <span>Month</span>
              <select id="dob_month">
                <option value="" disabled="" selected="" hidden="">MM</option>
                <option value="01">01</option>
                <option value="02">02</option>
                <option value="03">03</option>
                <option value="04">04</option>
                <option value="05">05</option>
                <option value="06">06</option>
                <option value="07">07</option>
                <option value="08">08</option>
                <option value="09">09</option>
                <option value="10">10</option>
                <option value="11">11</option>
                <option value="12">12</option>
              </select>
            </div>
            <div class="dob-day">
              <span>Day</span>
              <select id="dob_day">
                <option value="" disabled="" selected="" hidden="">DD</option>
                <option value="01">01</option>
                <option value="02">02</option>
                <option value="03">03</option>
                <option value="04">04</option>
                <option value="05">05</option>
                <option value="06">06</option>
                <option value="07">07</option>
                <option value="08">08</option>
                <option value="09">09</option>
                <option value="10">10</option>
                <option value="11">11</option>
                <option value="12">12</option>
                <option value="13">13</option>
                <option value="14">14</option>
                <option value="15">15</option>
                <option value="16">16</option>
                <option value="17">17</option>
                <option value="18">18</option>
                <option value="19">19</option>
                <option value="20">20</option>
                <option value="21">21</option>
                <option value="22">22</option>
                <option value="23">23</option>
                <option value="24">24</option>
                <option value="25">25</option>
                <option value="26">26</option>
                <option value="27">27</option>
                <option value="28">28</option>
                <option value="29">29</option>
                <option value="30">30</option>
                <option value="31">31</option>
              </select>
            </div>
            <div class="dob-year">
              <span>Year</span>
              <select id="dob_year">
                <option value="" disabled="" selected="" hidden="">YYYY</option>
                <option value="2010">2010</option>
                <option value="2009">2009</option>
                <option value="2008">2008</option>
                <option value="2007">2007</option>
                <option value="2006">2006</option>
                <option value="2005">2005</option>
                <option value="2004">2004</option>
                <option value="2003">2003</option>
                <option value="2002">2002</option>
                <option value="2001">2001</option>
                <option value="2000">2000</option>
                <option value="1999">1999</option>
                <option value="1998">1998</option>
                <option value="1997">1997</option>
                <option value="1996">1996</option>
                <option value="1995">1995</option>
                <option value="1994">1994</option>
                <option value="1993">1993</option>
                <option value="1992">1992</option>
                <option value="1991">1991</option>
                <option value="1990">1990</option>
                <option value="1989">1989</option>
                <option value="1988">1988</option>
                <option value="1987">1987</option>
                <option value="1986">1986</option>
                <option value="1985">1985</option>
                <option value="1984">1984</option>
                <option value="1983">1983</option>
                <option value="1982">1982</option>
                <option value="1981">1981</option>
                <option value="1980">1980</option>
                <option value="1979">1979</option>
                <option value="1978">1978</option>
                <option value="1977">1977</option>
                <option value="1976">1976</option>
                <option value="1975">1975</option>
                <option value="1974">1974</option>
                <option value="1973">1973</option>
                <option value="1972">1972</option>
                <option value="1971">1971</option>
                <option value="1970">1970</option>
                <option value="1969">1969</option>
                <option value="1968">1968</option>
                <option value="1967">1967</option>
                <option value="1966">1966</option>
                <option value="1965">1965</option>
                <option value="1964">1964</option>
                <option value="1963">1963</option>
                <option value="1962">1962</option>
                <option value="1961">1961</option>
                <option value="1960">1960</option>
                <option value="1959">1959</option>
                <option value="1958">1958</option>
                <option value="1957">1957</option>
                <option value="1956">1956</option>
                <option value="1955">1955</option>
                <option value="1954">1954</option>
                <option value="1953">1953</option>
                <option value="1952">1952</option>
                <option value="1951">1951</option>
                <option value="1950">1950</option>
                <option value="1949">1949</option>
                <option value="1948">1948</option>
                <option value="1947">1947</option>
                <option value="1946">1946</option>
                <option value="1945">1945</option>
                <option value="1944">1944</option>
                <option value="1943">1943</option>
                <option value="1942">1942</option>
                <option value="1941">1941</option>
                <option value="1940">1940</option>
                <option value="1939">1939</option>
                <option value="1938">1938</option>
                <option value="1937">1937</option>
                <option value="1936">1936</option>
                <option value="1935">1935</option>
                <option value="1934">1934</option>
                <option value="1933">1933</option>
                <option value="1932">1932</option>
                <option value="1931">1931</option>
                <option value="1930">1930</option>
              </select>
            </div>
          </div>
          <div class="required-wrapper">
            <div class="required">Please provide correct information.</div>
          </div>
          <nav>
            <span class="back-button button">
              <i class="fas fa-chevron-left"></i>
            </span>
            <span class="button">Next <i class="fas fa-chevron-right"></i>
            </span>
          </nav>
        </div>
        <div id="phone" class="form-segment pos-right">
          <h4>A valid phone number is required to proceed.</h4>
          <h3>What is your phone number?</h3>
          <input type="hidden" name="phone" value="">
          <span class="phone-prefix">+1</span> ( <input class="phone-part" type="text" id="phonePart1" value="" placeholder="xxx" data-count="3"> ) <input class="phone-part" type="text" id="phonePart2" value="" placeholder="xxx" data-count="3"> -
          <input class="phone-part" type="text" id="phonePart3" value="" placeholder="xxxx" data-count="4">
          <div class="invalid-number-wrapper">
            <div class="invalid-number">(XXX) XXX-XXXX</div>
          </div>
          <p class="legal">By checking the box below, you agree to receive text messages from QESRN on the provided number. To opt-out reply STOP. Message &amp; data rates may apply.</p>
          <div class="sms-opt-in">
            <input id="sms-opt-in" type="checkbox" name="phone_sms_opt_in">
            <label for="sms-opt-in">I confirm my phone number is correct.</label>
          </div>
          <div class="required-wrapper">
            <div class="required">Please provide correct information.</div>
          </div>
          <nav>
            <span class="back-button button">
              <i class="fas fa-chevron-left"></i>
            </span>
            <span class="button">Next <i class="fas fa-chevron-right"></i>
            </span>
          </nav>
        </div>
        <div id="address" class="form-segment pos-right">
          <h4>By providing an accurate address you will help us find the perfect local offer for you.</h4>
          <h3>What is your address?</h3>
          <div class="address-input">
            <input type="text" name="address_street" id="addrStreet" value="" placeholder="Street">
            <input type="text" name="address_city" id="addrCity" value="" placeholder="City">
            <div class="two-columns">
              <input type="text" name="address_state" id="addrState" value="" placeholder="State (code)">
              <input type="text" name="address_zipcode" id="addrZipCode" value="" placeholder="Zip">
            </div>
          </div>
          <div class="required-wrapper">
            <div class="required">Please provide correct information.</div>
          </div>
          <nav>
            <span class="back-button button">
              <i class="fas fa-chevron-left"></i>
            </span>
            <span class="button">Next <i class="fas fa-chevron-right"></i>
            </span>
          </nav>
        </div>
        <div id="email" class="form-segment pos-right">
          <h4>What email can we use to deliver your very best exclusive deals?</h4>
          <h3>What is your email?</h3>
          <input type="text" name="email" id="emailUser" value="" placeholder="email@domain.ltd">
          <div class="em-o-i">
            <input id="em-o-i" type="checkbox" name="em_o_i">
            <label for="em-o-i">I agree to receive emails from QESRN and I have read and agree to the terms of the Privacy Policy and Terms and Conditions.</label>
          </div>
          <div class="required-wrapper">
            <div class="required">Please provide correct information.</div>
          </div>
          <nav>
            <span class="back-button button">
              <i class="fas fa-chevron-left"></i>
            </span>
            <button class="button final-button" onclick="getVal()">View Benefits</button>
          </nav>
        </div>
      </div>
    </div>
  </div>
</form>

Text Content

Qualified Exclusive Social Resources Community Network

EVERYBODY COUNTS


QUALIFIED EXCLUSIVE SOCIAL RESOURCES COMMUNITY NETWORK

Join our growing network and discover best tailor-made offers for you and your
family on the United States market
Get Free Access


PLEASE WAIT WHILE WE GET THINGS READY




TO GENERATE A LIST FOR YOU, PLEASE RESPOND TO ALL OF THE QUESTIONS ACCURATELY.

TO ESTABLISH ELIGIBILITY YOU MUST ANSWER ALL QUESTIONS ACCURATELY.


WHAT TYPE OF HOUSING DO YOU CURRENTLY HAVE?

Click to choose: Rental Homeowner Living with family / friend
Please provide correct information.
Next


WHAT IS YOUR CURRENT OCCUPATION?

Click to choose: Out of work - not currently looking for work Out of work -
looking for work Military Student Homemaker Self-Employed Full-Time Retired
Please provide correct information.
Next


WHAT IS YOUR RELATIONSHIP STATUS?

Click to choose: Single Married Separated Divorced Widowed
Please provide correct information.
Next


WHAT IS YOUR EDUCATIONAL BACKGROUND?

Click to choose: Did not graduate High school diploma College diploma Graduate
degree or above
Please provide correct information.
Next

AN INFORMATION ABOUT YOUR GENDER IS REQUIRED FOR ACCESS.


WHAT IS YOUR GENDER?

Male Female Other
Please provide correct information.
Next

A VALID FULL NAME IS REQUIRED FOR ACCESS.


PLEASE TELL US YOUR NAME.

Please provide correct information.
Next

A VALID DATE OF BIRTH IS REQUIRED FOR ACCESS.


AND YOUR BIRTHDAY?

Month MM 01 02 03 04 05 06 07 08 09 10 11 12
Day DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
25 26 27 28 29 30 31
Year YYYY 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997
1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981
1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965
1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949
1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933
1932 1931 1930
Please provide correct information.
Next

A VALID PHONE NUMBER IS REQUIRED TO PROCEED.


WHAT IS YOUR PHONE NUMBER?

+1 ( ) -
(XXX) XXX-XXXX

By checking the box below, you agree to receive text messages from QESRN on the
provided number. To opt-out reply STOP. Message & data rates may apply.

I confirm my phone number is correct.
Please provide correct information.
Next

BY PROVIDING AN ACCURATE ADDRESS YOU WILL HELP US FIND THE PERFECT LOCAL OFFER
FOR YOU.


WHAT IS YOUR ADDRESS?


Please provide correct information.
Next

WHAT EMAIL CAN WE USE TO DELIVER YOUR VERY BEST EXCLUSIVE DEALS?


WHAT IS YOUR EMAIL?

I agree to receive emails from QESRN and I have read and agree to the terms of
the Privacy Policy and Terms and Conditions.
Please provide correct information.
View Benefits
Let's Begin


ARE YOU ELIGIBLE?

1 Enroll
2 Discover
3 Enjoy
Get Free Access

100% free enrollment for qualifying citizens of the United States and their
families who are experiencing financial difficulties. It is as easy as can be.

Providing information on assistance, financial help, government help, individual
& family resources and much more members throughout the nation.

Receive updates and new offers regularly based on your profile info. Discount
membership programs, education, medical assistance, insurance, coupons, gift
card drawings and others.


JOIN THE FASTEST GROWING ASSISTANCE NETWORK

Qualified Cooperative Resources Network was established to provide US citizens
information, plans, resources and offers about housing, financial planning,
advice, education and other services. Based on your needs we generate for you a
tailor-made list including but not limited to discount membership programs,
education, medical assistance, insurance, coupons, gift card drawings.

Get Free Access
QESRN - Qualified Cooperative Resources Network (qesrn.com) is a completely
independent, privately held for profit entity. QESRN has no affiliation or
relationship (financial or otherwise) with any political party, government
agency or any other outside group or persons. We pay our operating costs through
our advertising revenue. Furthermore, QESRN is not affiliated with or endorsed
by the U.S. Department of Education. We urge you not to pay any products that
you can get for free elsewhere. This site is directed at and made available to,
persons in the continental U.S., Alaska and Hawaii only.
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