qcrn.securitysol.cz
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https://qcrn.securitysol.cz/
Submission: On July 23 via automatic, source certstream-suspicious — Scanned from DE
Submission: On July 23 via automatic, source certstream-suspicious — Scanned from DE
Form analysis
1 forms found in the DOMPOST /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 & 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. Copyright QESRN © 2023 · Terms of Use · Mobile Terms of Use · CA Privacy Policy · Mobile Privacy Policy