lakeland.edu Open in urlscan Pro
205.213.172.104  Public Scan

Submitted URL: http://lakeland.edu/
Effective URL: https://lakeland.edu/
Submission Tags: tranco_l324
Submission: On November 20 via api from DE — Scanned from DE

Form analysis 4 forms found in the DOM

/search

<form class="NMSForm" action="/search" autocomplete="off">
  <div class="nmsformin">
    <div class="nmsforminput">
      <input type="search" name="q" required="" placeholder="Search...">
    </div>
    <div class="nmsformsubmit">
      <input type="submit" value="GO">
      <svg class="svg-inline--fa fa-search fa-w-16" aria-hidden="true" focusable="false" data-prefix="fa" data-icon="search" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" data-fa-i2svg="">
        <path fill="currentColor"
          d="M505 442.7L405.3 343c-4.5-4.5-10.6-7-17-7H372c27.6-35.3 44-79.7 44-128C416 93.1 322.9 0 208 0S0 93.1 0 208s93.1 208 208 208c48.3 0 92.7-16.4 128-44v16.3c0 6.4 2.5 12.5 7 17l99.7 99.7c9.4 9.4 24.6 9.4 33.9 0l28.3-28.3c9.4-9.4 9.4-24.6.1-34zM208 336c-70.7 0-128-57.2-128-128 0-70.7 57.2-128 128-128 70.7 0 128 57.2 128 128 0 70.7-57.2 128-128 128z">
        </path>
      </svg><!-- <i class="fa fa-search"></i> -->
    </div>
  </div>
</form>

GET /search

<form class="searchdf" method="get" action="/search" autocomplete="off">
  <div class="searchdfi">
    <input id="search" type="text" name="q" required="" placeholder="Search..." autocomplete="off" autocapitalize="off" spellcheck="false">
  </div>
  <div class="searchdfs">
    <div class="searchdfsi">
      <input type="submit" value="GO">
    </div>
    <div class="searchdfs-icon">
      <svg class="svg-inline--fa fa-search fa-w-16" aria-hidden="true" focusable="false" data-prefix="fa" data-icon="search" role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512" data-fa-i2svg="">
        <path fill="currentColor"
          d="M505 442.7L405.3 343c-4.5-4.5-10.6-7-17-7H372c27.6-35.3 44-79.7 44-128C416 93.1 322.9 0 208 0S0 93.1 0 208s93.1 208 208 208c48.3 0 92.7-16.4 128-44v16.3c0 6.4 2.5 12.5 7 17l99.7 99.7c9.4 9.4 24.6 9.4 33.9 0l28.3-28.3c9.4-9.4 9.4-24.6.1-34zM208 336c-70.7 0-128-57.2-128-128 0-70.7 57.2-128 128-128 70.7 0 128 57.2 128 128 0 70.7-57.2 128-128 128z">
        </path>
      </svg><!-- <i class="fa fa-search"></i> -->
    </div>
  </div>
</form>

POST https://connect.lakeland.edu/register/form?id=f939b068-f64c-4eb8-8b72-c795941f1b74&embed=form_f939b068-f64c-4eb8-8b72-c795941f1b74&v=20210624-637715278576632990-637722223708470000&cmd=submit&output=xdm&embedElement=form_f939b068-f64c-4eb8-8b72-c795941f1b74

<form enctype="multipart/form-data" id="form_f939b068-f64c-4eb8-8b72-c795941f1b74_container" method="post"
  action="https://connect.lakeland.edu/register/form?id=f939b068-f64c-4eb8-8b72-c795941f1b74&amp;embed=form_f939b068-f64c-4eb8-8b72-c795941f1b74&amp;v=20210624-637715278576632990-637722223708470000&amp;cmd=submit&amp;output=xdm&amp;embedElement=form_f939b068-f64c-4eb8-8b72-c795941f1b74"
  novalidate="novalidate" autocomplete="off"><input name="securityKey" type="hidden" value="637729600600506062:f0e3aa80e5ccf3e25c98ae4b3952609a"><input name="id" type="hidden" value="f939b068-f64c-4eb8-8b72-c795941f1b74"><input name="referrer"
    type="hidden" value="https://lakeland.edu/">
  <div id="form_start"></div>
  <div class="error hidden" id="form_f939b068-f64c-4eb8-8b72-c795941f1b74_error"></div>
  <div>
    <script>
      /*<![CDATA[*/
      new function($) {
        var renderForm = function() {
          var form = window['Form'] = window['form_f939b068-f64c-4eb8-8b72-c795941f1b74'] = new FormFiller($('#form_page_f939b068-f64c-4eb8-8b72-c795941f1b74'));
          var keys_736a9377_4f16_4fa1_9efa_f16da333460e = {};
          keys_736a9377_4f16_4fa1_9efa_f16da333460e['form_736a9377-4f16-4fa1-9efa-f16da333460e'] = 'name';
          keys_736a9377_4f16_4fa1_9efa_f16da333460e['form_916757fb-0c1c-416a-857c-0a4c2a55d737'] = 'key';
          new Suggest({
            input: $('#form_736a9377-4f16-4fa1-9efa-f16da333460e'),
            service: 'https://connect.lakeland.edu/manage/service/lookup?type=school&q=',
            callback: function(result) {
              var keys = keys_736a9377_4f16_4fa1_9efa_f16da333460e;
              for (var key in keys) {
                if (keys[key] == 'country')
                  if (result[keys[key]] == null) continue;
                if ($('#' + key).length > 0) $('#' + key).val(result[keys[key]]).triggerHandler('change');
              }
            },
            clear: function() {
              var keys = keys_736a9377_4f16_4fa1_9efa_f16da333460e;
              for (var key in keys) {
                if ($('#' + key).length > 0 && !$('#' + key).is(this.input)) $('#' + key).val('').triggerHandler('change');
              }
            }
          });
          form.initializeCalculatedFields();
          try {
            var question_cdaf75bb4ac1468e9ac792f4f8b223fb_val = form.getValueById('cdaf75bb-4ac1-468e-9ac7-92f4f8b223fb')
            form.getElementById('cdaf75bb-4ac1-468e-9ac7-92f4f8b223fb').on('change', function() {
              question_cdaf75bb4ac1468e9ac792f4f8b223fb_val = form.getValueById('cdaf75bb-4ac1-468e-9ac7-92f4f8b223fb');
            }).attr('data-handler-change', '1');
            var question_9d0bd9df3d0a480f8dab066adee0263a_val = form.getValueById('9d0bd9df-3d0a-480f-8dab-066adee0263a')
            form.getElementById('9d0bd9df-3d0a-480f-8dab-066adee0263a').on('change', function() {
              question_9d0bd9df3d0a480f8dab066adee0263a_val = form.getValueById('9d0bd9df-3d0a-480f-8dab-066adee0263a');
            }).attr('data-handler-change', '1');
            var question_74b02b1215ca47259adea1c4238b7ada_val = form.getValueById('74b02b12-15ca-4725-9ade-a1c4238b7ada')
            form.getElementById('74b02b12-15ca-4725-9ade-a1c4238b7ada').on('change', function() {
              question_74b02b1215ca47259adea1c4238b7ada_val = form.getValueById('74b02b12-15ca-4725-9ade-a1c4238b7ada');
            }).attr('data-handler-change', '1');
            var question_5b0f9a4ec5904860928ac545d7f9878b_val = form.getValueById('5b0f9a4e-c590-4860-928a-c545d7f9878b')
            form.getElementById('5b0f9a4e-c590-4860-928a-c545d7f9878b').on('change', function() {
              question_5b0f9a4ec5904860928ac545d7f9878b_val = form.getValueById('5b0f9a4e-c590-4860-928a-c545d7f9878b');
            }).attr('data-handler-change', '1');
            var question_58793a9c8f1c41f29c62d6764d8bdb51_val = form.getValueById('58793a9c-8f1c-41f2-9c62-d6764d8bdb51')
            form.getElementById('58793a9c-8f1c-41f2-9c62-d6764d8bdb51').on('change', function() {
              question_58793a9c8f1c41f29c62d6764d8bdb51_val = form.getValueById('58793a9c-8f1c-41f2-9c62-d6764d8bdb51');
            }).attr('data-handler-change', '1');
            var condition_38216f794430405a805e4a32e5e4fb49 = function() {
              var condition = ($.inArray(question_58793a9c8f1c41f29c62d6764d8bdb51_val, ["1cfc355b-7deb-477f-9572-a83933441ee9", "ae608b97-442c-446c-b34b-35ce6dd26174", "f1b7efa3-c17d-4436-a9cb-392af0e12dab"]) >= 0);
              form.getSectionById('38216f79-4430-405a-805e-4a32e5e4fb49').toggleQuestion(condition);
              form.applyConditionalLogicRecursive(form.getSectionById('38216f79-4430-405a-805e-4a32e5e4fb49'));
            };
            form.getElementById('58793a9c-8f1c-41f2-9c62-d6764d8bdb51').on('change', condition_38216f794430405a805e4a32e5e4fb49).attr('data-handler-change', '1');
            var condition_74b02b1215ca47259adea1c4238b7ada = function() {
              var condition = ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["a8390aac-2847-426f-b9e7-a2daca0b95b0"]) >= 0);
              form.getQuestionById('74b02b12-15ca-4725-9ade-a1c4238b7ada').toggleQuestion(condition);
              form.applyConditionalLogicRecursive(form.getQuestionById('74b02b12-15ca-4725-9ade-a1c4238b7ada'));
            };
            form.getElementById('5b0f9a4e-c590-4860-928a-c545d7f9878b').on('change', condition_74b02b1215ca47259adea1c4238b7ada).attr('data-handler-change', '1');
            var condition_9d0bd9df3d0a480f8dab066adee0263a = function() {
              var condition = ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["0f088318-04da-4a8e-9fd4-386af13d6786"]) >= 0) || ($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["f7b88a0b-9cd5-4293-aed8-2dacc65d9055"]) >=
                0) || ($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["0052e432-f7bc-4c1a-8ffd-e3da6c5fa4e0"]) >= 0);
              form.getQuestionById('9d0bd9df-3d0a-480f-8dab-066adee0263a').toggleQuestion(condition);
              form.applyConditionalLogicRecursive(form.getQuestionById('9d0bd9df-3d0a-480f-8dab-066adee0263a'));
            };
            form.getElementById('5b0f9a4e-c590-4860-928a-c545d7f9878b').on('change', condition_9d0bd9df3d0a480f8dab066adee0263a).attr('data-handler-change', '1');
            form.getElementById('74b02b12-15ca-4725-9ade-a1c4238b7ada').on('change', condition_9d0bd9df3d0a480f8dab066adee0263a).attr('data-handler-change', '1');
            form.getElementById('74b02b12-15ca-4725-9ade-a1c4238b7ada').on('change', condition_9d0bd9df3d0a480f8dab066adee0263a).attr('data-handler-change', '1');
            var condition_7a9b99faece6452e92b207d6075f21e8 = function() {
              var condition = ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["a8390aac-2847-426f-b9e7-a2daca0b95b0"]) >= 0) && ($.inArray(question_9d0bd9df3d0a480f8dab066adee0263a_val, ["2b1a2b2d-54e6-4951-ab69-436849369ceb",
                "111a4dfc-5935-477b-acfc-3695d4db7291", "96e72d14-f867-4f1e-ab54-bca78a651eef", "aa2e3553-fc8e-4a14-bec9-3bfddb8855e4"
              ]) >= 0);
              form.getQuestionById('7a9b99fa-ece6-452e-92b2-07d6075f21e8').toggleQuestion(condition);
              form.applyConditionalLogicRecursive(form.getQuestionById('7a9b99fa-ece6-452e-92b2-07d6075f21e8'));
            };
            form.getElementById('5b0f9a4e-c590-4860-928a-c545d7f9878b').on('change', condition_7a9b99faece6452e92b207d6075f21e8).attr('data-handler-change', '1');
            form.getElementById('9d0bd9df-3d0a-480f-8dab-066adee0263a').on('change', condition_7a9b99faece6452e92b207d6075f21e8).attr('data-handler-change', '1');
            var condition_cdaf75bb4ac1468e9ac792f4f8b223fb = function() {
              var condition = ($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["f7b88a0b-9cd5-4293-aed8-2dacc65d9055"]) >= 0) || ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["0f088318-04da-4a8e-9fd4-386af13d6786"]) >= 0);
              form.getQuestionById('cdaf75bb-4ac1-468e-9ac7-92f4f8b223fb').toggleQuestion(condition);
              form.applyConditionalLogicRecursive(form.getQuestionById('cdaf75bb-4ac1-468e-9ac7-92f4f8b223fb'));
            };
            form.getElementById('74b02b12-15ca-4725-9ade-a1c4238b7ada').on('change', condition_cdaf75bb4ac1468e9ac792f4f8b223fb).attr('data-handler-change', '1');
            form.getElementById('5b0f9a4e-c590-4860-928a-c545d7f9878b').on('change', condition_cdaf75bb4ac1468e9ac792f4f8b223fb).attr('data-handler-change', '1');
            var condition_736a93774f164fa19efaf16da333460e = function() {
              var condition = ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["0f088318-04da-4a8e-9fd4-386af13d6786"]) >= 0) || (($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["a8390aac-2847-426f-b9e7-a2daca0b95b0"]) >=
                0) && ($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["f7b88a0b-9cd5-4293-aed8-2dacc65d9055"]) >= 0) && ($.inArray(question_cdaf75bb4ac1468e9ac792f4f8b223fb_val, ["1"]) >= 0));
              form.getQuestionById('736a9377-4f16-4fa1-9efa-f16da333460e').toggleQuestion(condition);
              form.applyConditionalLogicRecursive(form.getQuestionById('736a9377-4f16-4fa1-9efa-f16da333460e'));
            };
            form.getElementById('5b0f9a4e-c590-4860-928a-c545d7f9878b').on('change', condition_736a93774f164fa19efaf16da333460e).attr('data-handler-change', '1');
            form.getElementById('5b0f9a4e-c590-4860-928a-c545d7f9878b').on('change', condition_736a93774f164fa19efaf16da333460e).attr('data-handler-change', '1');
            form.getElementById('74b02b12-15ca-4725-9ade-a1c4238b7ada').on('change', condition_736a93774f164fa19efaf16da333460e).attr('data-handler-change', '1');
            form.getElementById('cdaf75bb-4ac1-468e-9ac7-92f4f8b223fb').on('change', condition_736a93774f164fa19efaf16da333460e).attr('data-handler-change', '1');
            var condition_96569be6b72b4f12a23cf356c9862592 = function() {
              var condition = ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["0f088318-04da-4a8e-9fd4-386af13d6786"]) >= 0);
              form.getQuestionById('96569be6-b72b-4f12-a23c-f356c9862592').toggleQuestion(condition);
              form.applyConditionalLogicRecursive(form.getQuestionById('96569be6-b72b-4f12-a23c-f356c9862592'));
            };
            form.getElementById('5b0f9a4e-c590-4860-928a-c545d7f9878b').on('change', condition_96569be6b72b4f12a23cf356c9862592).attr('data-handler-change', '1');
            var condition_4c0b9b1d6f6642d4904dea48a14859c2 = function() {
              var condition = ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["a8390aac-2847-426f-b9e7-a2daca0b95b0", "0f088318-04da-4a8e-9fd4-386af13d6786"]) >= 0);
              form.getQuestionById('4c0b9b1d-6f66-42d4-904d-ea48a14859c2').toggleQuestion(condition);
              form.applyConditionalLogicRecursive(form.getQuestionById('4c0b9b1d-6f66-42d4-904d-ea48a14859c2'));
            };
            form.getElementById('5b0f9a4e-c590-4860-928a-c545d7f9878b').on('change', condition_4c0b9b1d6f6642d4904dea48a14859c2).attr('data-handler-change', '1');
            form.conditionalPromptConfig = [{
              "field": "9d0bd9df-3d0a-480f-8dab-066adee0263a",
              "conditions": [{
                "prompts": ["111a4dfc-5935-477b-acfc-3695d4db7291", "aa2e3553-fc8e-4a14-bec9-3bfddb8855e4"],
                "condition": function(form) {
                  return ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["0f088318-04da-4a8e-9fd4-386af13d6786"]) >= 0);
                }
              }, {
                "prompts": ["f1614511-98fd-45af-86fa-1fa811f18c22"],
                "condition": function(form) {
                  return ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["a8390aac-2847-426f-b9e7-a2daca0b95b0"]) >= 0) && ($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["f7b88a0b-9cd5-4293-aed8-2dacc65d9055"]) >=
                    0);
                }
              }, {
                "prompts": ["2b1a2b2d-54e6-4951-ab69-436849369ceb", "96e72d14-f867-4f1e-ab54-bca78a651eef"],
                "condition": function(form) {
                  return;
                }
              }, {
                "prompts": ["ccd5383a-c645-496e-b089-b47eba5b3f9a"],
                "condition": function(form) {
                  return ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["0f088318-04da-4a8e-9fd4-386af13d6786"]) >= 0) || (($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["a8390aac-2847-426f-b9e7-a2daca0b95b0"]) >=
                    0) && ($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["f7b88a0b-9cd5-4293-aed8-2dacc65d9055"]) >= 0));
                }
              }, {
                "prompts": ["2eda190c-89cf-4f79-a3d9-4958a82a61d5"],
                "condition": function(form) {
                  return ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["0f088318-04da-4a8e-9fd4-386af13d6786"]) >= 0);
                }
              }, {
                "prompts": ["8bf51946-288a-4f9f-ba24-4351913f9cb6"],
                "condition": function(form) {
                  return ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["0f088318-04da-4a8e-9fd4-386af13d6786"]) >= 0) || (($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["f7b88a0b-9cd5-4293-aed8-2dacc65d9055"]) >=
                    0) && ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["a8390aac-2847-426f-b9e7-a2daca0b95b0"]) >= 0));
                }
              }, {
                "prompts": ["19b216e7-a006-4e82-a0cf-639118b64346", "0eaaa70e-e9ef-4bd5-8c7c-f25a06866329"],
                "condition": function(form) {
                  return ($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["0052e432-f7bc-4c1a-8ffd-e3da6c5fa4e0"]) >= 0);
                }
              }, {
                "prompts": ["c8f4a004-a7c3-4e54-b97c-fecdf79d3fe5"],
                "condition": function(form) {
                  return ($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["0052e432-f7bc-4c1a-8ffd-e3da6c5fa4e0"]) >= 0);
                }
              }, {
                "prompts": ["3db00efd-e047-41a3-96cd-7830731698b6"],
                "condition": function(form) {
                  return ($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["0052e432-f7bc-4c1a-8ffd-e3da6c5fa4e0"]) >= 0);
                }
              }, {
                "prompts": ["2415c9d1-7642-4414-97b3-194a72236a18"],
                "condition": function(form) {
                  return ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["0f088318-04da-4a8e-9fd4-386af13d6786"]) >= 0) || (($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["f7b88a0b-9cd5-4293-aed8-2dacc65d9055"]) >=
                    0) && ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["a8390aac-2847-426f-b9e7-a2daca0b95b0"]) >= 0));
                }
              }, {
                "prompts": ["c02361b1-e1f1-4268-a79f-81b5a6d9000b"],
                "condition": function(form) {
                  return ($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["dbe1da18-e1a9-4a83-a11c-ae231dd85df3", "f7b88a0b-9cd5-4293-aed8-2dacc65d9055"]) >= 0);
                }
              }, {
                "prompts": ["3a8c8b65-dee2-40d8-aa72-74f7411fc32c"],
                "condition": function(form) {
                  return ($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["0052e432-f7bc-4c1a-8ffd-e3da6c5fa4e0"]) >= 0);
                }
              }, {
                "prompts": ["9f8a8456-6b45-41be-b468-bc051765ffdb"],
                "condition": function(form) {
                  return ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["a8390aac-2847-426f-b9e7-a2daca0b95b0"]) >= 0) && ($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["f7b88a0b-9cd5-4293-aed8-2dacc65d9055"]) >=
                    0);
                }
              }, {
                "prompts": ["c7953725-1f92-4cdc-ab1d-e3f6735e5b2c"],
                "condition": function(form) {
                  return (question_5b0f9a4ec5904860928ac545d7f9878b_val && $.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["a8390aac-2847-426f-b9e7-a2daca0b95b0", "0f088318-04da-4a8e-9fd4-386af13d6786"]) < 0);
                }
              }, {
                "prompts": ["4bf83e60-56c8-48dd-8c40-f1f549186a93"],
                "condition": function(form) {
                  return ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["0f088318-04da-4a8e-9fd4-386af13d6786"]) >= 0);
                }
              }, {
                "prompts": ["8b0ba6d6-e2d1-4228-97ea-1564ba3b6997"],
                "condition": function(form) {
                  return ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["0f088318-04da-4a8e-9fd4-386af13d6786"]) >= 0) || (($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["a8390aac-2847-426f-b9e7-a2daca0b95b0"]) >=
                    0) && ($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["f7b88a0b-9cd5-4293-aed8-2dacc65d9055"]) >= 0));
                }
              }, {
                "prompts": ["b63b4151-8a1f-48b4-bb10-caf0243e296a", "5119b0df-e2ad-408d-97d0-72ca78c8544a", "9116825a-633e-4d73-a2d0-4d64e951ad86", "848e45a7-64de-4ef8-aa83-4268cc1785c6", "d3d7e911-8dfa-47ba-81b5-69a321a50b9e",
                  "c9fe425c-2624-4953-9cfa-5dd24c169daf", "063ba9d4-ae70-4d16-97f8-6b6d410893dc", "7bffc5f9-8207-4c53-8be8-f72c5a978338", "02efa17c-3c21-47b5-956f-e0042e55c3fd", "209d63df-860f-4a40-9581-dbf41ae80040",
                  "b2a2c0ee-88ba-44ac-8b6c-75a77974a111", "94f63731-97bb-4cd7-9ab3-d4f031c678b7", "3cc6e3e3-ebef-4cb5-9556-3bed3732ad38", "a19a5893-556e-46b9-afbd-92d188dd95ab", "548f22c9-5745-4342-a0ec-840a07bf2395",
                  "2848919c-4ff4-4e86-9e1f-484b2cfc56ff", "e8a58354-c032-4a4f-8183-81fe25108afe", "a6e8f69f-0a15-4770-ae4f-9a32b4f76845", "2cf94800-0287-41c2-a4e6-09d1dacc6ffe"
                ],
                "condition": function(form) {
                  return ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["0f088318-04da-4a8e-9fd4-386af13d6786"]) >= 0);
                }
              }, {
                "prompts": ["ce4d4ea3-9161-48d1-af6d-32891ca72c1b"],
                "condition": function(form) {
                  return ($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["0052e432-f7bc-4c1a-8ffd-e3da6c5fa4e0"]) >= 0);
                }
              }, {
                "prompts": ["4e17824f-547e-4e2b-98ef-59b9f3a72bc6", "305f54d2-383d-431b-b4fd-0e003e89fa15", "1af70979-c542-46d6-8620-337d81a8f4d1", "60b0df3b-fda4-4b6e-b9e9-61231b4cd5b2", "79f76c3f-9082-4a2b-97a9-03cabd0497e5",
                  "98ac0f26-b4fb-45e0-8858-2c21bcf9f713", "666b62a1-3192-4a25-a2a4-d2a48dcbccf4", "715dc504-8cb2-4456-a8db-ddb812d4e9a4", "220bb2eb-36e3-446b-a861-f3858c5eea67", "9f195418-613c-48f1-af59-03d506fd63fe"
                ],
                "condition": function(form) {
                  return ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["0f088318-04da-4a8e-9fd4-386af13d6786"]) >= 0) || (($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["f7b88a0b-9cd5-4293-aed8-2dacc65d9055"]) >=
                    0) && ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["a8390aac-2847-426f-b9e7-a2daca0b95b0"]) >= 0));
                }
              }, {
                "prompts": ["d6df0d36-a4d6-4a3f-890a-78b21f060a22"],
                "condition": function(form) {
                  return ($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["0052e432-f7bc-4c1a-8ffd-e3da6c5fa4e0"]) >= 0) && ($.inArray(question_5b0f9a4ec5904860928ac545d7f9878b_val, ["a8390aac-2847-426f-b9e7-a2daca0b95b0"]) >=
                    0);
                }
              }, {
                "prompts": ["31771982-5a34-41eb-8d38-f8ffd452586d"],
                "condition": function(form) {
                  return ($.inArray(question_74b02b1215ca47259adea1c4238b7ada_val, ["0052e432-f7bc-4c1a-8ffd-e3da6c5fa4e0", "dbe1da18-e1a9-4a83-a11c-ae231dd85df3"]) >= 0);
                }
              }]
            }];
            form.getElementById('5b0f9a4e-c590-4860-928a-c545d7f9878b').on('change', function() {
              form.applyConditionalPrompts('9d0bd9df-3d0a-480f-8dab-066adee0263a');
            }).attr('data-handler-change', '1');
            form.getElementById('74b02b12-15ca-4725-9ade-a1c4238b7ada').on('change', function() {
              form.applyConditionalPrompts('9d0bd9df-3d0a-480f-8dab-066adee0263a');
            }).attr('data-handler-change', '1');
            form.initializeLogic();
          } catch (ex) {
            if (console.log) console.log(ex);
          }
          form.ready();
        };
        $(renderForm);
      }(FW.$); /*]]>*/
    </script>
    <div class="form_container">
      <div id="form_page_f939b068-f64c-4eb8-8b72-c795941f1b74">
        <div class="form_loading hidden" aria-hidden="true">Loading...</div>
        <div class="form_pages" aria-hidden="false">
          <div id="form_page_1" data-id="f939b068-f64c-4eb8-8b72-c795941f1b74" class="form_page form_page_1 form_page_multiple" style="clear: left;">
            <div class="form_question form_p form_question_343d9888-068a-4284-ab12-90fa3c07d219 form_layout_stacked" id="form_question_343d9888-068a-4284-ab12-90fa3c07d219" style="clear: left;" data-id="343d9888-068a-4284-ab12-90fa3c07d219"
              data-type="p">
              <div class="form_label">
                <div style="text-align: right;"><span style="font-size:12px;"><strong>*Required Information</strong></span></div>
              </div>
            </div>
            <div class="form_question form_header form_question_f4f3bf38-c855-4a4c-a636-29bc3a8c064d form_layout_table" id="form_question_f4f3bf38-c855-4a4c-a636-29bc3a8c064d" style="clear: left;" data-id="f4f3bf38-c855-4a4c-a636-29bc3a8c064d"
              data-type="header">
              <div class="form_label">Contact Information</div>
            </div>
            <div class="form_question form_text form_question_83b5d4a3-41a9-4808-986a-7da0dac6b150 form_layout_stacked" id="form_question_83b5d4a3-41a9-4808-986a-7da0dac6b150" style="float: left; width: 45%;"
              data-id="83b5d4a3-41a9-4808-986a-7da0dac6b150" data-type="text" data-export="sys:first" data-required="1"><label class="form_label" for="form_83b5d4a3-41a9-4808-986a-7da0dac6b150"><strong>First Name:*</strong></label>
              <div class="form_responses"><input type="text" size="25" id="form_83b5d4a3-41a9-4808-986a-7da0dac6b150" name="form_83b5d4a3-41a9-4808-986a-7da0dac6b150" value="" placeholder="First Name" autocomplete="off" autocapitalize="off"
                  spellcheck="false" required="required"></div>
            </div>
            <div class="form_question form_text form_question_af8a15a1-9e62-4d90-8470-15569323f2af form_layout_stacked" id="form_question_af8a15a1-9e62-4d90-8470-15569323f2af" style="float: left; width: 45%;"
              data-id="af8a15a1-9e62-4d90-8470-15569323f2af" data-type="text" data-export="sys:last" data-required="1"><label class="form_label" for="form_af8a15a1-9e62-4d90-8470-15569323f2af"><strong>Last Name:*</strong></label>
              <div class="form_responses"><input type="text" size="25" id="form_af8a15a1-9e62-4d90-8470-15569323f2af" name="form_af8a15a1-9e62-4d90-8470-15569323f2af" value="" placeholder="Last Name" autocomplete="off" autocapitalize="off"
                  spellcheck="false" required="required"></div>
            </div>
            <div class="form_question form_birthdate form_question_3c5aeb32-6845-4efe-9b0c-530619f19c2b form_layout_stacked" id="form_question_3c5aeb32-6845-4efe-9b0c-530619f19c2b" style="clear: left;" data-id="3c5aeb32-6845-4efe-9b0c-530619f19c2b"
              data-type="birthdate" data-export="sys:birthdate" data-datatype="date" data-required="1">
              <fieldset>
                <legend><strong>Birthdate:*</strong></legend>
                <div class="form_label"><strong>Birthdate:*</strong></div>
                <div class="form_responses"><select aria-label="Month" id="form_3c5aeb32-6845-4efe-9b0c-530619f19c2b_m" name="form_3c5aeb32-6845-4efe-9b0c-530619f19c2b_m" size="1" autocomplete="off" required="required">
                    <option value=""></option>
                    <option value="01">January</option>
                    <option value="02">February</option>
                    <option value="03">March</option>
                    <option value="04">April</option>
                    <option value="05">May</option>
                    <option value="06">June</option>
                    <option value="07">July</option>
                    <option value="08">August</option>
                    <option value="09">September</option>
                    <option value="10">October</option>
                    <option value="11">November</option>
                    <option value="12">December</option>
                  </select><select aria-label="Day" id="form_3c5aeb32-6845-4efe-9b0c-530619f19c2b_d" name="form_3c5aeb32-6845-4efe-9b0c-530619f19c2b_d" size="1" style="margin-left: 5px;" autocomplete="off" required="required">
                    <option value=""></option>
                    <option value="01">1</option>
                    <option value="02">2</option>
                    <option value="03">3</option>
                    <option value="04">4</option>
                    <option value="05">5</option>
                    <option value="06">6</option>
                    <option value="07">7</option>
                    <option value="08">8</option>
                    <option value="09">9</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><select aria-label="Year" id="form_3c5aeb32-6845-4efe-9b0c-530619f19c2b_y" name="form_3c5aeb32-6845-4efe-9b0c-530619f19c2b_y" size="1" style="margin-left: 5px;" autocomplete="off" required="required">
                    <option></option>
                    <option value="2021">2021</option>
                    <option value="2020">2020</option>
                    <option value="2019">2019</option>
                    <option value="2018">2018</option>
                    <option value="2017">2017</option>
                    <option value="2016">2016</option>
                    <option value="2015">2015</option>
                    <option value="2014">2014</option>
                    <option value="2013">2013</option>
                    <option value="2012">2012</option>
                    <option value="2011">2011</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>
                    <option value="1929">1929</option>
                    <option value="1928">1928</option>
                    <option value="1927">1927</option>
                    <option value="1926">1926</option>
                    <option value="1925">1925</option>
                    <option value="1924">1924</option>
                    <option value="1923">1923</option>
                    <option value="1922">1922</option>
                    <option value="1921">1921</option>
                    <option value="1920">1920</option>
                    <option value="1919">1919</option>
                    <option value="1918">1918</option>
                    <option value="1917">1917</option>
                    <option value="1916">1916</option>
                    <option value="1915">1915</option>
                    <option value="1914">1914</option>
                    <option value="1913">1913</option>
                    <option value="1912">1912</option>
                    <option value="1911">1911</option>
                    <option value="1910">1910</option>
                    <option value="1909">1909</option>
                    <option value="1908">1908</option>
                    <option value="1907">1907</option>
                    <option value="1906">1906</option>
                    <option value="1905">1905</option>
                    <option value="1904">1904</option>
                    <option value="1903">1903</option>
                    <option value="1902">1902</option>
                    <option value="1901">1901</option>
                    <option value="1900">1900</option>
                  </select></div>
              </fieldset>
            </div>
            <div class="form_question form_text form_question_1411631e-3ae0-4ae5-8624-563e21a6b49d form_layout_stacked" id="form_question_1411631e-3ae0-4ae5-8624-563e21a6b49d" style="clear: left;" data-id="1411631e-3ae0-4ae5-8624-563e21a6b49d"
              data-type="text" data-export="sys:email" data-mask="email" data-required="1"><label class="form_label" for="form_1411631e-3ae0-4ae5-8624-563e21a6b49d"><strong>Email:*</strong></label>
              <div class="form_responses"><input type="email" size="30" id="form_1411631e-3ae0-4ae5-8624-563e21a6b49d" name="form_1411631e-3ae0-4ae5-8624-563e21a6b49d" value="" placeholder="musko@lakeland.edu" autocomplete="off" autocapitalize="off"
                  spellcheck="false" required="required"></div>
            </div>
            <div class="form_question form_text form_question_19d94d65-1ab8-41f3-ac77-b3ffc9d3c2cc form_layout_stacked" id="form_question_19d94d65-1ab8-41f3-ac77-b3ffc9d3c2cc" style="clear: left;" data-id="19d94d65-1ab8-41f3-ac77-b3ffc9d3c2cc"
              data-type="text" data-export="sys:mobile" data-datatype="tel" data-required="1"><label class="form_label" for="form_19d94d65-1ab8-41f3-ac77-b3ffc9d3c2cc"><strong>Phone:*</strong></label>
              <div class="form_responses"><input type="tel" size="30" id="form_19d94d65-1ab8-41f3-ac77-b3ffc9d3c2cc" name="form_19d94d65-1ab8-41f3-ac77-b3ffc9d3c2cc" value="" maxlength="15"
                  data-maxlength="{ help: '#form_19d94d65-1ab8-41f3-ac77-b3ffc9d3c2cc_maxlength' }" aria-describedby="form_19d94d65-1ab8-41f3-ac77-b3ffc9d3c2cc_maxlength" autocomplete="off" autocapitalize="off" spellcheck="false"
                  class="maxlength_enabled" required="required">
                <script async="async">
                  /*<![CDATA[*/
                  new function($) {
                    $('#form_19d94d65-1ab8-41f3-ac77-b3ffc9d3c2cc').on('change', function() {
                      FW.Phone.Validate(this);
                    });
                  }(FW.$); /*]]>*/
                </script>
              </div>
            </div>
            <div class="form_question form_select form_question_58793a9c-8f1c-41f2-9c62-d6764d8bdb51 form_layout_stacked" id="form_question_58793a9c-8f1c-41f2-9c62-d6764d8bdb51" style="clear: left;" data-id="58793a9c-8f1c-41f2-9c62-d6764d8bdb51"
              data-type="select" data-export="sys:field:per_pref_contact_type" data-required="1"><label class="form_label" for="form_58793a9c-8f1c-41f2-9c62-d6764d8bdb51"><strong>Preferred contact method:*</strong></label>
              <div class="form_responses"><select size="1" id="form_58793a9c-8f1c-41f2-9c62-d6764d8bdb51" name="form_58793a9c-8f1c-41f2-9c62-d6764d8bdb51" autocomplete="off" required="required" data-handler-change="1">
                  <option></option>
                  <option value="1cfc355b-7deb-477f-9572-a83933441ee9" data-text="Email">Email</option>
                  <option value="ae608b97-442c-446c-b34b-35ce6dd26174" data-text="Phone">Phone</option>
                  <option value="f1b7efa3-c17d-4436-a9cb-392af0e12dab" data-text="Text">Text</option>
                </select></div>
            </div>
          </div>
          <div id="form_page_2" data-id="38216f79-4430-405a-805e-4a32e5e4fb49" class="form_page form_page_2 form_page_multiple hidden" style="clear: left;" data-hidden-by-condition="1" aria-hidden="true">
            <div class="form_question form_header form_question_baca0ba9-140c-4553-8f76-f24466f68a5d form_layout_table" id="form_question_baca0ba9-140c-4553-8f76-f24466f68a5d" style="clear: left;" data-id="baca0ba9-140c-4553-8f76-f24466f68a5d"
              data-type="header">
              <div class="form_label">Mailing Address</div>
            </div>
            <div class="form_question form_address form_question_4caa74bc-5b63-4d35-8526-1f84d74cf895 form_layout_stacked" id="form_question_4caa74bc-5b63-4d35-8526-1f84d74cf895" style="clear: left;" data-id="4caa74bc-5b63-4d35-8526-1f84d74cf895"
              data-type="address" data-export="sys:address" aria-label="">
              <fieldset disabled="">
                <div><label class="form_label" for="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_country">Country</label>
                  <div class="form_responses"><select id="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_country" name="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_country" size="1" autocomplete="off" disabled="">
                      <option value="AF">Afghanistan</option>
                      <option value="AX">Aland Islands</option>
                      <option value="AL">Albania</option>
                      <option value="AG">Algeria</option>
                      <option value="AN">Andorra</option>
                      <option value="AO">Angola</option>
                      <option value="AV">Anguilla</option>
                      <option value="AC">Antigua and Barbuda</option>
                      <option value="AR">Argentina</option>
                      <option value="AM">Armenia</option>
                      <option value="AA">Aruba</option>
                      <option value="AT">Ashmore and Cartier Islands</option>
                      <option value="AS">Australia</option>
                      <option value="AU">Austria</option>
                      <option value="AJ">Azerbaijan</option>
                      <option value="BF">Bahamas, The</option>
                      <option value="BA">Bahrain</option>
                      <option value="BG">Bangladesh</option>
                      <option value="BB">Barbados</option>
                      <option value="BS">Bassas Da India</option>
                      <option value="BO">Belarus</option>
                      <option value="BE">Belgium</option>
                      <option value="BH">Belize</option>
                      <option value="BN">Benin</option>
                      <option value="BD">Bermuda</option>
                      <option value="BT">Bhutan</option>
                      <option value="BL">Bolivia</option>
                      <option value="BQ">Bonaire, Sint Eustatius, and ...</option>
                      <option value="BK">Bosnia and Herzegovina</option>
                      <option value="BC">Botswana</option>
                      <option value="BV">Bouvet Island</option>
                      <option value="BR">Brazil</option>
                      <option value="IO">British Indian Ocean Territory</option>
                      <option value="VI">British Virgin Islands</option>
                      <option value="BX">Brunei</option>
                      <option value="BU">Bulgaria</option>
                      <option value="UV">Burkina Faso</option>
                      <option value="BY">Burundi</option>
                      <option value="CB">Cambodia</option>
                      <option value="CM">Cameroon</option>
                      <option value="CA">Canada</option>
                      <option value="CV">Cape Verde</option>
                      <option value="CJ">Cayman Islands</option>
                      <option value="CT">Central African Republic</option>
                      <option value="CD">Chad</option>
                      <option value="CI">Chile</option>
                      <option value="CH">China</option>
                      <option value="KT">Christmas Island</option>
                      <option value="IP">Clipperton Island</option>
                      <option value="CK">Cocos Islands (Keeling Islands)</option>
                      <option value="CO">Colombia</option>
                      <option value="CN">Comoros</option>
                      <option value="CF">Congo (Brazzaville)</option>
                      <option value="CG">Congo (Kinshasa)</option>
                      <option value="CW">Cook Islands</option>
                      <option value="CR">Coral Sea Islands</option>
                      <option value="CS">Costa Rica</option>
                      <option value="IV">Cote D'Ivoire</option>
                      <option value="HR">Croatia</option>
                      <option value="CU">Cuba</option>
                      <option value="UC">Curacao</option>
                      <option value="CY">Cyprus</option>
                      <option value="EZ">Czech Republic</option>
                      <option value="DA">Denmark</option>
                      <option value="DJ">Djibouti</option>
                      <option value="DO">Dominica</option>
                      <option value="DR">Dominican Republic</option>
                      <option value="EC">Ecuador</option>
                      <option value="EG">Egypt</option>
                      <option value="ES">El Salvador</option>
                      <option value="EK">Equatorial Guinea</option>
                      <option value="ER">Eritrea</option>
                      <option value="EN">Estonia</option>
                      <option value="ET">Ethiopia</option>
                      <option value="EU">Europa Island</option>
                      <option value="FK">Falkland Islands (Islas Malvi...</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="FG">French Guiana</option>
                      <option value="FP">French Polynesia</option>
                      <option value="FS">French Southern and Antarctic...</option>
                      <option value="GB">Gabon</option>
                      <option value="GA">Gambia, The</option>
                      <option value="GG">Georgia</option>
                      <option value="GM">Germany</option>
                      <option value="GH">Ghana</option>
                      <option value="GI">Gibraltar</option>
                      <option value="GO">Glorioso Islands</option>
                      <option value="GR">Greece</option>
                      <option value="GL">Greenland</option>
                      <option value="GJ">Grenada</option>
                      <option value="GP">Guadeloupe</option>
                      <option value="GT">Guatemala</option>
                      <option value="GK">Guernsey</option>
                      <option value="GV">Guinea</option>
                      <option value="PU">Guinea-Bissau</option>
                      <option value="GY">Guyana</option>
                      <option value="HA">Haiti</option>
                      <option value="HM">Heard Island and McDonald Isl...</option>
                      <option value="HO">Honduras</option>
                      <option value="HK">Hong Kong S.A.R.</option>
                      <option value="HU">Hungary</option>
                      <option value="IC">Iceland</option>
                      <option value="IN">India</option>
                      <option value="ID">Indonesia</option>
                      <option value="IR">Iran</option>
                      <option value="IZ">Iraq</option>
                      <option value="EI">Ireland</option>
                      <option value="IS">Israel</option>
                      <option value="IT">Italy</option>
                      <option value="JM">Jamaica</option>
                      <option value="JN">Jan Mayen</option>
                      <option value="JA">Japan</option>
                      <option value="JE">Jersey</option>
                      <option value="JO">Jordan</option>
                      <option value="JU">Juan De Nova Island</option>
                      <option value="KZ">Kazakhstan</option>
                      <option value="KE">Kenya</option>
                      <option value="KR">Kiribati</option>
                      <option value="KN">Korea, North</option>
                      <option value="KS">Korea, South</option>
                      <option value="KV">Kosovo</option>
                      <option value="KU">Kuwait</option>
                      <option value="KG">Kyrgyzstan</option>
                      <option value="LA">Laos</option>
                      <option value="LG">Latvia</option>
                      <option value="LE">Lebanon</option>
                      <option value="LT">Lesotho</option>
                      <option value="LI">Liberia</option>
                      <option value="LY">Libya</option>
                      <option value="LS">Liechtenstein</option>
                      <option value="LH">Lithuania</option>
                      <option value="LU">Luxembourg</option>
                      <option value="MC">Macau S.A.R.</option>
                      <option value="MK">Macedonia, The Former Yugosla...</option>
                      <option value="MA">Madagascar</option>
                      <option value="MI">Malawi</option>
                      <option value="MY">Malaysia</option>
                      <option value="MV">Maldives</option>
                      <option value="ML">Mali</option>
                      <option value="MT">Malta</option>
                      <option value="IM">Man, Isle of</option>
                      <option value="RM">Marshall Islands</option>
                      <option value="MB">Martinique</option>
                      <option value="MR">Mauritania</option>
                      <option value="MP">Mauritius</option>
                      <option value="MF">Mayotte</option>
                      <option value="MX">Mexico</option>
                      <option value="MD">Moldova</option>
                      <option value="MN">Monaco</option>
                      <option value="MG">Mongolia</option>
                      <option value="MJ">Montenegro</option>
                      <option value="MH">Montserrat</option>
                      <option value="MO">Morocco</option>
                      <option value="MZ">Mozambique</option>
                      <option value="BM">Myanmar</option>
                      <option value="WA">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="NU">Nicaragua</option>
                      <option value="NG">Niger</option>
                      <option value="NI">Nigeria</option>
                      <option value="NE">Niue</option>
                      <option value="NF">Norfolk Island</option>
                      <option value="NO">Norway</option>
                      <option value="MU">Oman</option>
                      <option value="PK">Pakistan</option>
                      <option value="PS">Palau, the Pacific Islands of</option>
                      <option value="WE">Palestine</option>
                      <option value="PM">Panama</option>
                      <option value="PP">Papua New Guinea</option>
                      <option value="PA">Paraguay</option>
                      <option value="PE">Peru</option>
                      <option value="RP">Philippines</option>
                      <option value="PC">Pitcairn Islands</option>
                      <option value="PL">Poland</option>
                      <option value="PO">Portugal</option>
                      <option value="QA">Qatar</option>
                      <option value="RE">Reunion</option>
                      <option value="RO">Romania</option>
                      <option value="RS">Russia</option>
                      <option value="RW">Rwanda</option>
                      <option value="TB">Saint Barthelemy</option>
                      <option value="SH">Saint Helena</option>
                      <option value="SC">Saint Kitts and Nevis</option>
                      <option value="ST">Saint Lucia</option>
                      <option value="RN">Saint Martin</option>
                      <option value="SB">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="TP">Sao Tome and Principe</option>
                      <option value="SA">Saudi Arabia</option>
                      <option value="SG">Senegal</option>
                      <option value="RB">Serbia</option>
                      <option value="SE">Seychelles</option>
                      <option value="SL">Sierra Leone</option>
                      <option value="SN">Singapore</option>
                      <option value="NN">Sint Maarten</option>
                      <option value="LO">Slovakia</option>
                      <option value="SI">Slovenia</option>
                      <option value="BP">Solomon Islands</option>
                      <option value="SO">Somalia</option>
                      <option value="SF">South Africa</option>
                      <option value="SX">South Georgia and the South S...</option>
                      <option value="OD">South Sudan</option>
                      <option value="SP">Spain</option>
                      <option value="PG">Spratly Islands</option>
                      <option value="CE">Sri Lanka</option>
                      <option value="SU">Sudan</option>
                      <option value="NS">Suriname</option>
                      <option value="SV">Svalbard</option>
                      <option value="WZ">Swaziland</option>
                      <option value="SW">Sweden</option>
                      <option value="SZ">Switzerland</option>
                      <option value="SY">Syria</option>
                      <option value="TW">Taiwan</option>
                      <option value="TI">Tajikistan</option>
                      <option value="TZ">Tanzania</option>
                      <option value="TH">Thailand</option>
                      <option value="TT">Timor-Leste</option>
                      <option value="TO">Togo</option>
                      <option value="TL">Tokelau</option>
                      <option value="TN">Tonga</option>
                      <option value="TD">Trinidad and Tobago</option>
                      <option value="TE">Tromelin Island</option>
                      <option value="TS">Tunisia</option>
                      <option value="TU">Turkey</option>
                      <option value="TX">Turkmenistan</option>
                      <option value="TK">Turks and Caicos Islands</option>
                      <option value="TV">Tuvalu</option>
                      <option value="UG">Uganda</option>
                      <option value="UP">Ukraine</option>
                      <option value="AE">United Arab Emirates</option>
                      <option value="UK">United Kingdom</option>
                      <option value="US">United States</option>
                      <option value="UY">Uruguay</option>
                      <option value="UZ">Uzbekistan</option>
                      <option value="NH">Vanuatu</option>
                      <option value="VT">Vatican City</option>
                      <option value="VE">Venezuela</option>
                      <option value="VM">Vietnam</option>
                      <option value="WF">Wallis and Futuna Islands</option>
                      <option value="WI">Western Sahara</option>
                      <option value="YM">Yemen</option>
                      <option value="ZA">Zambia</option>
                      <option value="ZI">Zimbabwe</option>
                    </select></div>
                </div>
                <div><label class="form_label" for="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_street">Street</label>
                  <div class="form_responses"><textarea cols="64" id="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_street" maxlength="256" name="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_street" rows="2" wrap="soft" autocomplete="off"
                      class="maxlength_enabled" disabled=""></textarea></div>
                </div>
                <div><label class="form_label" for="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_city">City</label>
                  <div class="form_responses"><input id="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_city" maxlength="64" name="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_city" size="48" type="text" value="" autocomplete="off" autocapitalize="off"
                      spellcheck="false" class="maxlength_enabled" disabled=""></div>
                </div>
                <div class="address-row"><label class="form_label" id="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_label" for="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_region" data-default="">State</label>
                  <div class="form_responses"><select id="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_region" name="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_region" size="1" style="margin-right: 10px;" autocomplete="off" disabled="">
                      <option value="">Select State</option>
                      <option value="AL">Alabama</option>
                      <option value="AK">Alaska</option>
                      <option value="AS">American Samoa</option>
                      <option value="AA">APO/FPO (AA)</option>
                      <option value="AE">APO/FPO (AE)</option>
                      <option value="AP">APO/FPO (AP)</option>
                      <option value="AZ">Arizona</option>
                      <option value="AR">Arkansas</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="FM">Federated States of Micronesia</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="MP">Mariana Islands</option>
                      <option value="MH">Marshall Islands</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>
                      <option value="NY">New York</option>
                      <option value="NC">North Carolina</option>
                      <option value="ND">North Dakota</option>
                      <option value="OH">Ohio</option>
                      <option value="OK">Oklahoma</option>
                      <option value="OR">Oregon</option>
                      <option value="PW">Palau</option>
                      <option value="PA">Pennsylvania</option>
                      <option value="PR">Puerto Rico</option>
                      <option value="RI">Rhode Island</option>
                      <option value="SC">South Carolina</option>
                      <option value="SD">South Dakota</option>
                      <option value="TN">Tennessee</option>
                      <option value="TX">Texas</option>
                      <option value="UT">Utah</option>
                      <option value="VT">Vermont</option>
                      <option value="VI">Virgin Islands, U.S.</option>
                      <option value="VA">Virginia</option>
                      <option value="WA">Washington</option>
                      <option value="WV">West Virginia</option>
                      <option value="WI">Wisconsin</option>
                      <option value="WY">Wyoming</option>
                    </select><input id="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_region_static" type="hidden" value="" disabled=""></div>
                </div>
                <div><label class="form_label" for="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_postal">Postal Code</label>
                  <div class="form_responses"><input id="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_postal" maxlength="16" name="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_postal" type="text" value="" autocomplete="off" autocapitalize="off"
                      spellcheck="false" class="maxlength_enabled" disabled=""></div>
                </div><input id="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_quality" name="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_quality" type="hidden" value="" disabled=""><input id="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_dirty"
                  name="form_4caa74bc-5b63-4d35-8526-1f84d74cf895_dirty" type="hidden" value="0" disabled="">
                <script>
                  /*<![CDATA[*/
                  new function($) {
                    FW.Require('address.js?v=' + FW.Version, function() {
                      new FW.Address.Client($('#form_4caa74bc-5b63-4d35-8526-1f84d74cf895_street'), $('#form_4caa74bc-5b63-4d35-8526-1f84d74cf895_city'), $('#form_4caa74bc-5b63-4d35-8526-1f84d74cf895_region'), $(
                        '#form_4caa74bc-5b63-4d35-8526-1f84d74cf895_postal'), $('#form_4caa74bc-5b63-4d35-8526-1f84d74cf895_country'), $('#form_4caa74bc-5b63-4d35-8526-1f84d74cf895_label'), null, null, 'validate', null, null, $(
                        '#form_4caa74bc-5b63-4d35-8526-1f84d74cf895_quality'), $('#form_4caa74bc-5b63-4d35-8526-1f84d74cf895_dirty'));
                    });
                  }(FW.$); /*]]>*/
                </script>
              </fieldset>
            </div>
          </div>
          <div id="form_page_3" data-id="59e063ca-feb0-40fb-b11c-6160c77550ea" class="form_page form_page_3 form_page_multiple" style="clear: left;">
            <div class="form_question form_header form_question_4f620b33-3660-4395-ba9e-18bcac8223de form_layout_table" id="form_question_4f620b33-3660-4395-ba9e-18bcac8223de" style="clear: left;" data-id="4f620b33-3660-4395-ba9e-18bcac8223de"
              data-type="header">
              <div class="form_label">Academic Information</div>
            </div>
            <div class="form_question form_select form_question_5b0f9a4e-c590-4860-928a-c545d7f9878b form_layout_stacked" id="form_question_5b0f9a4e-c590-4860-928a-c545d7f9878b" style="clear: left;" data-id="5b0f9a4e-c590-4860-928a-c545d7f9878b"
              data-type="select" data-export="sys:field:per_delivery_mode" data-required="1"><label class="form_label" for="form_5b0f9a4e-c590-4860-928a-c545d7f9878b"><strong>What type of student are you?*</strong></label>
              <div class="form_responses"><select size="1" id="form_5b0f9a4e-c590-4860-928a-c545d7f9878b" name="form_5b0f9a4e-c590-4860-928a-c545d7f9878b" autocomplete="off" required="required" data-handler-change="1">
                  <option></option>
                  <option value="0f088318-04da-4a8e-9fd4-386af13d6786" data-text="Traditional Undergrad (Main Campus)">Traditional Undergrad (Main Campus)</option>
                  <option value="a8390aac-2847-426f-b9e7-a2daca0b95b0" data-text="Kellett School (Evening/Online)">Kellett School (Evening/Online)</option>
                </select></div>
            </div>
            <div class="form_question form_select form_question_74b02b12-15ca-4725-9ade-a1c4238b7ada form_layout_stacked hidden" id="form_question_74b02b12-15ca-4725-9ade-a1c4238b7ada" style="clear: left;"
              data-id="74b02b12-15ca-4725-9ade-a1c4238b7ada" data-type="select" data-export="sys:field:per_degree_type" data-required="1" data-hidden-by-condition="1" aria-hidden="true"><label class="form_label"
                for="form_74b02b12-15ca-4725-9ade-a1c4238b7ada"><strong>Degree Level:*</strong></label>
              <div class="form_responses"><select size="1" id="form_74b02b12-15ca-4725-9ade-a1c4238b7ada" name="form_74b02b12-15ca-4725-9ade-a1c4238b7ada" autocomplete="off" required="required" data-handler-change="1" disabled="">
                  <option></option>
                  <option value="f7b88a0b-9cd5-4293-aed8-2dacc65d9055" data-text="Undergraduate">Undergraduate</option>
                  <option value="0052e432-f7bc-4c1a-8ffd-e3da6c5fa4e0" data-text="Graduate">Graduate</option>
                  <option value="dbe1da18-e1a9-4a83-a11c-ae231dd85df3" data-text="Non-Degree">Non-Degree</option>
                </select></div>
            </div>
            <div class="form_question form_select form_question_9d0bd9df-3d0a-480f-8dab-066adee0263a form_layout_stacked hidden" id="form_question_9d0bd9df-3d0a-480f-8dab-066adee0263a" style="clear: left;"
              data-id="9d0bd9df-3d0a-480f-8dab-066adee0263a" data-type="select" data-export="sys:field:per_major_1" data-required="1" data-hidden-by-condition="1" aria-hidden="true"><label class="form_label"
                for="form_9d0bd9df-3d0a-480f-8dab-066adee0263a"><strong>Degree/Major:*</strong></label>
              <div class="form_responses"><select size="1" id="form_9d0bd9df-3d0a-480f-8dab-066adee0263a" name="form_9d0bd9df-3d0a-480f-8dab-066adee0263a" autocomplete="off" required="required" data-handler-change="1" disabled="">
                  <option></option>
                  <option value="305f54d2-383d-431b-b4fd-0e003e89fa15" data-text="Accounting">Accounting</option>
                  <option value="c7953725-1f92-4cdc-ab1d-e3f6735e5b2c" data-text="Associate of Arts">Associate of Arts</option>
                  <option value="3cc6e3e3-ebef-4cb5-9556-3bed3732ad38" data-text="Biology">Biology</option>
                  <option value="209d63df-860f-4a40-9581-dbf41ae80040" data-text="Broad Field Science">Broad Field Science</option>
                  <option value="5119b0df-e2ad-408d-97d0-72ca78c8544a" data-text="Broad Field Social Studies - History emph">Broad Field Social Studies - History emph</option>
                  <option value="220bb2eb-36e3-446b-a861-f3858c5eea67" data-text="Business Administration">Business Administration</option>
                  <option value="94f63731-97bb-4cd7-9ab3-d4f031c678b7" data-text="Chemistry">Chemistry</option>
                  <option value="4bf83e60-56c8-48dd-8c40-f1f549186a93" data-text="Chemistry and Biochemistry">Chemistry and Biochemistry</option>
                  <option value="666b62a1-3192-4a25-a2a4-d2a48dcbccf4" data-text="Communication">Communication</option>
                  <option value="98ac0f26-b4fb-45e0-8858-2c21bcf9f713" data-text="Computer Science">Computer Science</option>
                  <option value="b63b4151-8a1f-48b4-bb10-caf0243e296a" data-text="Creative Writing">Creative Writing</option>
                  <option value="9f195418-613c-48f1-af59-03d506fd63fe" data-text="Criminal Justice">Criminal Justice</option>
                  <option value="111a4dfc-5935-477b-acfc-3695d4db7291" data-text="Education Grades 6 – 12">Education Grades 6 – 12</option>
                  <option value="aa2e3553-fc8e-4a14-bec9-3bfddb8855e4" data-text="Education Grades K – 12">Education Grades K – 12</option>
                  <option value="8bf51946-288a-4f9f-ba24-4351913f9cb6" data-text="Education Grades K – 9">Education Grades K – 9</option>
                  <option value="a6e8f69f-0a15-4770-ae4f-9a32b4f76845" data-text="English">English</option>
                  <option value="d3d7e911-8dfa-47ba-81b5-69a321a50b9e" data-text="Exercise Science">Exercise Science</option>
                  <option value="2415c9d1-7642-4414-97b3-194a72236a18" data-text="Food Safety &amp; Quality">Food Safety &amp; Quality</option>
                  <option value="548f22c9-5745-4342-a0ec-840a07bf2395" data-text="Graphic Design">Graphic Design</option>
                  <option value="f1614511-98fd-45af-86fa-1fa811f18c22" data-text="Graphic Design (NWTC &amp; MATC graduates only)">Graphic Design (NWTC &amp; MATC graduates only)</option>
                  <option value="c9fe425c-2624-4953-9cfa-5dd24c169daf" data-text="History">History</option>
                  <option value="ccd5383a-c645-496e-b089-b47eba5b3f9a" data-text="Hospitality Management">Hospitality Management</option>
                  <option value="8b0ba6d6-e2d1-4228-97ea-1564ba3b6997" data-text="Industrial Systems Analytics">Industrial Systems Analytics</option>
                  <option value="60b0df3b-fda4-4b6e-b9e9-61231b4cd5b2" data-text="Management Information Systems">Management Information Systems</option>
                  <option value="4e17824f-547e-4e2b-98ef-59b9f3a72bc6" data-text="Marketing">Marketing</option>
                  <option value="3a8c8b65-dee2-40d8-aa72-74f7411fc32c" data-text="Master of Arts in Counseling - Clinical Mental Health Counseling">Master of Arts in Counseling - Clinical Mental Health Counseling</option>
                  <option value="ce4d4ea3-9161-48d1-af6d-32891ca72c1b" data-text="Master of Arts in Counseling - Higher Education">Master of Arts in Counseling - Higher Education</option>
                  <option value="3db00efd-e047-41a3-96cd-7830731698b6" data-text="Master of Arts in Counseling - School Counseling K-12">Master of Arts in Counseling - School Counseling K-12</option>
                  <option value="19b216e7-a006-4e82-a0cf-639118b64346" data-text="Master of Business Administration">Master of Business Administration</option>
                  <option value="d6df0d36-a4d6-4a3f-890a-78b21f060a22" data-text="Master of Education">Master of Education</option>
                  <option value="0eaaa70e-e9ef-4bd5-8c7c-f25a06866329" data-text="Master of Leadership &amp; Org. Development">Master of Leadership &amp; Org. Development</option>
                  <option value="c8f4a004-a7c3-4e54-b97c-fecdf79d3fe5" data-text="Master of Music in Music Education - Kodály Emphasis">Master of Music in Music Education - Kodály Emphasis</option>
                  <option value="2848919c-4ff4-4e86-9e1f-484b2cfc56ff" data-text="Mathematics">Mathematics</option>
                  <option value="e8a58354-c032-4a4f-8183-81fe25108afe" data-text="Music">Music</option>
                  <option value="2cf94800-0287-41c2-a4e6-09d1dacc6ffe" data-text="Music Education">Music Education</option>
                  <option value="a19a5893-556e-46b9-afbd-92d188dd95ab" data-text="Music Performance">Music Performance</option>
                  <option value="c02361b1-e1f1-4268-a79f-81b5a6d9000b" data-text="Non-Degree">Non-Degree</option>
                  <option value="31771982-5a34-41eb-8d38-f8ffd452586d" data-text="Non-Degree Graduate">Non-Degree Graduate</option>
                  <option value="9f8a8456-6b45-41be-b468-bc051765ffdb" data-text="Nursing (RN to BSN Completion Program)">Nursing (RN to BSN Completion Program)</option>
                  <option value="79f76c3f-9082-4a2b-97a9-03cabd0497e5" data-text="Organizational Management">Organizational Management</option>
                  <option value="b2a2c0ee-88ba-44ac-8b6c-75a77974a111" data-text="Pre-Nursing">Pre-Nursing</option>
                  <option value="715dc504-8cb2-4456-a8db-ddb812d4e9a4" data-text="Psychology">Psychology</option>
                  <option value="9116825a-633e-4d73-a2d0-4d64e951ad86" data-text="Religion">Religion</option>
                  <option value="02efa17c-3c21-47b5-956f-e0042e55c3fd" data-text="Spanish">Spanish</option>
                  <option value="848e45a7-64de-4ef8-aa83-4268cc1785c6" data-text="Sport Management and Leadership">Sport Management and Leadership</option>
                  <option value="063ba9d4-ae70-4d16-97f8-6b6d410893dc" data-text="Studio Art">Studio Art</option>
                  <option value="2eda190c-89cf-4f79-a3d9-4958a82a61d5" data-text="Technology Teacher Education">Technology Teacher Education</option>
                  <option value="1af70979-c542-46d6-8620-337d81a8f4d1" data-text="Undecided">Undecided</option>
                  <option value="7bffc5f9-8207-4c53-8be8-f72c5a978338" data-text="Writing">Writing</option>
                </select></div>
            </div>
            <div class="form_question form_p form_question_7a9b99fa-ece6-452e-92b2-07d6075f21e8 form_layout_stacked hidden" id="form_question_7a9b99fa-ece6-452e-92b2-07d6075f21e8" style="clear: left;" data-id="7a9b99fa-ece6-452e-92b2-07d6075f21e8"
              data-type="p" data-hidden-by-condition="1" aria-hidden="true">
              <div class="form_label">
                <p><strong><em><span style="font-size:11px;"><span style="font-family:Arial,Helvetica,sans-serif;">**Please note that the Kellett School only offers the education program at the Milwaukee Center.**</span></span></em></strong></p>
              </div>
            </div>
            <div class="form_question form_select form_question_cdaf75bb-4ac1-468e-9ac7-92f4f8b223fb form_layout_stacked hidden" id="form_question_cdaf75bb-4ac1-468e-9ac7-92f4f8b223fb" style="clear: left;"
              data-id="cdaf75bb-4ac1-468e-9ac7-92f4f8b223fb" data-type="select" data-export="sys:field:transfer_student" data-hidden-by-condition="1" aria-hidden="true"><label class="form_label"
                for="form_cdaf75bb-4ac1-468e-9ac7-92f4f8b223fb"><strong>Are you a transfer student?</strong></label>
              <div class="form_responses"><select size="1" id="form_cdaf75bb-4ac1-468e-9ac7-92f4f8b223fb" name="form_cdaf75bb-4ac1-468e-9ac7-92f4f8b223fb" autocomplete="off" data-handler-change="1" disabled="">
                  <option></option>
                  <option value="1" data-text="Yes">Yes</option>
                  <option value="0" data-text="No">No</option>
                </select></div>
            </div>
            <div class="form_question form_text form_question_736a9377-4f16-4fa1-9efa-f16da333460e form_layout_stacked hidden" id="form_question_736a9377-4f16-4fa1-9efa-f16da333460e" style="clear: left;" data-id="736a9377-4f16-4fa1-9efa-f16da333460e"
              data-type="text" data-export="sys:school:name" data-hidden-by-condition="1" aria-hidden="true"><label class="form_label" for="form_736a9377-4f16-4fa1-9efa-f16da333460e"><strong>Last School Attended:*</strong></label>
              <div class="form_responses"><input type="text" size="48" id="form_736a9377-4f16-4fa1-9efa-f16da333460e" name="form_736a9377-4f16-4fa1-9efa-f16da333460e" value="" placeholder="Auto-select from list" autocomplete="off"
                  autocapitalize="off" spellcheck="false" aria-autocomplete="list" aria-expanded="false" role="combobox" aria-owns="suggest_fbbb69b6-8085-4730-b067-342d2b594228" disabled=""></div>
            </div>
            <div class="form_question form_text form_question_916757fb-0c1c-416a-857c-0a4c2a55d737 hidden form_layout_stacked" id="form_question_916757fb-0c1c-416a-857c-0a4c2a55d737" style="clear: left;" data-id="916757fb-0c1c-416a-857c-0a4c2a55d737"
              data-type="text" data-export="sys:school:key" data-invisible="1"><label class="form_label" for="form_916757fb-0c1c-416a-857c-0a4c2a55d737">School Code (hidden, auto-suggest):</label>
              <div class="form_responses"><input type="text" size="48" id="form_916757fb-0c1c-416a-857c-0a4c2a55d737" name="form_916757fb-0c1c-416a-857c-0a4c2a55d737" value="" autocomplete="off" autocapitalize="off" spellcheck="false"></div>
            </div>
            <div class="form_question form_dateym form_question_96569be6-b72b-4f12-a23c-f356c9862592 form_layout_stacked hidden" id="form_question_96569be6-b72b-4f12-a23c-f356c9862592" style="clear: left;"
              data-id="96569be6-b72b-4f12-a23c-f356c9862592" data-type="dateym" data-export="sys:school:conferred" data-datatype="date" data-required="1" data-hidden-by-condition="1" aria-hidden="true">
              <fieldset disabled="">
                <legend><strong>High School Graduation:*</strong></legend>
                <div class="form_label"><strong>High School Graduation:*</strong></div>
                <div class="form_responses"><select aria-label="Month" id="form_96569be6-b72b-4f12-a23c-f356c9862592_m" name="form_96569be6-b72b-4f12-a23c-f356c9862592_m" size="1" autocomplete="off" required="required" disabled="">
                    <option value=""></option>
                    <option value="01">January</option>
                    <option value="02">February</option>
                    <option value="03">March</option>
                    <option value="04">April</option>
                    <option value="05">May</option>
                    <option value="06">June</option>
                    <option value="07">July</option>
                    <option value="08">August</option>
                    <option value="09">September</option>
                    <option value="10">October</option>
                    <option value="11">November</option>
                    <option value="12">December</option>
                  </select><select aria-label="Year" id="form_96569be6-b72b-4f12-a23c-f356c9862592_y" name="form_96569be6-b72b-4f12-a23c-f356c9862592_y" size="1" style="margin-left: 5px;" autocomplete="off" required="required" disabled="">
                    <option></option>
                    <option value="2000">2000</option>
                    <option value="2001">2001</option>
                    <option value="2002">2002</option>
                    <option value="2003">2003</option>
                    <option value="2004">2004</option>
                    <option value="2005">2005</option>
                    <option value="2006">2006</option>
                    <option value="2007">2007</option>
                    <option value="2008">2008</option>
                    <option value="2009">2009</option>
                    <option value="2010">2010</option>
                    <option value="2011">2011</option>
                    <option value="2012">2012</option>
                    <option value="2013">2013</option>
                    <option value="2014">2014</option>
                    <option value="2015">2015</option>
                    <option value="2016">2016</option>
                    <option value="2017">2017</option>
                    <option value="2018">2018</option>
                    <option value="2019">2019</option>
                    <option value="2020">2020</option>
                    <option value="2021">2021</option>
                    <option value="2022">2022</option>
                    <option value="2023">2023</option>
                    <option value="2024">2024</option>
                    <option value="2025">2025</option>
                    <option value="2026">2026</option>
                    <option value="2027">2027</option>
                    <option value="2028">2028</option>
                    <option value="2029">2029</option>
                    <option value="2030">2030</option>
                    <option value="2031">2031</option>
                    <option value="2032">2032</option>
                    <option value="2033">2033</option>
                    <option value="2034">2034</option>
                    <option value="2035">2035</option>
                    <option value="2036">2036</option>
                    <option value="2037">2037</option>
                    <option value="2038">2038</option>
                    <option value="2039">2039</option>
                    <option value="2040">2040</option>
                    <option value="2041">2041</option>
                  </select></div>
              </fieldset>
            </div>
            <div class="form_question form_select form_question_17adea82-a96a-4f13-adff-1c4b4609d3ce form_layout_stacked" id="form_question_17adea82-a96a-4f13-adff-1c4b4609d3ce" style="clear: left;" data-id="17adea82-a96a-4f13-adff-1c4b4609d3ce"
              data-type="select" data-export="sys:field:per_req_entry_year" data-required="1"><label class="form_label" for="form_17adea82-a96a-4f13-adff-1c4b4609d3ce"><strong>Entry Year:</strong></label>
              <div class="form_responses"><select size="1" id="form_17adea82-a96a-4f13-adff-1c4b4609d3ce" name="form_17adea82-a96a-4f13-adff-1c4b4609d3ce" autocomplete="off" required="required">
                  <option></option>
                  <option value="973a0f24-a929-47f1-9e3a-d088aa95e050" data-text="2021">2021</option>
                  <option value="af237bc1-113b-4a47-9da2-e83eeec5366d" data-text="2022">2022</option>
                  <option value="d5d87b80-792a-4d1a-b1a5-17d19e79b0ec" data-text="2023">2023</option>
                  <option value="e328203f-9c21-4caa-9397-4b93f5c781ee" data-text="2024">2024</option>
                  <option value="60e51b52-b9d7-40cb-aca2-91adec1d27b0" data-text="2025">2025</option>
                </select></div>
            </div>
          </div>
          <div id="form_page_4" data-id="f5e2841a-fb8b-44d3-89b9-1f98e768cd51" class="form_page form_page_4 form_page_multiple" style="clear: left;">
            <div class="form_question form_header form_question_0f859d3d-41f3-4921-951a-90a4e8e52281 form_layout_table" id="form_question_0f859d3d-41f3-4921-951a-90a4e8e52281" style="clear: left;" data-id="0f859d3d-41f3-4921-951a-90a4e8e52281"
              data-type="header">
              <div class="form_label">Comments/Questions</div>
            </div>
            <div class="form_question form_textarea form_question_0e0bd3ce-d29a-4d39-99f5-c492ce38b23b form_layout_stacked" id="form_question_0e0bd3ce-d29a-4d39-99f5-c492ce38b23b" style="clear: left;" data-id="0e0bd3ce-d29a-4d39-99f5-c492ce38b23b"
              data-type="textarea" data-export="comments"><label class="form_label" for="form_0e0bd3ce-d29a-4d39-99f5-c492ce38b23b"></label>
              <div class="form_responses"><textarea rows="" wrap="soft" cols="48" id="form_0e0bd3ce-d29a-4d39-99f5-c492ce38b23b" name="form_0e0bd3ce-d29a-4d39-99f5-c492ce38b23b" autocomplete="off"></textarea></div>
            </div>
            <div class="form_question form_p form_question_5e0398bb-e455-49a6-ab06-96a417d2724f form_layout_stacked" id="form_question_5e0398bb-e455-49a6-ab06-96a417d2724f" style="clear: left;" data-id="5e0398bb-e455-49a6-ab06-96a417d2724f"
              data-type="p">
              <div class="form_label"><span style="font-size:11px;"><em><span style="font-family:Arial,Helvetica,sans-serif;">By submitting this form, I acknowledge that Lakeland may contact me via email, phone and SMS.</span></em></span></div>
            </div>
            <div class="form_question form_select form_question_4c0b9b1d-6f66-42d4-904d-ea48a14859c2 hidden form_layout_stacked" id="form_question_4c0b9b1d-6f66-42d4-904d-ea48a14859c2" style="clear: left;"
              data-id="4c0b9b1d-6f66-42d4-904d-ea48a14859c2" data-type="select" data-export="sys:field:opt_in" data-invisible="1" data-hidden-by-condition="1"><label class="form_label" for="form_4c0b9b1d-6f66-42d4-904d-ea48a14859c2"></label>
              <div class="form_responses"><select size="1" id="form_4c0b9b1d-6f66-42d4-904d-ea48a14859c2" name="form_4c0b9b1d-6f66-42d4-904d-ea48a14859c2" autocomplete="off" disabled="">
                  <option></option>
                  <option value="1" data-text="Yes" selected="selected">Yes</option>
                  <option value="0" data-text="No">No</option>
                </select></div>
            </div>
            <div class="form_question form_text form_question_c1528f3b-291c-4cda-b415-25bceed6c1a4 hidden form_layout_stacked" id="form_question_c1528f3b-291c-4cda-b415-25bceed6c1a4" style="clear: left;" data-id="c1528f3b-291c-4cda-b415-25bceed6c1a4"
              data-type="text" data-invisible="1"><label class="form_label" for="form_c1528f3b-291c-4cda-b415-25bceed6c1a4">Form Referrer</label>
              <div class="form_responses"><input type="text" size="48" id="form_c1528f3b-291c-4cda-b415-25bceed6c1a4" name="form_c1528f3b-291c-4cda-b415-25bceed6c1a4" value="" data-formula="document.referrer;" placeholder="referrer_url"
                  autocomplete="off" autocapitalize="off" spellcheck="false"></div>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div style="clear: left;"></div>
  </div>
  <div class="action form_action" aria-hidden="false"><button class="default form_button_submit" type="button">Submit</button>
    <script async="async">
      /*<![CDATA[*/
      new function($) {
        var form = $('#form_f939b068-f64c-4eb8-8b72-c795941f1b74_container');
        form.on('submit', function() {
          if (!FW.postbackEnabled) return false;
        });
        form.find('button.form_button_submit').on('click', function() {
          var form = window['form_f939b068-f64c-4eb8-8b72-c795941f1b74'];
          if (form.Validate()) FW.Lazy.Commit(this, {
            cmd: 'submit'
          });
        });
        form.find('button.form_button_save').on('click', function() {
          FW.Lazy.Commit(this, {
            cmd: 'save'
          });
        });
      }(FW.$); /*]]>*/
    </script>
  </div>
  <div style="clear: both;"></div>
</form>

POST /#nsub

<form id="form1_Footer_Newsletter" action="/#nsub" method="post" autocomplete="off">
  <div class="fsubrow">
    <div class="hpot">
      <input id="form1_please" name="please" placeholder="Leave Empty" type="text" autocomplete="off" autocapitalize="off" spellcheck="false">
    </div>
    <div class="fsubinput">
      <input id="form1_email" name="email" placeholder="Enter your Email Address" type="email" required="required" autocomplete="off" autocapitalize="off" spellcheck="false">
    </div>
    <div class="fsubchecks">
      <label class="fsubLabel" for="form1_employer">
        <input id="form1_employer" name="newsletterChecks1" value="0" type="checkbox">
        <p>Employer</p>
      </label>
      <label class="fsubLabel" for="form1_alumni">
        <input id="form1_alumni" name="newsletterChecks2" value="0" type="checkbox">
        <p>Alumni</p>
      </label>
      <label class="fsubLabel" for="form1_parent">
        <input id="form1_parent" name="newsletterChecks3" value="0" type="checkbox">
        <p>Parents</p>
      </label>
      <label class="fsubLabel" for="form1_hscounselor">
        <input id="form1_hscounselor" name="newsletterChecks4" value="0" type="checkbox">
        <p>HS Counselor</p>
      </label>
    </div>
    <div class="fsubsubmit">
      <svg aria-hidden="true" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512">
        <path fill="currentColor"
          d="M313.941 216H12c-6.627 0-12 5.373-12 12v56c0 6.627 5.373 12 12 12h301.941v46.059c0 21.382 25.851 32.09 40.971 16.971l86.059-86.059c9.373-9.373 9.373-24.569 0-33.941l-86.059-86.059c-15.119-15.119-40.971-4.411-40.971 16.971V216z"></path>
      </svg>
      <input id="form1_submit" name="submit" type="submit"><input type="hidden" name="cms-form" value="Rm9vdGVyX05ld3NsZXR0ZXI6cGVyY2hfZm9ybXM6L3RlbXBsYXRlcy9jb250ZW50L3NoYXJlZC9mb290ZXIvZm9vdGVyLXN1YnNjcmliZS5odG1sOjE2MzczODEyNTg=">
    </div>
  </div>
</form>

Text Content

About News & Blog Jobs Employers Parents Calendar Athletics Current Students &
Faculty

Degrees
Admission & Aid
Experience
Alumni & Giving
Apply
Visit


Degrees Admissions & Aid Experience Alumni & Giving
Apply Visit Contact
About Blog Jobs Employers
Calendar Athletics Students & Faculty


BACK

Title IX Campus Safety Wellness Center (Health & Counseling) John Esch Library
Academic Catalog Course Schedules Musko's Campus Shop Graduation Lakeland
University Muskies Lakeland University Outlook Email my.Lakeland SDS Library
Lakeland Intervention Team (LIT)


Title IX

Campus Safety

Wellness Center (Health & Counseling)

John Esch Library

Academic Catalog

Course Schedules

Musko's Campus Shop

Graduation




Lakeland University Muskies

Lakeland University Outlook Email

my.Lakeland



SDS Library

Lakeland Intervention Team (LIT)

POTENTIAL
STUDENT
PLACE

At Lakeland University your potential is
limitless. Our innovative degree
programs help students grow and
succeed.





Are you a recent high school grad?
Looking to advance your career or
develop new skills?





In addition to our main campus in
Plymouth, we have seven centers
throughout the state of Wisconsin.



Get started at Lakeland



Select Your School

Schilcutt School of Business, Science & Technology

+



School of Humanities & Fine Arts

+



Kellett School of Undergraduate & Graduate Studies

+



Still Deciding? No Problem! Lakeland University Can Help!

+




WHY CHOOSE LAKELAND?




FUTURE LEADERS & THINKERS

Lakeland University offers innovative ways for students to earn their academic
degrees and make their career goals a reality.


Lakeland was recently honored by U.S. News & World Report on its annual rankings
lists of Best Colleges for being among the top schools in the Midwest region in
advancing social mobility for its students. Lakeland ranked second among all
Wisconsin schools and ninth among universities in the Midwest. 

A few other reasons why students choose Lakeland:

 * Our award-winning Cooperative Education program
 * Launch: Lakeland Student-Run Businesses
 * Our popular BlendEd and BlendEd Live platforms 
 * Our Cooperative Design program for Kellett students
 * Maximum transfer credits 
 * Seven convenient locations around Wisconsin 

Apply Today

Scholarships




COOPERATIVE EDUCATION




DON'T CHOOSE BETWEEN WORK & SCHOOL ... DO BOTH!

At Lakeland University we value work – and the learning that happens in the
workplace. Through our award-winning Cooperative Education program, students
earn academic credit for professional work experience and coursework is centered
around your real-life experiences, situations and career goals. Lakeland is
equipped to help you discover your direction at a pace you’re completely
comfortable with – while also ensuring you don’t take on unnecessary
student-debt.

Learn More





TESTIMONIAL



“My classes and internships have provided me with practical, real-world
experiences – preparing me for my future."

- Corey - Business Admin


TESTIMONIAL



“The advisors and instructors at Lakeland really care about me - not only as a
student but as a person. They are always there to help, and talk things
through!”

- Lori - Human Resources


TESTIMONIAL



“I chose Lakeland for the great family atmosphere, academic excellence, and
outstanding athletics.”

- Trenton - Accounting & Business Admin


TESTIMONIAL



“BlendEd and BlendEd Live offer great flexibility, allowing me to finish my
degree as a mother and a full-time employee.”

- Amanda - Marketing


TESTIMONIAL



“My classes and internships have provided me with practical, real-world
experiences – preparing me for my future."

- Corey - Business Admin


TESTIMONIAL



“The advisors and instructors at Lakeland really care about me - not only as a
student but as a person. They are always there to help, and talk things
through!”

- Lori - Human Resources


TESTIMONIAL



“I chose Lakeland for the great family atmosphere, academic excellence, and
outstanding athletics.”

- Trenton - Accounting & Business Admin


TESTIMONIAL



“BlendEd and BlendEd Live offer great flexibility, allowing me to finish my
degree as a mother and a full-time employee.”

- Amanda - Marketing

‹›



LATEST STORIES



BLOG


PLYMOUTH HIGH SCHOOL TEAMS WINS LAKELAND MATH MEET

Nov. 19, 2021

Read More...

BLOG


LAKELAND RN TO BSN PROGRAM RECEIVES ACCREDITATION

Nov. 17, 2021

Read More...

BLOG


LAKELAND & BEMIS PARTNER TO EXPAND EMPLOYEES’ SKILLS

Nov. 17, 2021

Read More...

BLOG


LAKELAND CELEBRATES INDIGENOUS PEOPLES' MONTH WITH LAND ACKNOWLEDGMENT

Nov. 12, 2021

Read More...

View our blog for the latest Lakeland news


STUDENT EXPERIENCE



Lakeland University provides a variety of ways to earn your degree by creating a
myriad of customized, yet shared student experiences. Learn about each, then
select the one that best fits your goals.  

Traditional Undergraduate (Main Campus)



Online



Online & In Classroom (BlendEd)



At a Center Near Me



Through Work Experience


Student Experience


CALENDAR OF EVENTS



11/23


MUSIC DEPARTMENT STUDENT RECITAL

Nov 23rd, 2021

11 a.m.

Bradley Theatre



11/24 - 11/28


THANKSGIVING RECESS

Nov 24th, 2021





11/30


HUMANITIES & FINE ARTS COLLOQUIUM

Nov 30th, 2021

11:15 a.m.

Bradley Theatre


All events


MAJORS & MINORS




PROGRAMS, DEGREES, & CERTIFICATES

Lakeland University has no shortage of degrees, majors, minors and certificates
for our students to pursue during their academic journey. These programs are led
by a group of talented and committed faculty who get to know their students, and
challenge them to think about their personal, academic and career goals. Learn
all about our offerings and design a program suited for your goals and
interests! 

Degrees

Honors Program




ATHLETICS & STUDENT ORGANIZATIONS




MEET LIKE-MINDED STUDENTS!

Students often become involved in one or several of the many organizations
formed on campus. What you get out of these organizations varies - you get what
you put in! Most students report great personal success including skills
development, networking opportunities, and also some of the most fun of their
lives!

Athletics

Student Organizations



TRANSFER STUDENTS




READY FOR A CHANGE? LET'S DO THIS!

Every year, transfer students and non-traditional students find themselves
rethinking college. Also every year, more students decide that Lakeland
University is the right choice for them!

Is Lakeland for you?

Associate Degree Graduates



ALUMNI & GIVING




MUSKIES FOR LIFE!

You grew here in many ways, and your Lakeland experience launched you into a
successful career! Now, we ask you to help us stay strong and provide the same
benefits to future generations of Muskies! 

Alumni

Giving



SAFELY OPERATING OUR CAMPUS & CENTERS




FALL 2021: MUSKIES ARE BETTER TOGETHER



At Lakeland, we will continue to safely operate our main campus and our centers
this fall. This webpage will focus solely on updated news and information
regarding the 2021 fall semester, including an archive of any announcements,
FAQs, links to student resources and other information. The content on this page
will be updated as needed, and students, faculty and staff will also receive
emails with updates.



2021 Fall Semester Plans

COVID-19



HAVE A QUESTION? WE’D LOVE TO HEAR FROM YOU. FILL OUT THE FORM BELOW!

Loading...
*Required Information
Contact Information
First Name:*

Last Name:*

Birthdate:*
Birthdate:*
JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900
Email:*

Phone:*

Preferred contact method:*
EmailPhoneText
Mailing Address
Country
AfghanistanAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntigua and
BarbudaArgentinaArmeniaArubaAshmore and Cartier
IslandsAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBassas Da
IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius, and
...Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean
TerritoryBritish Virgin IslandsBruneiBulgariaBurkina
FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African
RepublicChadChileChinaChristmas IslandClipperton IslandCocos Islands (Keeling
Islands)ColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCoral Sea
IslandsCosta RicaCote D'IvoireCroatiaCubaCuracaoCyprusCzech
RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl
SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropa IslandFalkland Islands
(Islas Malvi...Faroe IslandsFederated States of
MicronesiaFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and
Antarctic...GabonGambia, TheGeorgiaGermanyGhanaGibraltarGlorioso
IslandsGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island and McDonald Isl...HondurasHong Kong
S.A.R.HungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJan
MayenJapanJerseyJordanJuan De Nova IslandKazakhstanKenyaKiribatiKorea,
NorthKorea,
SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau
S.A.R.Macedonia, The Former
Yugosla...MadagascarMalawiMalaysiaMaldivesMaliMaltaMan, Isle ofMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk
IslandNorwayOmanPakistanPalau, the Pacific Islands ofPalestinePanamaPapua New
GuineaParaguayPeruPhilippinesPitcairn
IslandsPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint
HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint
Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi
ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint
MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the
South S...South SudanSpainSpratly IslandsSri
LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad
and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos
IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited
StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis and Futuna
IslandsWestern SaharaYemenZambiaZimbabwe
Street

City

State
Select StateAlabamaAlaskaAmerican SamoaAPO/FPO (AA)APO/FPO (AE)APO/FPO
(AP)ArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of
ColumbiaFederated States of
MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMariana
IslandsMarshall
IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew
HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth
DakotaOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth
CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin Islands,
U.S.VirginiaWashingtonWest VirginiaWisconsinWyoming
Postal Code

Academic Information
What type of student are you?*
Traditional Undergrad (Main Campus)Kellett School (Evening/Online)
Degree Level:*
UndergraduateGraduateNon-Degree
Degree/Major:*
AccountingAssociate of ArtsBiologyBroad Field ScienceBroad Field Social Studies
- History emphBusiness AdministrationChemistryChemistry and
BiochemistryCommunicationComputer ScienceCreative WritingCriminal
JusticeEducation Grades 6 – 12Education Grades K – 12Education Grades K –
9EnglishExercise ScienceFood Safety & QualityGraphic DesignGraphic Design (NWTC
& MATC graduates only)HistoryHospitality ManagementIndustrial Systems
AnalyticsManagement Information SystemsMarketingMaster of Arts in Counseling -
Clinical Mental Health CounselingMaster of Arts in Counseling - Higher
EducationMaster of Arts in Counseling - School Counseling K-12Master of Business
AdministrationMaster of EducationMaster of Leadership & Org. DevelopmentMaster
of Music in Music Education - Kodály EmphasisMathematicsMusicMusic
EducationMusic PerformanceNon-DegreeNon-Degree GraduateNursing (RN to BSN
Completion Program)Organizational
ManagementPre-NursingPsychologyReligionSpanishSport Management and
LeadershipStudio ArtTechnology Teacher EducationUndecidedWriting

**Please note that the Kellett School only offers the education program at the
Milwaukee Center.**

Are you a transfer student?
YesNo
Last School Attended:*

School Code (hidden, auto-suggest):

High School Graduation:*
High School Graduation:*
JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041
Entry Year:
20212022202320242025
Comments/Questions

By submitting this form, I acknowledge that Lakeland may contact me via email,
phone and SMS.
YesNo
Form Referrer


Submit

Degrees/Academics
Degrees/Academics
+ J. Garland Schilcutt School of Business, Science and Technology
+ School of Humanities and Fine Arts
+ William R. Kellett School of Undergraduate & Graduate Studies
+ Undecided or Not Sure?
+ All Majors/Programs
Admission & Aid
Admission & Aid
+ Apply
+ Schedule a Tour
+ Preview Days
+ Experiential Education
+ Traditional Undergraduate Financial Aid
+ Undergraduate & Graduate Online & Satellite Location Financial Aid
+ Scholarships & Calculators
+ Admissions Staff
+ Registrar's Office
Student Experience
Student Experience
+ At the Main Campus
+ Online
+ Both Online & in the Classroom
+ At a Campus near me
+ Through Work Experience
Locations:
+ Main Campus
+ Sheboygan
+ Milwaukee
+ Madison
+ Wisconsin Rapids
+ Chippewa Valley
+ Fox Cities
+ Green Bay
+ Tokyo, Japan
Alumni & Giving
Alumni & Giving
+ Get Involved
+ Legacy Discount
+ Give Back/Donate
+ Corporate Sponsorships
+ Community Resources
Current Students & Faculty
Apply
Visit
About Lakeland Blog Parents Employers
Calendar Athletics Jobs Contact

Main Campus:

W3718 South Drive

Plymouth, WI 53073

920-565-1000

Follow Us



Subscribe

Employer

Alumni

Parents

HS Counselor


Privacy Title IX Institutional Review Consumer Information SDS
Degrees / Academics Admissions & Aid Experience Alumni & Giving
Apply Visit Contact
About Blog Jobs Employers
Parent Privacy Title IX Institutional Review Consumer Information Disclosures
SDS

Website Designed & Developed by


THANK YOU!

You are now signed up for our newsletter.

Close