quantumuniversity.com
Open in
urlscan Pro
141.193.213.10
Public Scan
Submitted URL: https://quantum.college/
Effective URL: https://quantumuniversity.com/
Submission: On October 07 via api from US — Scanned from CA
Effective URL: https://quantumuniversity.com/
Submission: On October 07 via api from US — Scanned from CA
Form analysis 2 forms found in the DOM
GET https://quantumuniversity.com
<form class="elementor-search-form" action="https://quantumuniversity.com" method="get">
<div class="elementor-search-form__toggle" tabindex="0" role="button">
<i aria-hidden="true" class="fas fa-search"></i> <span class="elementor-screen-only">Search</span>
</div>
<div class="elementor-search-form__container">
<label class="elementor-screen-only" for="elementor-search-form-ba549ef">Search</label>
<input id="elementor-search-form-ba549ef" placeholder="Search..." class="elementor-search-form__input" type="search" name="s" value="">
<div class="dialog-lightbox-close-button dialog-close-button" role="button" tabindex="0">
<i aria-hidden="true" class="eicon-close"></i> <span class="elementor-screen-only">Close this search box.</span>
</div>
</div>
<input type="hidden" name="input_-1" value="https://quantumuniversity.com/">
</form>POST /#gf_6
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_6" id="gform_6" action="/#gf_6" data-formid="6" novalidate="">
<div class="gform-body gform_body">
<ul id="gform_fields_6" class="gform_fields top_label form_sublabel_below description_below validation_below">
<li id="field_6_42" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_42">
<div class="ginput_container ginput_container_text"><input name="input_42" id="input_6_42" type="hidden" class="gform_hidden" aria-invalid="false" value="LF-ST"></div>
</li>
<li id="field_6_73" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_73">
<div class="ginput_container ginput_container_text"><input name="input_73" id="input_6_73" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</li>
<li id="field_6_66" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_66">
<div class="ginput_container ginput_container_text"><input name="input_66" id="input_6_66" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</li>
<li id="field_6_97" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_97">
<div class="ginput_container ginput_container_text"><input name="input_97" id="input_6_97" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</li>
<li id="field_6_67" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_67">
<div class="ginput_container ginput_container_text"><input name="input_67" id="input_6_67" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</li>
<li id="field_6_70" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_70">
<div class="ginput_container ginput_container_text"><input name="input_70" id="input_6_70" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</li>
<li id="field_6_96" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_96">
<div class="ginput_container ginput_container_text"><input name="input_96" id="input_6_96" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</li>
<li id="field_6_10" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_10">
<div class="ginput_container ginput_container_text"><input name="input_10" id="input_6_10" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</li>
<li id="field_6_11" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_11">
<div class="ginput_container ginput_container_text"><input name="input_11" id="input_6_11" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</li>
<li id="field_6_12" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_12">
<div class="ginput_container ginput_container_text"><input name="input_12" id="input_6_12" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</li>
<li id="field_6_13" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_13">
<div class="ginput_container ginput_container_text"><input name="input_13" id="input_6_13" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</li>
<li id="field_6_14" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_14">
<div class="ginput_container ginput_container_text"><input name="input_14" id="input_6_14" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</li>
<li id="field_6_116" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_116">
<div class="ginput_container ginput_container_text"><input name="input_116" id="input_6_116" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</li>
<li id="field_6_101" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_101">
<div class="ginput_container ginput_container_text"><input name="input_101" id="input_6_101" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</li>
<li id="field_6_108" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_108">
<div class="ginput_container ginput_container_text"><input name="input_108" id="input_6_108" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</li>
<li id="field_6_44" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_44">
<h2 style="text-align: center;"><b>To advise you better and faster, submit more info on this form...</b></h2>
</li>
<li id="field_6_71" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_71"><img src="https://quantumuniversity.com/wp-content/uploads/2017/04/Animated-Progress-Bar.gif" alt="1005019-0-AnimatedProgressBar1" width="500" height="47" class="aligncenter size-full wp-image-18324"><br></li>
<li id="field_6_91" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_91"><br><br>
<h3><b>Your Contact Information</b></h3>
<hr color="silver" size="5" width="100%" align="center">
</li>
<li id="field_6_83" class="gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_83"><label
class="gfield_label gform-field-label" for="input_6_83">Your First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_83" id="input_6_83" type="text" value="" class="large" placeholder="First Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_6_84" class="gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
data-js-reload="field_6_84"><label class="gfield_label gform-field-label" for="input_6_84">Your Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_84" id="input_6_84" type="text" value="" class="large" placeholder="Last Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_6_85" class="gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_85"><label
class="gfield_label gform-field-label" for="input_6_85">Your Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_85" id="input_6_85" type="email" value="" class="large" placeholder="Email Address" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_6_86" class="gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_86"><label
class="gfield_label gform-field-label" for="input_6_86">Your Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_86" id="input_6_86" type="text" value="" class="large" placeholder="Phone Number" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_6_92" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_92"><label
class="gfield_label gform-field-label" for="input_6_92">What do you want to do?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_92" id="input_6_92" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">What do you want to do?</option>
<option value="Become a Benefactor">Become a Benefactor</option>
<option value="Recognize a Benefactor">Recognize a Benefactor</option>
<option value="Help possible Benefactors get more information">Help possible Benefactors get more information</option>
</select></div>
</li>
<li id="field_6_88" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_88"><br><br>
<h3><b>Your Friend's Information</b></h3>
<hr color="silver" size="5" width="100%" align="center">
</li>
<li id="field_6_111" class="gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_111">
<label class="gfield_label gform-field-label" for="input_6_111">Question<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_111" id="input_6_111" class="textarea medium" placeholder="Message" aria-required="true" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
<li id="field_6_109" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_109">
<label class="gfield_label gform-field-label" for="input_6_109">What is the nature of your inquiry?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_109" id="input_6_109" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">What is the nature of your inquiry?</option>
<option value="Info on Programs">Info on Programs</option>
<option value="Help or Support">Help or Support</option>
</select></div>
</li>
<li id="field_6_114" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_114">
<label class="gfield_label gform-field-label" for="input_6_114">What area of support do you need help?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_114" id="input_6_114" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">What area of support do you need help?</option>
<option value="General Inquiry">General Inquiry</option>
<option value="Administration">Administration</option>
<option value="Billings">Billings</option>
<option value="Downloading Documents">Downloading Documents</option>
<option value="Exams and Grades">Exams and Grades</option>
<option value="Tablet (Lenovo or iPad)">Tablet (Lenovo or iPad)</option>
<option value="Live Class">Live Class</option>
<option value="Login Problems">Login Problems</option>
<option value="Playback Issues">Playback Issues</option>
<option value="Registration">Registration</option>
<option value="Dissertation Project">Dissertation Project</option>
<option value="Report Error">Report Error</option>
<option value="Support">Support</option>
<option value="Alumni">Alumni</option>
<option value="Other">Other</option>
</select></div>
</li>
<li id="field_6_113" class="gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_113"><label
class="gfield_label gform-field-label" for="input_6_113">Please specify area:<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_113" id="input_6_113" type="text" value="" class="large" placeholder="Please specify area:" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_6_115" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_115">
<label class="gfield_label gform-field-label" for="input_6_115">What program do you want more information?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_115" id="input_6_115" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">What program do you want more information?</option>
<option value="Bachelor">Bachelor</option>
<option value="Master">Master</option>
<option value="Doctorate">Doctorate</option>
<option value="PhD">PhD</option>
<option value="Bachelor to PhD">Bachelor to PhD</option>
<option value="Doctorate to PhD">Doctorate to PhD</option>
<option value="Other">Other</option>
</select></div>
</li>
<li id="field_6_87" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_87"><br><br>
<h3><b>Contact Information</b></h3>
<hr color="silver" size="5" width="100%" align="center">
</li>
<li id="field_6_76" class="gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_76"><label
class="gfield_label gform-field-label" for="input_6_76">First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_76" id="input_6_76" type="text" value="" class="large" placeholder="First Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_6_2" class="gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_2"><label
class="gfield_label gform-field-label" for="input_6_2">Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_6_2" type="text" value="" class="large" placeholder="Last Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_6_3" class="gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_3"><label
class="gfield_label gform-field-label" for="input_6_3">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_3" id="input_6_3" type="email" value="" class="large" placeholder="Email Address" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_6_81" class="gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_81"><label
class="gfield_label gform-field-label" for="input_6_81">Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_81" id="input_6_81" type="text" value="" class="large" placeholder="Phone Number" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_6_77" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_77"><label
class="gfield_label gform-field-label" for="input_6_77">Country<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_77" id="input_6_77" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Country</option>
<option value="United States">United States</option>
<option value="Canada">Canada</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Aland Islands">Aland Islands</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, the Democratic Republic of the">Congo, the Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote d'Ivoire">Cote d'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
<option value="Honduras">Honduras</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran, Islamic Republic of">Iran, Islamic Republic of</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Kosovo">Kosovo</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macao">Macao</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="North Korea">North Korea</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine">Palestine</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Barthélemy">Saint Barthélemy</option>
<option value="Saint Helena, Ascension and Tristan da Cunha">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="Saint Kitts & Nevis">Saint Kitts & Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin (French part)">Saint Martin (French part)</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent & the Grenadines">Saint Vincent & the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome & Principe">Sao Tome & Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Sint Maarten (Dutch part)">Sint Maarten (Dutch part)</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
<option value="South Korea">South Korea</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad & Tobago">Trinidad & Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City">Vatican City</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select></div>
</li>
<li id="field_6_93" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_93"><br><br>
<h3><b>Background Information</b></h3>
<hr color="silver" size="5" width="100%" align="center">
</li>
<li id="field_6_15" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_15"><label
class="gfield_label gform-field-label" for="input_6_15">What is your Time Zone?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_15" id="input_6_15" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">What is your Time Zone?</option>
<option value="HST - Hawaii Standard Time Zone">HST - Hawaii Standard Time Zone</option>
<option value="PST - Pacific Standard Time Zone">PST - Pacific Standard Time Zone</option>
<option value="MST - Mountain Standard Time Zone">MST - Mountain Standard Time Zone</option>
<option value="CST - Central Standard Time Zone">CST - Central Standard Time Zone</option>
<option value="EST - Eastern Standard Time Zone">EST - Eastern Standard Time Zone</option>
<option value="AST - Alaska Standard Time Zone">AST - Alaska Standard Time Zone</option>
<option value="PNT - Phoenix Standard Time Zone">PNT - Phoenix Standard Time Zone</option>
<option value="PRT - Puerto Rico Time Zone">PRT - Puerto Rico Time Zone</option>
<option value="PRT - Atlantic Time Zone">PRT - Atlantic Time Zone</option>
<option value="AGT - Argentina Standard Time Zone">AGT - Argentina Standard Time Zone</option>
<option value="BET - Brazil Eastern Time Zone">BET - Brazil Eastern Time Zone</option>
<option value="CAT - Central African Time Zone">CAT - Central African Time Zone</option>
<option value="GMT - Greenwich Mean Time Zone">GMT - Greenwich Mean Time Zone</option>
<option value="ECT - European Central Time Zone">ECT - European Central Time Zone</option>
<option value="EET - Eastern European Time Zone">EET - Eastern European Time Zone</option>
<option value="ART - Egypt Standard Time Zone">ART - Egypt Standard Time Zone</option>
<option value="EAT - Eastern African Time Zone">EAT - Eastern African Time Zone</option>
<option value="MET - Middle East Time Zone">MET - Middle East Time Zone</option>
<option value="NET - Near East Time Zone">NET - Near East Time Zone</option>
<option value="PLT - Pakistan Lahore Time Zone">PLT - Pakistan Lahore Time Zone</option>
<option value="IST - India Standard Time Zone">IST - India Standard Time Zone</option>
<option value="BST - Bangladesh Time Zone">BST - Bangladesh Time Zone</option>
<option value="VST - Vietnam Standard Time Zone">VST - Vietnam Standard Time Zone</option>
<option value="CTT - China Taiwan Time Zone">CTT - China Taiwan Time Zone</option>
<option value="JST - Japan Standard Time Zone">JST - Japan Standard Time Zone</option>
<option value="ACT - Australia Central Time Zone">ACT - Australia Central Time Zone</option>
<option value="AET - Australia Eastern Time Zone">AET - Australia Eastern Time Zone</option>
<option value="SST - Solomon Standard Time Zone">SST - Solomon Standard Time Zone</option>
<option value="NST - New Zealand Time Zone">NST - New Zealand Time Zone</option>
<option value="MIT - Midway Islands Time Zone">MIT - Midway Islands Time Zone</option>
<option value="Other">Other</option>
</select></div>
</li>
<li id="field_6_25" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_25"><label
class="gfield_label gform-field-label" for="input_6_25">What are your professional goals?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_25" id="input_6_25" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">What are your professional goals?</option>
<option value="Open wellness center">Open wellness center</option>
<option value="Expand current practice">Expand current practice</option>
<option value="Gain certification and credentials">Gain certification and credentials</option>
<option value="Broaden scope of practice">Broaden scope of practice</option>
<option value="Make a career change">Make a career change</option>
<option value="Help myself/family/friends/community">Help myself/family/friends/community</option>
<option value="Other">Other</option>
</select></div>
</li>
<li id="field_6_29" class="gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
data-js-reload="field_6_29"><label class="gfield_label gform-field-label" for="input_6_29">Please specify goal:<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_29" id="input_6_29" type="text" value="" class="large" placeholder="Please specify your professional goal:" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_6_78" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_78"><label
class="gfield_label gform-field-label" for="input_6_78">What program are you interested in?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_78" id="input_6_78" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">What program are you interested in?</option>
<option value="Bachelor">Bachelor</option>
<option value="Master">Master</option>
<option value="Doctorate">Doctorate</option>
<option value="PhD">PhD</option>
<option value="Bachelor to PhD">Bachelor to PhD</option>
<option value="Doctorate to PhD">Doctorate to PhD</option>
<option value="Other">Other</option>
</select></div>
</li>
<li id="field_6_27" class="gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
data-js-reload="field_6_27"><label class="gfield_label gform-field-label" for="input_6_27">Please specify program:<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_27" id="input_6_27" type="text" value="" class="large" placeholder="Please specify program:" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_6_8" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_8"><label
class="gfield_label gform-field-label" for="input_6_8">How did you hear about us?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_8" id="input_6_8" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">How did you hear about us?</option>
<option value="Friend, Family, or Colleague">Friend, Family, or Colleague</option>
<option value="Current Student">Current Student</option>
<option value="Faculty Member">Faculty Member</option>
<option value="Conference">Conference</option>
<option value="Internet Search">Internet Search</option>
<option value="Facebook">Facebook</option>
<option value="NaturalHealers.com">NaturalHealers.com</option>
<option value="Other">Other</option>
</select></div>
</li>
<li id="field_6_30" class="gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
data-js-reload="field_6_30"><label class="gfield_label gform-field-label" for="input_6_30">Please specify other:<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_30" id="input_6_30" type="text" value="" class="large" placeholder="Please specify other:" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_6_89" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_89"><br><br>
<h3><b>Education Information</b></h3>
<hr color="silver" size="5" width="100%" align="center">
</li>
<li id="field_6_47" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_47"><label
class="gfield_label gform-field-label" for="input_6_47">What is your highest level education?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_47" id="input_6_47" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">What is your highest level education?</option>
<option value="High-School/GED">High-School/GED</option>
<option value="Diploma">Diploma</option>
<option value="Certification">Certification</option>
<option value="Bachelor">Bachelor</option>
<option value="Master">Master</option>
<option value="Doctorate">Doctorate</option>
<option value="PhD">PhD</option>
<option value="Other">Other</option>
</select></div>
</li>
<li id="field_6_32" class="gfield gfield--type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
data-js-reload="field_6_32"><label class="gfield_label gform-field-label" for="input_6_32">Field of Study (Major)<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_32" id="input_6_32" type="text" value="" class="large" placeholder="Field of Study (Major)" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_6_94" class="gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
data-js-reload="field_6_94"><label class="gfield_label gform-field-label" for="input_6_94">Institution (School)<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_94" id="input_6_94" type="text" value="" class="large" placeholder="Institution (School)" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_6_62" class="gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_62"><label
class="gfield_label gform-field-label" for="input_6_62">(Optional) List Other Education, Field of Study, and Institution</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_62" id="input_6_62" class="textarea large" maxlength="1000" placeholder="(Optional) List Other Education, Field of Study, and Institution" aria-invalid="false"
rows="10" cols="50"></textarea></div>
</li>
<li id="field_6_61" class="gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_61"><label
class="gfield_label gform-field-label" for="input_6_61">Are you a licensed healthcare practitioner?<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_61" id="input_6_61" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Are you a licensed healthcare practitioner?</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select></div>
</li>
<li id="field_6_63" class="gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible"
data-js-reload="field_6_63"><label class="gfield_label gform-field-label" for="input_6_63">Please specify type:<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_63" id="input_6_63" type="text" value="" class="large" placeholder="Please specify type:" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_6_90" class="gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_90"><br><br>
<h3><b>Optional Information</b></h3>
<hr color="silver" size="5" width="100%" align="center">
</li>
<li id="field_6_40" class="gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_40"><label
class="gfield_label gform-field-label" for="input_6_40">What educational factors are most important to you?</label>
<div class="ginput_container ginput_container_select"><select name="input_40" id="input_6_40" class="large gfield_select" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">What educational factors are most important to you?</option>
<option value="Cost">Cost</option>
<option value="Flexibility/Convenience">Flexibility/Convenience</option>
<option value="Support">Support</option>
<option value="Duration of program (time it takes to complete)">Duration of program (time it takes to complete)</option>
<option value="Knowledge and Experience of the Faculty">Knowledge and Experience of the Faculty</option>
<option value="Other">Other</option>
</select></div>
</li>
<li id="field_6_39" class="gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_39"><label
class="gfield_label gform-field-label" for="input_6_39">Please specify factor:<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_39" id="input_6_39" type="text" value="" class="large" placeholder="Please specify factor:" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_6_37" class="gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_37"><label
class="gfield_label gform-field-label" for="input_6_37">What interested you most about Quantum University?</label>
<div class="ginput_container ginput_container_text"><input name="input_37" id="input_6_37" type="text" value="" class="large" maxlength="1000" placeholder="What interested you most about Quantum University?" aria-invalid="false"> </div>
</li>
<li id="field_6_52" class="gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible" data-js-reload="field_6_52"><label
class="gfield_label gform-field-label" for="input_6_52">(Optional) Any additional comments:</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_52" id="input_6_52" class="textarea large" maxlength="200" placeholder="(Optional) Any additional comments:" aria-invalid="false" rows="10" cols="50"></textarea>
</div>
</li>
<li id="field_6_118" class="gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible"
data-js-reload="field_6_118"><label class="gfield_label gform-field-label screen-reader-text gfield_label_before_complex"><span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_6_118">
<li class="gchoice gchoice_6_118_1">
<input class="gfield-choice-input" name="input_118.1" type="checkbox" value="Yes, I give my consent to Quantum University to process my data. <a class="formlink" href="/privacy-policy/">Read Privacy Policy</a>"
id="choice_6_118_1">
<label for="choice_6_118_1" id="label_6_118_1" class="gform-field-label gform-field-label--type-inline">Yes, I give my consent to Quantum University to process my data.
<a class="formlink" href="/privacy-policy/">Read Privacy Policy</a></label>
</li>
</ul>
</div>
</li>
<li id="field_6_104" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_104">
<div class="ginput_container ginput_container_text"><input name="input_104" id="input_6_104" type="hidden" class="gform_hidden" aria-invalid="false" value="Quantum University"></div>
</li>
<li id="field_6_103" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_103">
<div class="ginput_container ginput_container_text"><input name="input_103" id="input_6_103" type="hidden" class="gform_hidden" aria-invalid="false" value="https://quantumuniversity.com/"></div>
</li>
<li id="field_6_100" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_100">
<div class="ginput_container ginput_container_text"><input name="input_100" id="input_6_100" type="hidden" class="gform_hidden" aria-invalid="false" value=""></div>
</li>
<li id="field_6_102" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_102">
<div class="ginput_container ginput_container_text"><input name="input_102" id="input_6_102" type="hidden" class="gform_hidden" aria-invalid="false"
value="Mozilla/5.0 (Macintosh; Intel Mac OS X 10_15_2) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/79.0.3945.117 Safari/537.36"></div>
</li>
<li id="field_6_107" class="gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_107">
<div class="ginput_container ginput_container_text"><input name="input_107" id="input_6_107" type="hidden" class="gform_hidden" aria-invalid="false" value="54.173.26.113"></div>
</li>
<li id="field_6_119" class="gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible" data-js-reload="field_6_119"><label
class="gfield_label gform-field-label" for="input_6_119">Phone</label>
<div class="ginput_container"><input name="input_119" id="input_6_119" type="text" value="" autocomplete="new-password"></div>
<div class="gfield_description" id="gfield_description_6_119">This field is for validation purposes and should be left unchanged.</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_6" class="gform_button button" value="SUBMIT INFORMATION"
onclick="if(window["gf_submitting_6"]){return false;} if( !jQuery("#gform_6")[0].checkValidity || jQuery("#gform_6")[0].checkValidity()){window["gf_submitting_6"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_6"]){return false;} if( !jQuery("#gform_6")[0].checkValidity || jQuery("#gform_6")[0].checkValidity()){window["gf_submitting_6"]=true;} jQuery("#gform_6").trigger("submit",[true]); }">
<input type="hidden" name="gform_ajax" value="form_id=6&title=&description=&tabindex=0&theme=legacy">
<input type="hidden" class="gform_hidden" name="is_submit_6" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="6">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_6" value="WyJbXSIsImE1NzFhMzJhMzU3NmQ4MmJjZTg3NTkzOGI5OGNiYTk1Il0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_6" id="gform_target_page_number_6" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_6" id="gform_source_page_number_6" value="1">
<input type="hidden" name="gform_field_values" value="form=LF-ST">
</div>
<input type="hidden" name="input_-1" value="https://quantumuniversity.com/">
</form>Text Content
* (833) 366-0363
* EVENTS
Read Our Blog
Student Login
Contact
Facebook-f Twitter Linkedin-in Youtube Instagram
* Home
* Career Paths
CAREER PATHS
Find out the different career paths you can follow after graduating. Explore
and see which path is right for you!
LEARN MORE
CAREER PATHS
* START A PRACTICE
* ADVANCE YOUR CAREER
* START A NEW CAREER
* EARN CREDIBILITY
* ALUMNI SPOTLIGHT
* ALUMNI ASSOCIATION
ALUMNI
SPOTLIGHT
WATCH VIDEOS
ALUMNI
ASSOCIATION
MORE INFO
Be a part of the Future of Medicine & join the Quantum Medicine movement
happening now!
* Degree Programs
LEARN MORE
Quantum University offers students and alumni incredible opportunities to
advance their careers. Find out more about our mission to change the future
of healthcare.
ABOUT US
DEGREE TRACKS
* All
* Bachelor
* Master
* Doctorate
* PhD
* Degree Fast Track Options
* CERTIFICATIONS
VIEW
CERTIFICATIONS
VIEW
DEGREE FAST TRACK OPTIONS
VIEW
Quantum University’s educational programs are tailored to the practical and
clinical needs of our students.
* Student Experience
STUDENT EXPERIENCE
Explore the student experience at Quantum University and discover the many
benefits of being a student & graduate.
LEARN MORE
INFORMATION
* SMART TAB EDUCATION
* QUANTUM AI
* GETTING STARTED
* COURSE MATERIAL
* LEARNING EXPERIENCE
* STUDENT TESTIMONIALS
* GRADUATION CENTRAL
STUDENT
TESTIMONIALS
READ NOW
GRADUATION
CENTRAL
MORE INFO
Become a student, join the Quantum University family and be a leader in your
community.
* Become a Student
SO MANY BENEFITS
Students and Graduates can take advantage of many opportunities and benefits
of earning a degree or certification
LEARN MORE
INFORMATION
* Affordable Tuition
* Tuition Programs
* Admission Process
* Steps to Enrollment
* Webinar Events
* DOWNLOAD CATALOG
* REQUEST INFORMATION
DOWNLOAD
CATALOG
GET NOW
REQUEST
INFORMATION
FILL OUT FORM
At Quantum University, we believe that everyone must be educated in how to
heal yourself and heal others.
* About Us
LEARN ABOUT US
Quantum University is a degree-granting university that offers bachelor’s,
master’s, doctorate and PhD degrees.
LEARN MORE
INFORMATION
* Mission Statement
* Our Founder
* Meet Our Faculty
* Dissertation Professors
* Accreditation
* HOW DOES IT WORK?
* MEET OUR FACULTY
HOW DOES
IT WORK?
READ NOW
MEET OUR
FACULTY
CLICK HERE
Our degree programs are accredited by over a dozen professional certification
boards.
* MERCHANDISE
X
Search
Search
Close this search box.
Previous slide
Next slide
EARN A DEGREE IN HOLISTIC, NATURAL, AND INTEGRATIVE MEDICINE
100% SELF-PACED ONLINE HOLISTIC MEDICINE UNIVERSITY
REQUEST INFORMATION
Download Catalog
DISCOVER QUANTUM UNIVERSITY'S
WORLD OF INNOVATION & OPPORTUNITY
JOIN OUR GLOBAL MEDITATION COMMUNITY IN THE NOOSPHERE PYRAMID
LEARN HOW TO BUILD A THRIVING HYBRID PRACTICE IN HOLISTIC HEALTH
ELEVATE YOUR STUDIES WITH QUANTUM AI, YOUR NEW INTELLIGENT STUDY MENTOR LOADED
WITH THE WISDOM OF YOUR HOLISTIC MEDICINE DEGREE TRACK
JOIN US AT OUR UPCOMING EVENT, AS WE SHOWCASE HOW DIGITAL DEVELOPMENTS HAVE
REVOLUTIONIZED OUR APPROACH TO HEALTH & WELLNESS
IT'S BACK-TO-SCHOOL TIME AT QUANTUM UNIVERSITY!
Enroll with the BIGGEST Tuition Savings of the Year!
This Back-to-School season, Quantum University invites you to join an elite
group of forward-thinkers and the next generation of healthcare heroes on their
path to a rewarding career in holistic health. Enroll by the deadline to qualify
for our most coveted 2024 enrollment package, featuring over $15,000 in bonus
education tools and resources, along with an additional $1,000 Back-to-School
Tuition Saving—bringing your total savings to up to $6,000, our BIGGEST tuition
savings of the year.
This is your moment to advance your expertise and emerge as a leading Holistic
Health Pioneer. Our cutting-edge programs and bonuses are meticulously designed
to equip you with the most advanced tools and teachings to excel in this growing
field of holistic health.
Don’t miss this rare opportunity to invest in your future with exceptional value
and purpose!
Ready to get started? Speak with an Advisor: (833) 366-0363
VIEW ENROLLMENT OFFER
EARN YOUR HOLISTIC HEALTH DEGREE ONLINE WITH QUANTUM UNIVERSITY
DEGREE PROGRAMS AVAILABLE IN HOLISTIC, NATURAL, AND INTEGRATIVE MEDICINE
We believe that everyone must be educated on how to heal themselves and others.
Quantum University offers online courses and graduate degree programs in
holistic, alternative, natural, and integrative medicine for those looking to
join the holistic health field.
Our holistic medicine education from renowned faculty members is based on
quantum physics, the science that provides a model to understand our universe
and, therefore, a model to understand healing.
Transform your passion into action, join a movement to change the world, and
together we will build a new future for medicine, one student at a time. Become
a healthcare professional and help others get to optimal health through natural
medicine.
ABOUT US
REQUEST INFORMATION
EXPLORE THE DIFFERENT DEGREE PROGRAMS OFFERED
Click on the boxes below to learn about the different holistic medicine degree
programs we offer.
BACHELOR DEGREE PROGRAMS
Learn how to integrate the foundation of modern medicine into a more
multi-dimensional model of Holistic Health.
Learn More
MASTER DEGREE PROGRAMS
Looking to further your career in medicine? Find out about enriching your
credentials in Natural Medicine.
Learn More
PHD AND DOCTORATE PROGRAMS
Designed to provide licensed doctors, nurses, or practitioners with a
multi-dimensional model of Natural Medicine.
Learn More
DEGREE FAST TRACK OPTIONS
Balancing family, career, and study? Supercharge your holistic medicine degree
journey with a “Fast Track”.
Learn More
DEGREE TRACKS
FAST TRACK OPTIONS
CAREER PATHS
WHAT MAKES QUANTUM UNIVERSITY THE PERFECT CHOICE FOR STUDENTS INTERESTED IN
HOLISTIC MEDICINE?
Since its establishment in 2002, Quantum University has been an innovator in
online formal education.
We were one of the first institutions in our industry to offer an online course
site for taking exams, streaming online video courses, and implementing virtual
classrooms.
Quantum University is on the cutting edge of educational technologies with
interactive protocols, virtual studio sets, and graphic animations. Our degree
program offerings and evidence-based curriculum give students the scientific
knowledge they need to start or advance their careers in holistic medicine.
STUDENT EXPERIENCE
Play Video about Student Testimonials
Play
Play
Play
Play
Play
Play
Play
Play
Play
Play
Play
Play
Play
Play
Play
Play
Play
Previous
Next
LEARN MORE ABOUT QUANTUM UNIVERSITY
Quantum University, established in 2002, has served over eleven thousand health
science students in more than seventy countries with local, international, and
multicultural staff, supportive student mentors, and world-renowned faculty
members. Students can earn bachelor’s, master’s, doctorate and PhD degrees
leading to professional board certifications. We are proud to be at the
forefront of online learning technologies, including Smart Tab Education, an
innovative learning management platform, inspiring online video courses, and
engaging teaching materials.
MEET OUR
AMAZING FACULTY
Learn more
OUR HISTORY
AND MISSION
Read more
LATEST FROM THE BLOG
Play Video about support-student-exp-1
SPEAK WITH AN ADMISSION ADVISOR
Our friendly Admission Advisors specialize in helping you figure out the best
degree path for you to take to realize the dream you have for your career. If
you’re interested in an alternative or integrative medicine degree, our advisors
will guide you along the way.
Helping you achieve your goals is their top priority. When you speak with an
advisor, you will feel their level of commitment. If you decide to become a
student, you will find that our support staff will be with you throughout your
time here at Quantum University. We help you and guide you every step of the
way.
If you’re ready to learn more so you can decide if our university is the right
one for you, click the button below to speak with an advisor or call (833)
366-0363 to reach an Admissions Advisor now.
REQUEST INFORMATION
QUANTUM UNIVERSITY ALUMNI SPOTLIGHT
Watch the videos of our Alumni to see how a degree from Quantum University
enhanced their careers.
Barbara Purdom
Play Video
Dr. Robin Perry Braun
Play Video
Sandra Hickman
Play Video
George Farah
Play Video
TALK WITH AN ADMISSION ADVISOR
Learn exactly how Quantum University can help you realize your career goals.
REQUEST INFORMATION
* Facebook
* Twitter
* LinkedIn
* YouTube
* Instagram
ADDRESSS:
735 BISHOP ST #200
HONOLULU, HI 96813
This office is not currently accepting
in-person appointments
PHONE:
TEL: (833) 366-0363
EMAIL:
INFO@QUANTUMUNIVERSITY.COM
* Request Information
* Become A Student
* Alumni Spotlight
* Contact Us
* Support
* Dr. Paul Drouin
I am truly grateful for a doctorate program that meet my needs as a working
profession in health care. The ability to do my course work on-line facilitated
my completion of the doctorate program and to help me achieve my career goals.
Kirstie SegarraDoctor of Integrative Medicine
Quantum University has expanded the knowledge that I originally had, as well as
given me some more interest in some other opportunities I never thought I would
have.
Dr. Vienna Lafrenz, PhDDoctorate and PhD in Integrative Medicine
Quantum University changed my life.
Muriel ComptonBachelor of Holistic Health Sciences
Dr. Paul is always sharing wonderful information.
Veronica MitchellBachelor in Holistic Health Sciences
Attending Quantum University online was the best decision I've ever
made...becoming a student changed my life because it actually gave me the
knowledge and the foundation to move into integrative medicine.
Jere Rivera-DugenioDoctorate and PhD in Natural Medicine
Each time I started a new class, wow, this is so exciting! I'm learning
something so beautiful! I couldn't even wait. I can only testify that you get
all the support that you need from the Quantum University staff.
Jeanne-Rachel SalomonDoctorate and PhD in Natural Medicine
I was looking for answers. I was looking for something that would put the pieces
together for me, the missing link...I found them.
Cindy Elsberry
I would recommend Quantum University to anyone. It's a great foundation to open
your mind...to what's existed all around us for thousands of years.
Dr. Gerda Edwards, PhDDoctorate and PhD in Natural Medicine
My experience with Quantum University was life changing. It allowed me to
further my education in a field I love that would not have been available to me
anywhere else.
Marlies CsabayDoctorate & PhD in Natural Medicine
I enjoyed getting my education from Quantum University. The flexibility of class
schedule was essential for me.
Justin ReeseDoctor of Natural Medicine
I was a Registered Nurse working in a busy Medical Surgery department. This has
changed my life because now I am finally taking a stand for what will really
help people heal and also start a practice where I can assist those who are
looking beyond treating symptoms get to the real issues.
Beverly WalkerRegistered Nurse
Quantum University is doing a great job of educating people of the science
behind holistic health.
Punita KrishnatryBachelor in Holistic Health Sciences
I am truly grateful for a doctorate program that meet my needs as a working
profession in health care. The ability to do my course work on-line facilitated
my completion of the doctorate program and to help me achieve my career goals.
Kirstie SegarraDoctor of Integrative Medicine
Quantum University has expanded the knowledge that I originally had, as well as
given me some more interest in some other opportunities I never thought I would
have.
Dr. Vienna Lafrenz, PhDDoctorate and PhD in Integrative Medicine
Previous
Next
© 2002 – 2024 IQUIM Inc. International Quantum University for Integrative
Medicine
* Terms
* Disclaimer
* Privacy Policy
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
* TO ADVISE YOU BETTER AND FASTER, SUBMIT MORE INFO ON THIS FORM...
*
*
YOUR CONTACT INFORMATION
--------------------------------------------------------------------------------
* Your First Name*
* Your Last Name*
* Your Email*
* Your Phone*
* What do you want to do?*
What do you want to do?Become a BenefactorRecognize a BenefactorHelp possible
Benefactors get more information
*
YOUR FRIEND'S INFORMATION
--------------------------------------------------------------------------------
* Question*
* What is the nature of your inquiry?*
What is the nature of your inquiry?Info on ProgramsHelp or Support
* What area of support do you need help?*
What area of support do you need help?General
InquiryAdministrationBillingsDownloading DocumentsExams and GradesTablet
(Lenovo or iPad)Live ClassLogin ProblemsPlayback
IssuesRegistrationDissertation ProjectReport ErrorSupportAlumniOther
* Please specify area:*
* What program do you want more information?*
What program do you want more information?BachelorMasterDoctoratePhDBachelor
to PhDDoctorate to PhDOther
*
CONTACT INFORMATION
--------------------------------------------------------------------------------
* First Name*
* Last Name*
* Email*
* Phone*
* Country*
CountryUnited StatesCanadaAfghanistanAland
IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire,
Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet
IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina
FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African
RepublicChadChileChinaChristmas IslandCocos (Keeling)
IslandsColombiaComorosCongoCongo, the Democratic Republic of theCook
IslandsCosta RicaCote d'IvoireCroatiaCubaCuraçaoCyprusCzech
RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl
SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands
(Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench
Southern
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island and McDonald IslandsHondurasHungaryIcelandIndiaIndonesiaIran, Islamic
Republic ofIraqIrelandIsle of
ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao
People's Democratic
RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth
KoreaNorwayOmanPakistanPalauPalestinePanamaPapua New
GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint
BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts &
NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint
Vincent & the GrenadinesSamoaSan MarinoSao Tome & PrincipeSaudi
ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch
part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the
South Sandwich IslandsSouth KoreaSouth SudanSpainSri
LankaSudanSurinameSvalbard and Jan
MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad
& TobagoTunisiaTurkeyTurkmenistanTurks and Caicos
IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited
StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands,
BritishWallis and FutunaWestern SaharaYemenZambiaZimbabwe
*
BACKGROUND INFORMATION
--------------------------------------------------------------------------------
* What is your Time Zone?*
What is your Time Zone?HST - Hawaii Standard Time ZonePST - Pacific Standard
Time ZoneMST - Mountain Standard Time ZoneCST - Central Standard Time ZoneEST
- Eastern Standard Time ZoneAST - Alaska Standard Time ZonePNT - Phoenix
Standard Time ZonePRT - Puerto Rico Time ZonePRT - Atlantic Time ZoneAGT -
Argentina Standard Time ZoneBET - Brazil Eastern Time ZoneCAT - Central
African Time ZoneGMT - Greenwich Mean Time ZoneECT - European Central Time
ZoneEET - Eastern European Time ZoneART - Egypt Standard Time ZoneEAT -
Eastern African Time ZoneMET - Middle East Time ZoneNET - Near East Time
ZonePLT - Pakistan Lahore Time ZoneIST - India Standard Time ZoneBST -
Bangladesh Time ZoneVST - Vietnam Standard Time ZoneCTT - China Taiwan Time
ZoneJST - Japan Standard Time ZoneACT - Australia Central Time ZoneAET -
Australia Eastern Time ZoneSST - Solomon Standard Time ZoneNST - New Zealand
Time ZoneMIT - Midway Islands Time ZoneOther
* What are your professional goals?*
What are your professional goals?Open wellness centerExpand current
practiceGain certification and credentialsBroaden scope of practiceMake a
career changeHelp myself/family/friends/communityOther
* Please specify goal:*
* What program are you interested in?*
What program are you interested in?BachelorMasterDoctoratePhDBachelor to
PhDDoctorate to PhDOther
* Please specify program:*
* How did you hear about us?*
How did you hear about us?Friend, Family, or ColleagueCurrent StudentFaculty
MemberConferenceInternet SearchFacebookNaturalHealers.comOther
* Please specify other:*
*
EDUCATION INFORMATION
--------------------------------------------------------------------------------
* What is your highest level education?*
What is your highest level
education?High-School/GEDDiplomaCertificationBachelorMasterDoctoratePhDOther
* Field of Study (Major)*
* Institution (School)*
* (Optional) List Other Education, Field of Study, and Institution
* Are you a licensed healthcare practitioner?*
Are you a licensed healthcare practitioner?YesNo
* Please specify type:*
*
OPTIONAL INFORMATION
--------------------------------------------------------------------------------
* What educational factors are most important to you?
What educational factors are most important to
you?CostFlexibility/ConvenienceSupportDuration of program (time it takes to
complete)Knowledge and Experience of the FacultyOther
* Please specify factor:*
* What interested you most about Quantum University?
* (Optional) Any additional comments:
* *
* Yes, I give my consent to Quantum University to process my data. Read
Privacy Policy
*
*
*
*
*
* Phone
This field is for validation purposes and should be left unchanged.
Notifications
Stay up-to-date on the latest news and events at Quantum University!
SubscribeLater