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webform-submission-webform-834-node-834-add-form" novalidate="novalidate" data-drupal-selector="webform-submission-webform-834-node-834-add-form" action="/admission/request-information" method="post" id="webform-submission-webform-834-node-834-add-form" accept-charset="UTF-8"> <div class="form-item js-form-item form-type-textfield js-form-type-textfield form-item-first-name js-form-item-first-name form-group"> <label for="edit-first-name" class="control-label js-form-required form-required">First Name</label> <input data-drupal-selector="edit-first-name" class="form-text required form-control" type="text" id="edit-first-name" name="first_name" value="" size="60" maxlength="255" required="required" aria-required="true" /> </div> <div class="form-item js-form-item form-type-textfield js-form-type-textfield form-item-mi js-form-item-mi form-group"> <label for="edit-mi" class="control-label">M.I.</label> <input data-drupal-selector="edit-mi" class="form-text form-control" type="text" id="edit-mi" name="mi" value="" size="0" maxlength="255" /> </div> <div class="form-item js-form-item form-type-textfield js-form-type-textfield form-item-last-name js-form-item-last-name form-group"> <label for="edit-last-name" class="control-label js-form-required form-required">Last Name</label> <input data-drupal-selector="edit-last-name" class="form-text required form-control" type="text" id="edit-last-name" name="last_name" value="" size="60" maxlength="255" required="required" aria-required="true" /> </div> <div class="form-item js-form-item form-type-textfield js-form-type-textfield form-item-date-of-birth js-form-item-date-of-birth form-group"> <label for="edit-date-of-birth" class="control-label">Date of Birth</label> <input data-drupal-selector="edit-date-of-birth" class="form-text form-control" type="text" id="edit-date-of-birth" name="date_of_birth" value="" size="0" maxlength="255" /> </div> <div class="form-item js-form-item form-type-textfield js-form-type-textfield form-item-street-address js-form-item-street-address form-group"> <label for="edit-street-address" class="control-label js-form-required form-required">Street Address</label> <input data-drupal-selector="edit-street-address" class="form-text required form-control" type="text" id="edit-street-address" name="street_address" value="" size="60" maxlength="255" required="required" aria-required="true" /> </div> <div class="form-item js-form-item form-type-textfield js-form-type-textfield form-item-city js-form-item-city form-group"> <label for="edit-city" class="control-label js-form-required form-required">City</label> <input data-drupal-selector="edit-city" class="form-text required form-control" type="text" id="edit-city" name="city" value="" size="60" maxlength="255" required="required" aria-required="true" /> </div> <div class="form-item js-form-item form-type-select js-form-type-select form-item-state js-form-item-state form-group"> <label for="edit-state" class="control-label js-form-required form-required">State</label> <div class="select-wrapper"><select data-drupal-selector="edit-state" class="form-select required form-control" id="edit-state" name="state" required="required" aria-required="true"><option value="" selected="selected">- Select -</option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AS">American Samoa</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="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="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="MP">Northern Marianas Islands</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</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></div> </div> <div class="form-item js-form-item form-type-email js-form-type-email form-item-e-mail-address js-form-item-e-mail-address form-group"> <label for="edit-e-mail-address" class="control-label js-form-required form-required">E-mail Address</label> <input data-drupal-selector="edit-e-mail-address" class="form-email required form-control" type="email" id="edit-e-mail-address" name="e_mail_address" value="" size="20" maxlength="254" required="required" aria-required="true" /> </div> <div class="form-item js-form-item form-type-textfield js-form-type-textfield form-item-phone-number js-form-item-phone-number form-group"> <label for="edit-phone-number" class="control-label">Phone Number</label> <input data-drupal-selector="edit-phone-number" class="form-text form-control" type="text" id="edit-phone-number" name="phone_number" value="" size="60" maxlength="255" /> </div> <fieldset data-drupal-selector="edit-please-send-me-information-about-the-following" aria-describedby="edit-please-send-me-information-about-the-following--wrapper--description" class="checkboxes--wrapper fieldgroup form-composite webform-composite-visible-title js-webform-type-checkboxes webform-type-checkboxes js-form-item form-item js-form-wrapper form-wrapper" id="edit-please-send-me-information-about-the-following--wrapper"> <legend> <span class="fieldset-legend">Please send me information about the following:</span> </legend> <div class="fieldset-wrapper"> <div id="edit-please-send-me-information-about-the-following" class="js-webform-checkboxes webform-options-display-one-column form-checkboxes"><div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-please-send-me-information-about-the-following-admissions js-form-item-please-send-me-information-about-the-following-admissions checkbox"> <label for="edit-please-send-me-information-about-the-following-admissions" class="control-label option"><input data-drupal-selector="edit-please-send-me-information-about-the-following-admissions" aria-describedby="edit-please-send-me-information-about-the-following--wrapper--description" class="form-checkbox" type="checkbox" id="edit-please-send-me-information-about-the-following-admissions" name="please_send_me_information_about_the_following[Admissions]" value="Admissions" />Admissions</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-please-send-me-information-about-the-following-adult-students js-form-item-please-send-me-information-about-the-following-adult-students checkbox"> <label for="edit-please-send-me-information-about-the-following-adult-students" class="control-label option"><input data-drupal-selector="edit-please-send-me-information-about-the-following-adult-students" aria-describedby="edit-please-send-me-information-about-the-following--wrapper--description" class="form-checkbox" type="checkbox" id="edit-please-send-me-information-about-the-following-adult-students" name="please_send_me_information_about_the_following[Adult_Students]" value="Adult_Students" />Adult Students</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-please-send-me-information-about-the-following-financial-aid js-form-item-please-send-me-information-about-the-following-financial-aid checkbox"> <label for="edit-please-send-me-information-about-the-following-financial-aid" class="control-label option"><input data-drupal-selector="edit-please-send-me-information-about-the-following-financial-aid" aria-describedby="edit-please-send-me-information-about-the-following--wrapper--description" class="form-checkbox" type="checkbox" id="edit-please-send-me-information-about-the-following-financial-aid" name="please_send_me_information_about_the_following[Financial_Aid]" value="Financial_Aid" />Financial Aid</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-please-send-me-information-about-the-following-dual-enrollment js-form-item-please-send-me-information-about-the-following-dual-enrollment checkbox"> <label for="edit-please-send-me-information-about-the-following-dual-enrollment" class="control-label option"><input data-drupal-selector="edit-please-send-me-information-about-the-following-dual-enrollment" aria-describedby="edit-please-send-me-information-about-the-following--wrapper--description" class="form-checkbox" type="checkbox" id="edit-please-send-me-information-about-the-following-dual-enrollment" name="please_send_me_information_about_the_following[Dual_Enrollment]" value="Dual_Enrollment" />Dual Enrollment</label> </div> </div> <div class="description"><div id="edit-please-send-me-information-about-the-following--wrapper--description" data-drupal-field-elements="description" class="webform-element-description form-group">Check all that apply.</div> </div> </div> </fieldset> <div class="form-item js-form-item form-type-textfield js-form-type-textfield form-item-other-information-requested js-form-item-other-information-requested form-group"> <label for="edit-other-information-requested" class="control-label">Other Information Requested</label> <input data-drupal-selector="edit-other-information-requested" class="form-text form-control" type="text" id="edit-other-information-requested" name="other_information_requested" value="" size="60" maxlength="255" /> </div> <div id="edit-text" class="form-item js-form-item form-type-processed-text js-form-type-processed-text form-item- js-form-item- form-group"> <label for="edit-text" class="control-label">Text</label> <h2>Penn State Degree Programs</h2> <p>Penn State offers more than 275 academic programs, nearly all of which can be started at the York campus.</p> <p>Penn State York also offers programs that can be started and completed at the York campus. Check the appropriate boxes to receive information about those programs of interest.</p> </div> <fieldset data-drupal-selector="edit-penn-state-york-associate-degrees" class="checkboxes--wrapper fieldgroup form-composite webform-composite-visible-title js-webform-type-checkboxes webform-type-checkboxes js-form-item form-item js-form-wrapper form-wrapper" id="edit-penn-state-york-associate-degrees--wrapper"> <legend> <span class="fieldset-legend">Penn State York Associate Degrees</span> </legend> <div class="fieldset-wrapper"> <div id="edit-penn-state-york-associate-degrees" class="js-webform-checkboxes webform-options-display-one-column form-checkboxes"><div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-penn-state-york-associate-degrees-business-administration-2ba js-form-item-penn-state-york-associate-degrees-business-administration-2ba checkbox"> <label for="edit-penn-state-york-associate-degrees-business-administration-2ba" class="control-label option"><input data-drupal-selector="edit-penn-state-york-associate-degrees-business-administration-2ba" class="form-checkbox" type="checkbox" id="edit-penn-state-york-associate-degrees-business-administration-2ba" name="penn_state_york_associate_degrees[Business_Administration_(2BA)]" value="Business_Administration_(2BA)" />Business Administration (2BA)</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-penn-state-york-associate-degrees-electrical-engineering-technology-2eet js-form-item-penn-state-york-associate-degrees-electrical-engineering-technology-2eet checkbox"> <label for="edit-penn-state-york-associate-degrees-electrical-engineering-technology-2eet" class="control-label option"><input data-drupal-selector="edit-penn-state-york-associate-degrees-electrical-engineering-technology-2eet" class="form-checkbox" type="checkbox" id="edit-penn-state-york-associate-degrees-electrical-engineering-technology-2eet" name="penn_state_york_associate_degrees[Electrical_Engineering_Technology_(2EET)]" value="Electrical_Engineering_Technology_(2EET)" />Electrical Engineering Technology (2EET)</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-penn-state-york-associate-degrees-human-development-and-family-studies-2fscc js-form-item-penn-state-york-associate-degrees-human-development-and-family-studies-2fscc checkbox"> <label for="edit-penn-state-york-associate-degrees-human-development-and-family-studies-2fscc" class="control-label option"><input data-drupal-selector="edit-penn-state-york-associate-degrees-human-development-and-family-studies-2fscc" class="form-checkbox" type="checkbox" id="edit-penn-state-york-associate-degrees-human-development-and-family-studies-2fscc" name="penn_state_york_associate_degrees[Human_Development_and_Family_Studies_(2FSCC)]" value="Human_Development_and_Family_Studies_(2FSCC)" />Human Development and Family Studies (2FSCC)</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-penn-state-york-associate-degrees-information-sciences-and-technology-2ist js-form-item-penn-state-york-associate-degrees-information-sciences-and-technology-2ist checkbox"> <label for="edit-penn-state-york-associate-degrees-information-sciences-and-technology-2ist" class="control-label option"><input data-drupal-selector="edit-penn-state-york-associate-degrees-information-sciences-and-technology-2ist" class="form-checkbox" type="checkbox" id="edit-penn-state-york-associate-degrees-information-sciences-and-technology-2ist" name="penn_state_york_associate_degrees[Information_Sciences_and_Technology_(2IST)]" value="Information_Sciences_and_Technology_(2IST)" />Information Sciences and Technology (2IST)</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-penn-state-york-associate-degrees-mechanical-engineering-technology-2met js-form-item-penn-state-york-associate-degrees-mechanical-engineering-technology-2met checkbox"> <label for="edit-penn-state-york-associate-degrees-mechanical-engineering-technology-2met" class="control-label option"><input data-drupal-selector="edit-penn-state-york-associate-degrees-mechanical-engineering-technology-2met" class="form-checkbox" type="checkbox" id="edit-penn-state-york-associate-degrees-mechanical-engineering-technology-2met" name="penn_state_york_associate_degrees[Mechanical_Engineering_Technology_(2MET)]" value="Mechanical_Engineering_Technology_(2MET)" />Mechanical Engineering Technology (2MET)</label> </div> </div> </div> </fieldset> <fieldset data-drupal-selector="edit-penn-state-york-baccalaureate-degrees" class="checkboxes--wrapper fieldgroup form-composite webform-composite-visible-title js-webform-type-checkboxes webform-type-checkboxes js-form-item form-item js-form-wrapper form-wrapper" id="edit-penn-state-york-baccalaureate-degrees--wrapper"> <legend> <span class="fieldset-legend">Penn State York Baccalaureate Degrees</span> </legend> <div class="fieldset-wrapper"> <div id="edit-penn-state-york-baccalaureate-degrees" class="js-webform-checkboxes webform-options-display-one-column form-checkboxes"><div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-penn-state-york-baccalaureate-degrees-biology js-form-item-penn-state-york-baccalaureate-degrees-biology checkbox"> <label for="edit-penn-state-york-baccalaureate-degrees-biology" class="control-label option"><input data-drupal-selector="edit-penn-state-york-baccalaureate-degrees-biology" class="form-checkbox" type="checkbox" id="edit-penn-state-york-baccalaureate-degrees-biology" name="penn_state_york_baccalaureate_degrees[Biology]" value="Biology" />Biology (Bachelor of Science)</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-penn-state-york-baccalaureate-degrees-business-administration js-form-item-penn-state-york-baccalaureate-degrees-business-administration checkbox"> <label for="edit-penn-state-york-baccalaureate-degrees-business-administration" class="control-label option"><input data-drupal-selector="edit-penn-state-york-baccalaureate-degrees-business-administration" class="form-checkbox" type="checkbox" id="edit-penn-state-york-baccalaureate-degrees-business-administration" name="penn_state_york_baccalaureate_degrees[Business_Administration]" value="Business_Administration" />Business Administration (Bachelor of Science)</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-penn-state-york-baccalaureate-degrees-corporate-communication js-form-item-penn-state-york-baccalaureate-degrees-corporate-communication checkbox"> <label for="edit-penn-state-york-baccalaureate-degrees-corporate-communication" class="control-label option"><input data-drupal-selector="edit-penn-state-york-baccalaureate-degrees-corporate-communication" class="form-checkbox" type="checkbox" id="edit-penn-state-york-baccalaureate-degrees-corporate-communication" name="penn_state_york_baccalaureate_degrees[Corporate_Communication]" value="Corporate_Communication" />Corporate Communication (Bachelor of Arts)</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-penn-state-york-baccalaureate-degrees-cybersecurity js-form-item-penn-state-york-baccalaureate-degrees-cybersecurity checkbox"> <label for="edit-penn-state-york-baccalaureate-degrees-cybersecurity" class="control-label option"><input data-drupal-selector="edit-penn-state-york-baccalaureate-degrees-cybersecurity" class="form-checkbox" type="checkbox" id="edit-penn-state-york-baccalaureate-degrees-cybersecurity" name="penn_state_york_baccalaureate_degrees[Cybersecurity]" value="Cybersecurity" />Cybersecurity Analytics and Operations (Bachelor of Science)</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-penn-state-york-baccalaureate-degrees-electro-mechanical-engineering-technology js-form-item-penn-state-york-baccalaureate-degrees-electro-mechanical-engineering-technology checkbox"> <label for="edit-penn-state-york-baccalaureate-degrees-electro-mechanical-engineering-technology" class="control-label option"><input data-drupal-selector="edit-penn-state-york-baccalaureate-degrees-electro-mechanical-engineering-technology" class="form-checkbox" type="checkbox" id="edit-penn-state-york-baccalaureate-degrees-electro-mechanical-engineering-technology" name="penn_state_york_baccalaureate_degrees[Electro-Mechanical_Engineering_Technology]" value="Electro-Mechanical_Engineering_Technology" />Electro-Mechanical Engineering Technology (Bachelor of Science)</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-penn-state-york-baccalaureate-degrees-english js-form-item-penn-state-york-baccalaureate-degrees-english checkbox"> <label for="edit-penn-state-york-baccalaureate-degrees-english" class="control-label option"><input data-drupal-selector="edit-penn-state-york-baccalaureate-degrees-english" class="form-checkbox" type="checkbox" id="edit-penn-state-york-baccalaureate-degrees-english" name="penn_state_york_baccalaureate_degrees[English]" value="English" />English (Bachelor of Arts)</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-penn-state-york-baccalaureate-degrees-human-development-and-family-studies js-form-item-penn-state-york-baccalaureate-degrees-human-development-and-family-studies checkbox"> <label for="edit-penn-state-york-baccalaureate-degrees-human-development-and-family-studies" class="control-label option"><input data-drupal-selector="edit-penn-state-york-baccalaureate-degrees-human-development-and-family-studies" class="form-checkbox" type="checkbox" id="edit-penn-state-york-baccalaureate-degrees-human-development-and-family-studies" name="penn_state_york_baccalaureate_degrees[Human_Development_and_Family_Studies]" value="Human_Development_and_Family_Studies" />Human Development and Family Studies (Bachelor of Science)</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-penn-state-york-baccalaureate-degrees-information-technology js-form-item-penn-state-york-baccalaureate-degrees-information-technology checkbox"> <label for="edit-penn-state-york-baccalaureate-degrees-information-technology" class="control-label option"><input data-drupal-selector="edit-penn-state-york-baccalaureate-degrees-information-technology" class="form-checkbox" type="checkbox" id="edit-penn-state-york-baccalaureate-degrees-information-technology" name="penn_state_york_baccalaureate_degrees[Information_Technology]" value="Information_Technology" />Information Technology (Bachelor of Science)</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-penn-state-york-baccalaureate-degrees-project-and-supply-chain-management js-form-item-penn-state-york-baccalaureate-degrees-project-and-supply-chain-management checkbox"> <label for="edit-penn-state-york-baccalaureate-degrees-project-and-supply-chain-management" class="control-label option"><input data-drupal-selector="edit-penn-state-york-baccalaureate-degrees-project-and-supply-chain-management" class="form-checkbox" type="checkbox" id="edit-penn-state-york-baccalaureate-degrees-project-and-supply-chain-management" name="penn_state_york_baccalaureate_degrees[Project_and_Supply_Chain_Management]" value="Project_and_Supply_Chain_Management" />Project and Supply Chain Management (Bachelor of Science)</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-penn-state-york-baccalaureate-degrees-psychology-bachelor-of-arts js-form-item-penn-state-york-baccalaureate-degrees-psychology-bachelor-of-arts checkbox"> <label for="edit-penn-state-york-baccalaureate-degrees-psychology-bachelor-of-arts" class="control-label option"><input data-drupal-selector="edit-penn-state-york-baccalaureate-degrees-psychology-bachelor-of-arts" class="form-checkbox" type="checkbox" id="edit-penn-state-york-baccalaureate-degrees-psychology-bachelor-of-arts" name="penn_state_york_baccalaureate_degrees[Psychology_Bachelor of Arts]" value="Psychology_Bachelor of Arts" />Psychology (Bachelor of Arts)</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-penn-state-york-baccalaureate-degrees-psychology-bachelor-of-science js-form-item-penn-state-york-baccalaureate-degrees-psychology-bachelor-of-science checkbox"> <label for="edit-penn-state-york-baccalaureate-degrees-psychology-bachelor-of-science" class="control-label option"><input data-drupal-selector="edit-penn-state-york-baccalaureate-degrees-psychology-bachelor-of-science" class="form-checkbox" type="checkbox" id="edit-penn-state-york-baccalaureate-degrees-psychology-bachelor-of-science" name="penn_state_york_baccalaureate_degrees[Psychology_Bachelor of Science]" value="Psychology_Bachelor of Science" />Psychology (Bachelor of Science)</label> </div> <div class="form-item js-form-item form-type-checkbox js-form-type-checkbox form-item-penn-state-york-baccalaureate-degrees-science js-form-item-penn-state-york-baccalaureate-degrees-science checkbox"> <label for="edit-penn-state-york-baccalaureate-degrees-science" class="control-label option"><input data-drupal-selector="edit-penn-state-york-baccalaureate-degrees-science" class="form-checkbox" type="checkbox" id="edit-penn-state-york-baccalaureate-degrees-science" name="penn_state_york_baccalaureate_degrees[Science]" value="Science" />Science (Bachelor of Science)</label> </div> </div> </div> </fieldset> <div 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