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Request Information - Undergraduate Admissions
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class="l-name-cta__sitename-top">Undergraduate Admissions</div> <div class="l-name-cta__sitename-sub"></div> </a> </div> <!--END Sitename Box--> <!--BEGIN CTA--> <div id="action_box" class="l-name-cta__cta uab-visible@m uab-width-expand uab-flex uab-flex-right"> <div id="action_1" class="uab-flex uab-flex-middle"> <a class="uab-button uab-button-primary" href="/admissions/apply" target="_self">Apply Now</a> </div> <div id="action_2" class="uab-flex uab-flex-middle"> <a class="uab-button uab-button-primary" href="/admissions/request-info" target="_self">Request Info</a> </div> <div id="action_3" class="uab-flex uab-flex-middle"> <a class="uab-button uab-button-primary" href="/admissions/contact" target="_self">Contact Us</a> </div> <div id="action_4" class="uab-flex uab-flex-middle"> <a class="uab-button uab-button-primary" href="/admissions/apply/admitted" target="_self">Admitted</a> </div> </div> <!--END CTA--> <div class="l-name-cta__mobile-trigger uab-hidden@m uab-flex uab-flex-middle uab-flex-right uab-flex-1"> <a href="#uab-canvas" uab-toggle aria-label="Open main menu"> <i style="color: #fff; font-size: 1.6em;" class="fas fa-bars" aria-hidden="true"></i></a> </div> </div> <!--BEGIN Name CTA Primary Wrapper--> </div> <!--END Name CTA --> <!--BEGIN Main Nav --> <div id="main_nav" class="l-upper-grid__main-nav" uab-sticky='show-on-up: true; animation:uab-animation-slide-top'> <div id="mod-custom155" class="mod-custom custom"> <div class="uab-visible@m mega-menu u-max-width--1140"><nav class="uab-navbar-container" uab-navbar="" aria-label="Main"> <div class="uab-navbar-center"> <ul class="uab-navbar-nav"> <li><a href="#" class="u-icon--arrow-down">Apply</a> <div class="uab-navbar-dropdown uab-navbar-dropdown-width-4"> <div style="display: flex; flex-grow: 1;"> <div style="display: flex; flex-wrap: wrap; flex-basis: calc(75% - 15px);"> <div class="menu-three-across"><!-- START: Modules Anywhere --><ul class="uab-nav uab-navbar-dropdown-nav mod-menu mod-list nav "> <li class="nav-item item-904 deeper parent"><a href="/admissions/apply/freshman" class="uab-nav-header">Freshman Applicants </a><ul class=""><li class="nav-item item-905"><a href="/admissions/apply/freshman/how-to-apply" >How to Apply </a></li><li class="nav-item item-969"><a href="https://ssb.it.uab.edu/pls/sctprod/zsapk003_ug_web_appl.ck_status" target="_blank" rel="noopener noreferrer">Check Your Application Status</a></li><li class="nav-item item-968"><a href="/admissions/apply/credit-equivalencies" >IB/AP/CLEP College Credit</a></li></ul></li></ul> <!-- END: Modules Anywhere --></div> <div class="menu-three-across"><!-- START: Modules Anywhere --><ul class="uab-nav uab-navbar-dropdown-nav mod-menu mod-list nav "> <li class="nav-item item-937 deeper parent"><a href="/admissions/apply/transfer" class=" uab-nav-header">Transfer Applicants</a><ul class=""><li class="nav-item item-938"><a href="/admissions/apply/transfer/how-to-apply" >How to Apply</a></li><li class="nav-item item-942"><a href="https://ssb.it.uab.edu/pls/sctprod/zsapk003_ug_web_appl.ck_status" target="_blank" rel="noopener noreferrer">Check Your Application Status</a></li><li class="nav-item item-941"><a href="/admissions/apply/transfer/transfer-credit-equivalencies" >Transfer Credit Equivalencies</a></li><li class="nav-item item-1057"><a href="/admissions/apply/transfer/transfer-credit-equivalencies-database" >Transfer Credit Equivalencies Database </a></li><li class="nav-item item-944"><a href="/admissions/apply/transfer/faq" >Frequently Asked Questions</a></li></ul></li></ul> <!-- END: Modules Anywhere --></div> <div class="menu-three-across"><!-- START: Modules Anywhere --><ul class="uab-nav uab-navbar-dropdown-nav mod-menu mod-list nav "> <li class="nav-item item-818 deeper parent"><span class="nav-header uab-nav-header" id=horizontal-nav-other>Other Applicants</span> <ul class=""><li class="nav-item item-819"><a href="/admissions/apply/international" >International</a></li><li class="nav-item item-1320"><a href="https://www.uab.edu/online/admissions" >UAB Online</a></li><li class="nav-item item-820"><a href="/admissions/apply/non-degree-seeking" >Non-Degree Seeking</a></li><li class="nav-item item-821"><a href="/admissions/apply/returning-uab-student" >Returning UAB Students</a></li><li class="nav-item item-823"><a href="/admissions/apply/second-bachelors" >Second Bachelor's</a></li><li class="nav-item item-822"><a href="/admissions/apply/adult-learner" >Non-Traditional Freshman</a></li><li class="nav-item item-824"><a href="/admissions/apply/high-school-programs" >High School Programs</a></li></ul></li></ul> <!-- END: Modules Anywhere --></div> <div class="uab-padding-small uab-flex uab-flex-around" style="border-top: 1px solid #80bc00; flex-basis: 100%;"> <div><a href="https://ssb.it.uab.edu/pls/sctprod/zsapk003_ug_web_appl.ck_status" target="_blank" rel="noopener" class="uab-button uab-button-primary uab-button-small">Check Application Status</a></div> <div><a href="/admissions/contact/admissions-counselors" class="uab-button uab-button-primary uab-button-small">Find your Admissions Counselor</a></div> </div> </div> <div class="menu-four-across"><!-- START: Modules Anywhere --><ul class="uab-nav uab-navbar-dropdown-nav mod-menu mod-list nav "> <li class="nav-item item-825 deeper parent"><a href="/admissions/apply/admitted" class=" uab-nav-header">Admitted Students</a><ul class=""><li class="nav-item item-826"><a href="/admissions/apply/admitted/freshman-enrollment-checklist" >Freshman</a></li><li class="nav-item item-827"><a href="/admissions/apply/admitted/transfer" >Transfer & Non-Traditional Freshman</a></li><li class="nav-item item-828"><a href="/admissions/apply/admitted/non-degree-seeking" >Non-Degree Seeking</a></li><li class="nav-item item-1139"><a href="/admissions/apply/admitted/returning-uab-student" >Returning UAB Student</a></li><li class="nav-item item-1140"><a href="/admissions/apply/admitted/second-bachelors" >Second Bachelor's</a></li><li class="nav-item item-829"><a href="/admissions/apply/admitted/online-student-checklist" >Online</a></li><li class="nav-item item-1025"><a href="/admissions/apply/admitted/non-degree-seeking" >High School Programs</a></li><li class="nav-item item-830"><a href="/admissions/apply/admitted/spring-admits-checklist" >Spring Admits</a></li></ul></li></ul> <!-- END: Modules Anywhere --></div> </div> </div> </li> <li><a href="#" class="u-icon--arrow-down">Visit</a> <div class="uab-navbar-dropdown uab-navbar-dropdown-width-3"> <div style="display: flex;"> <div class="menu-two-across"><!-- START: Modules Anywhere --><ul class="uab-nav uab-navbar-dropdown-nav mod-menu mod-list nav "> <li class="nav-item item-1117 deeper parent"><span class="nav-header uab-nav-header" id=nav-on-campus-visits>Campus Visits</span> <ul class=""><li class="nav-item item-1119"><a href="/admissions/visit/campus-tours" >Campus Tours</a></li><li class="nav-item item-1118"><a href="/admissions/visit/information-sessions" >Information Sessions</a></li><li class="nav-item item-1257"><a href="/admissions/visit/preview-days" >Preview Days</a></li><li class="nav-item item-1427"><a href="https://events.uab.edu/en/6g1Y8if7/g/4E2EGNtPZR?search=&sortBy=date&category=&date=TODAY&keywords=" target="_blank" rel="noopener noreferrer">Upcoming Events</a></li><li class="nav-item item-1126"><a href="https://sites.uab.edu/campustours/self-guided-audio-tours/" target="_blank" rel="noopener noreferrer">Self-Guided Tour</a></li><li class="nav-item item-1121"><a href="https://sites.uab.edu/campustours/" target="_blank" rel="noopener noreferrer">Virtual Campus Tour</a></li></ul></li></ul> <!-- END: Modules Anywhere --></div> <div class="menu-two-across"><!-- START: Modules Anywhere --><ul class="uab-nav uab-navbar-dropdown-nav mod-menu mod-list nav "> <li class="nav-item item-692 deeper parent"><span class="nav-header uab-nav-header" id=plan-your-visit>Plan Your Visit</span> <ul class=""><li class="nav-item item-695"><a href="/admissions/visit/plan-your-visit/directions-parking" >Directions & Visitor Parking</a></li><li class="nav-item item-715"><a href="/admissions/visit/plan-your-visit/accommodations" >Accommodations</a></li><li class="nav-item item-713"><a href="/admissions/visit/plan-your-visit/faq" >Frequently Asked Questions</a></li><li class="nav-item item-693"><a href="/admissions/visit/meet-our-trailblazers" >Meet Our TrailBlazers</a></li><li class="nav-item item-714"><a href="/admissions/visit/contact-us" >Contact Us</a></li></ul></li></ul> <!-- END: Modules Anywhere --></div> </div> </div> </li> <li><a href="#" class="u-icon--arrow-down">Cost & Scholarships</a> <div class="uab-navbar-dropdown uab-navbar-dropdown-width-2"> <div style="display: flex;"> <div class="menu-two-across"><!-- START: Modules Anywhere --><ul class="uab-nav uab-navbar-dropdown-nav mod-menu mod-list nav "> <li class="nav-item item-1030 deeper parent"><a href="/cost-aid" class=" uab-nav-header">Cost & Aid</a><ul class=""><li class="nav-item item-1049"><a href="/admissions/cost/estimated-costs" >Estimated Costs</a></li><li class="nav-item item-1031"><a href="/cost-aid/how-to-apply/steps-to-apply-for-aid" >How to Apply</a></li><li class="nav-item item-1032"><a href="/cost-aid/types-of-aid" >Types of Aid</a></li><li class="nav-item item-1033"><a href="/cost-aid/resources" >Resources</a></li></ul></li></ul> <!-- END: Modules Anywhere --></div> <div class="menu-two-across"><!-- START: Modules Anywhere --><ul class="uab-nav uab-navbar-dropdown-nav mod-menu mod-list nav "> <li class="nav-item item-805 deeper parent"><a href="/admissions/cost/scholarships" class=" uab-nav-header">Scholarships</a><ul class=""><li class="nav-item item-806"><a href="/admissions/cost/scholarships/in-state-students" >In-State Students </a></li><li class="nav-item item-807"><a href="/admissions/cost/scholarships/out-of-state-students" >Out-of-State Students</a></li><li class="nav-item item-808"><a href="/admissions/cost/scholarships/transfer-students" >Transfer Students</a></li><li class="nav-item item-810"><a href="/admissions/cost/scholarships/international-students" >International Students</a></li></ul></li></ul> <!-- END: Modules Anywhere --></div> </div> </div> </li> <li><a href="/admissions/academics">Academics</a></li> <li><a href="/admissions/student-life">Student Life</a></li> <li><a href="/admissions/why-uab">Why UAB</a></li> </ul> </div> </nav></div></div> </div> <!--END Main Nav --> <!--BEGIN Main Grid--> <div class="uab-grid-collapse wrapper l-main-grid uab-margin-bottom l-main-grid--full" uab-grid> <!--BEGIN Main Primary Wrapper --> <main id="main" class="l-main-grid__primary-wrapper uab-width-1-1 uab-width-3-4@m uab-margin-top"> <!--BEGIN Component --> <article id="component" class="l-main-grid__component "> <div class="com-content-article item-page" itemscope itemtype="https://schema.org/Article"> <meta itemprop="inLanguage" content="en-GB"> <div itemprop="articleBody" class="com-content-article__body"> <style type="text/css"> .wFormContainer .wForm form { padding: 0 !important; } </style> <div style="max-width: 980px;" class="uab-text-center uab-margin-auto"> <h1 class="uab-margin-remove uab-text-center u-color--uab-green uab-text-uppercase u-font--proxima uab-text-small" style="letter-spacing: 2px; font-weight: 500;">Learn more about UAB</h1> <h2 class="uab-h1 uab-margin-remove uab-text-center u-heading-underline--campus-green" style="text-transform: inherit;">Request Information</h2> <p style="max-width: 800px; margin: 30px auto 0;">By completing this form, you're letting us know you are interested in becoming a Blazer. When we know you're interested, we make sure you get extra attention. You'll be the among the first to know the latest information about events and visit opportunities, admissions, scholarships, academics, and more. If we extend a deadline, you'll know. If we add a new major or increase a scholarship amount, you get the message. You get the advantages of letting us know you're interested. We are very smart here at UAB, but we can not yet read minds.</p> </div> <div> <!-- START: Modules Anywhere --> <div class="uab-form-assembly__form-settings" style="display:none;"> <span style="display:block">Form Settings:</span> <ul> <li>formid: 397</li> <li>source: tfa_179=Web%20Form%20-%20Choose</li> <li>campaign: tfa_1527</li> <li>campaignSource: tfa_1526</li> <li>addFields: tfa_459=tfa_475</li> </ul> </div><div data-uab-form-assembly><!-- FORM: HEAD SECTION --> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <meta name="referrer" content="no-referrer-when-downgrade"> <!-- THIS SCRIPT NEEDS TO BE LOADED FIRST BEFORE wforms.js --> <script type="text/javascript" data-for="FA__DOMContentLoadedEventDispatch" src="https://forms.uab.edu/js/FA__DOMContentLoadedEventDispatcher.js" defer></script> <script type="text/javascript"> document.addEventListener("FA__DOMContentLoaded", function(){ const FORM_TIME_START = Math.floor((new Date).getTime()/1000); let formElement 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class="">WV</option> <option value="tfa_1984" id="tfa_1984" class="">WY</option></select></div></div> <div class="oneField field-container-D labelsRemoved " id="tfa_283-D"><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_283" name="tfa_283" value="" placeholder="City" title="City" class="required"></div></div> <div class="oneField field-container-D labelsRemoved " id="tfa_284-D"><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_284" name="tfa_284" value="" placeholder="Zip Code" title="Zip" class="required"></div></div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1529-D"> <label id="tfa_1529-L" class="label preField " for="tfa_1529">County</label><br><div class="inputWrapper"><input type="text" id="tfa_1529" name="tfa_1529" value="" title="County" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1530-D"> <label id="tfa_1530-L" class="label preField " for="tfa_1530">Country</label><br><div class="inputWrapper"><input type="text" id="tfa_1530" name="tfa_1530" value="" title="Country" class=""></div> </div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_733-D" role="radiogroup" aria-labelledby="tfa_733-L" data-tfa-labelledby="-L tfa_733-L"> <label id="tfa_733-L" class="label preField " data-tfa-check-label-for="tfa_733">Would you like to provide parent or family contact information?</label><br><div class="inputWrapper"><table id="tfa_733" class="choices columns2 " data-condition="NOT (`#tfa_1600`) OR NOT (`#tfa_1723`) OR NOT (`#tfa_1724`) OR NOT (`#tfa_461`) OR NOT (`#tfa_465`) OR NOT (`#tfa_1782`) OR NOT (`#tfa_1823`)"><tr> <td><span class="oneChoice"><input type="radio" value="tfa_734" class="" id="tfa_734" name="tfa_733" data-conditionals="#tfa_1508" aria-labelledby="tfa_734-L" data-tfa-labelledby="tfa_733-L tfa_734-L" data-tfa-parent-id="tfa_733"><label class="label postField" id="tfa_734-L" for="tfa_734"><span class="input-radio-faux"></span>Yes</label></span></td> <td><span class="oneChoice"><input type="radio" value="tfa_735" class="" id="tfa_735" name="tfa_733" aria-labelledby="tfa_735-L" data-tfa-labelledby="tfa_733-L tfa_735-L" data-tfa-parent-id="tfa_733"><label class="label postField" id="tfa_735-L" for="tfa_735"><span class="input-radio-faux"></span>No</label></span></td> </tr></table></div> </div> </fieldset> <fieldset id="tfa_736" class="section inline highlighted" data-condition="`#tfa_1744` OR `#tfa_1819` OR `#tfa_1840`"> <legend id="tfa_736-L">Counselor Contact Information</legend> <div class="oneField field-container-D " id="tfa_737-D"> <label id="tfa_737-L" class="label preField reqMark" for="tfa_737">First Name</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_737" name="tfa_737" value="" title="First Name" class="validate-alphanum required"></div> </div> <div class="oneField field-container-D " id="tfa_738-D"> <label id="tfa_738-L" class="label preField reqMark" for="tfa_738">Last Name</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_738" name="tfa_738" value="" title="Last Name" class="validate-alphanum required"></div> </div> <div class="oneField field-container-D " id="tfa_739-D"> <label id="tfa_739-L" class="label preField reqMark" for="tfa_739">Email</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_739" name="tfa_739" value="" title="Email" class="validate-email required"></div> </div> <div class="oneField field-container-D " id="tfa_740-D"> <label id="tfa_740-L" class="label preField " for="tfa_740">Mobile Phone</label><br><div class="inputWrapper"><input type="text" id="tfa_740" name="tfa_740" value="" autoformat="(###) ###-####" title="Mobile Phone" class=""></div> </div> <div class="oneField field-container-D " id="tfa_741-D"> <label id="tfa_741-L" class="label preField " for="tfa_741">Street Address</label><br><div class="inputWrapper"><input type="text" id="tfa_741" name="tfa_741" value="" title="Street Address" class=""></div> </div> <div id="tfa_744" class="section inline group"> <div class="oneField field-container-D " id="tfa_742-D"> <label id="tfa_742-L" class="label preField " for="tfa_742">City</label><br><div class="inputWrapper"><input type="text" id="tfa_742" name="tfa_742" value="" title="City" class=""></div> </div> <div class="oneField field-container-D " id="tfa_743-D"> <label id="tfa_743-L" class="label preField " for="tfa_743">State</label><br><div class="inputWrapper"><input type="text" id="tfa_743" name="tfa_743" value="" maxlength="2" title="State" class="validate-alphanum"></div> </div> <div class="oneField field-container-D " id="tfa_745-D"> <label id="tfa_745-L" class="label preField " for="tfa_745">Zip</label><br><div class="inputWrapper"><input type="text" id="tfa_745" name="tfa_745" value="" maxlength="5" title="Zip" class="validate-integer"></div> </div> </div> <div class="oneField field-container-D " id="tfa_1999-D"> <label id="tfa_1999-L" class="label preField " for="tfa_1999">Current High School</label><br><div class="inputWrapper"> <input type="text" id="tfa_1999" name="tfa_1999" value="" title="Current High School" data-dataset-allow-free-responses="0" data-dataset-clear-cache="0" autocomplete="off" data-dataset-parameters="tfa_1999" data-dataset-timestamp="1724686808" data-dataset-id="2af72ec2-7f9a-4c9d-aef2-9fcb784bd14a" data-dataset-map="b=tfa_1714," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1714-D"> <label id="tfa_1714-L" class="label preField " for="tfa_1714">HS ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1714" name="tfa_1714" value="" title="HS ID" class=""></div> </div> </fieldset> <fieldset id="tfa_1508" class="repeat section inline highlighted" data-condition="`#tfa_734` OR `#tfa_1746` OR `#tfa_1821` OR `#tfa_1842`"> <legend id="tfa_1508-L">Parent/Family Information</legend> <div id="tfa_1511" class="section inline group"> <div class="oneField field-container-D " id="tfa_1509-D"> <label id="tfa_1509-L" class="label preField reqMark" for="tfa_1509">Parent First Name</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1509" name="tfa_1509" value="" title="Parent First Name" class="validate-alphanum required"></div> </div> <div class="oneField field-container-D " id="tfa_1510-D"> <label id="tfa_1510-L" class="label preField reqMark" for="tfa_1510">Parent Last Name</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1510" name="tfa_1510" value="" title="Parent Last Name" class="validate-alphanum required"></div> </div> </div> <div id="tfa_1514" class="section inline group"> <div class="oneField field-container-D " id="tfa_1512-D"> <label id="tfa_1512-L" class="label preField reqMark" for="tfa_1512">Parent Email</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1512" name="tfa_1512" value="" title="Parent Email" class="validate-email required"></div> </div> <div class="oneField field-container-D " id="tfa_1513-D"> <label id="tfa_1513-L" class="label preField " for="tfa_1513">Parent Mobile Phone</label><br><div class="inputWrapper"><input type="text" id="tfa_1513" name="tfa_1513" value="" autoformat="(###) ###-####" title="Parent Mobile Phone" class=""></div> </div> </div> <div class="oneField field-container-D " id="tfa_1515-D"> <label id="tfa_1515-L" class="label preField reqMark" for="tfa_1515">Relationship to Student</label><br><div class="inputWrapper"><select aria-required="true" id="tfa_1515" name="tfa_1515" title="Relationship to Student" class="required"><option value="">Please select...</option> <option value="tfa_1516" id="tfa_1516" class="">Mother</option> <option value="tfa_1517" id="tfa_1517" class="">Father</option> <option value="tfa_1518" id="tfa_1518" class="">Guardian</option></select></div> </div> </fieldset> <fieldset id="tfa_1578" class="section inline highlighted" data-condition="`#tfa_729` OR `#tfa_730` OR `#tfa_1746` OR `#tfa_1741` OR `#tfa_1739` OR `#tfa_1821` OR `#tfa_1816` OR `#tfa_1814` OR `#tfa_1742` OR `#tfa_1817` OR `#tfa_1842` OR `#tfa_1837` OR `#tfa_1835` OR `#tfa_1838`"> <legend id="tfa_1578-L">Education History</legend> <div class="oneField field-container-D " id="tfa_1579-D"> <label id="tfa_1579-L" class="label preField reqMark" for="tfa_1579">Current High School</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1579" name="tfa_1579" value="" data-condition="`#tfa_1742` OR `#tfa_729` OR `#tfa_1817` OR `#tfa_1838`" title="Current High School" data-dataset-allow-free-responses="0" data-dataset-clear-cache="" autocomplete="off" data-dataset-parameters="tfa_1579" data-dataset-timestamp="1628112431" data-dataset-id="439c7c62-f29d-4043-bb3f-826380256b5e" data-dataset-map="b=tfa_1520," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <fieldset id="tfa_1534" class="section wf-acl-hidden"> <legend id="tfa_1534-L">High School</legend> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1519-D"> <label id="tfa_1519-L" class="label preField " for="tfa_1519">ACCOUNT_NAME</label><br><div class="inputWrapper"><input type="text" id="tfa_1519" name="tfa_1519" value="" title="ACCOUNT_NAME" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1520-D"> <label id="tfa_1520-L" class="label preField " for="tfa_1520">ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1520" name="tfa_1520" value="" title="ID" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1521-D"> <label id="tfa_1521-L" class="label preField " for="tfa_1521">CEB</label><br><div class="inputWrapper"><input type="text" id="tfa_1521" name="tfa_1521" value="" title="CEB" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1522-D"> <label id="tfa_1522-L" class="label preField " for="tfa_1522">TYPE</label><br><div class="inputWrapper"><input type="text" id="tfa_1522" name="tfa_1522" value="" title="TYPE" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1523-D"> <label id="tfa_1523-L" class="label preField " for="tfa_1523">SUB_TYPE</label><br><div class="inputWrapper"><input type="text" id="tfa_1523" name="tfa_1523" value="" title="SUB_TYPE" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1524-D"> <label id="tfa_1524-L" class="label preField " for="tfa_1524">CITY</label><br><div class="inputWrapper"><input type="text" id="tfa_1524" name="tfa_1524" value="" title="CITY" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1525-D"> <label id="tfa_1525-L" class="label preField " for="tfa_1525">STATE</label><br><div class="inputWrapper"><input type="text" id="tfa_1525" name="tfa_1525" value="" title="STATE" class=""></div> </div> </fieldset> <div class="oneField field-container-D labelsAbove hintsBelow " id="tfa_250-D"> <label id="tfa_250-L" class="label preField reqMark" for="tfa_250">High School Graduation Year</label><br><div class="inputWrapper"><select aria-required="true" id="tfa_250" name="tfa_250" data-condition="`#tfa_729` OR `#tfa_1745` OR `#tfa_1820` OR `#tfa_1742` OR `#tfa_1817` OR `#tfa_1841` OR `#tfa_1838`" title="High School Graduation Year" class="required"><option value="">Please select...</option> <option value="tfa_1725" id="tfa_1725" class="">2024</option> <option value="tfa_1726" id="tfa_1726" class="">2025</option> <option value="tfa_1844" id="tfa_1844" class="">2026</option> <option value="tfa_1845" id="tfa_1845" class="">2027</option></select></div> </div> <div class="oneField field-container-D " id="tfa_1707-D"> <label id="tfa_1707-L" class="label preField reqMark" for="tfa_1707">Last High School or College Attended</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1707" name="tfa_1707" value="" data-condition="`#tfa_1745` OR `#tfa_1739` OR `#tfa_1820` OR `#tfa_1814` OR `#tfa_1841` OR `#tfa_1835`" title="Last High School or College Attended" data-dataset-allow-free-responses="0" data-dataset-clear-cache="0" autocomplete="off" data-dataset-parameters="tfa_1707" data-dataset-timestamp="1729888321" data-dataset-id="722d61ae-279b-4d10-8d57-3b5d607f41a9" data-dataset-map="b=tfa_1708," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <fieldset id="tfa_1543" class="section wf-acl-hidden"> <legend id="tfa_1543-L">Last High School or College Attended</legend> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1708-D"> <label id="tfa_1708-L" class="label preField " for="tfa_1708">HS COLLEGE ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1708" name="tfa_1708" value="" title="HS COLLEGE ID" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1544-D"> <label id="tfa_1544-L" class="label preField " for="tfa_1544">ACCOUNT_NAME</label><br><div class="inputWrapper"><input type="text" id="tfa_1544" name="tfa_1544" value="" title="ACCOUNT_NAME" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1546-D"> <label id="tfa_1546-L" class="label preField " for="tfa_1546">CEB</label><br><div class="inputWrapper"><input type="text" id="tfa_1546" name="tfa_1546" value="" title="CEB" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1547-D"> <label id="tfa_1547-L" class="label preField " for="tfa_1547">TYPE</label><br><div class="inputWrapper"><input type="text" id="tfa_1547" name="tfa_1547" value="" title="TYPE" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1548-D"> <label id="tfa_1548-L" class="label preField " for="tfa_1548">SUB_TYPE</label><br><div class="inputWrapper"><input type="text" id="tfa_1548" name="tfa_1548" value="" title="SUB_TYPE" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1549-D"> <label id="tfa_1549-L" class="label preField " for="tfa_1549">CITY</label><br><div class="inputWrapper"><input type="text" id="tfa_1549" name="tfa_1549" value="" title="CITY" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1550-D"> <label id="tfa_1550-L" class="label preField " for="tfa_1550">STATE</label><br><div class="inputWrapper"><input type="text" id="tfa_1550" name="tfa_1550" value="" title="STATE" class=""></div> </div> </fieldset> <div class="oneField field-container-D " id="tfa_1710-D"> <label id="tfa_1710-L" class="label preField reqMark" for="tfa_1710">Most recently attended college or university:</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1710" name="tfa_1710" value="" data-condition="`#tfa_730` OR `#tfa_1741` OR `#tfa_1816` OR `#tfa_1837`" title="Most recently attended college or university:" data-dataset-allow-free-responses="0" data-dataset-clear-cache="0" autocomplete="off" data-dataset-parameters="tfa_1710" data-dataset-timestamp="1729885458" data-dataset-id="6b5dd41c-da6a-4f75-bd03-308f5321ddaa" data-dataset-map="b=tfa_1709," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <fieldset id="tfa_1559" class="section wf-acl-hidden"> <legend id="tfa_1559-L">Most recently attended college or university</legend> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1709-D"> <label id="tfa_1709-L" class="label preField " for="tfa_1709">COLLEGE UNI ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1709" name="tfa_1709" value="" title="COLLEGE UNI ID" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1560-D"> <label id="tfa_1560-L" class="label preField " for="tfa_1560">ACCOUNT_NAME</label><br><div class="inputWrapper"><input type="text" id="tfa_1560" name="tfa_1560" value="" title="ACCOUNT_NAME" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1562-D"> <label id="tfa_1562-L" class="label preField " for="tfa_1562">CEB</label><br><div class="inputWrapper"><input type="text" id="tfa_1562" name="tfa_1562" value="" title="CEB" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1563-D"> <label id="tfa_1563-L" class="label preField " for="tfa_1563">TYPE</label><br><div class="inputWrapper"><input type="text" id="tfa_1563" name="tfa_1563" value="" title="TYPE" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1564-D"> <label id="tfa_1564-L" class="label preField " for="tfa_1564">SUB_TYPE</label><br><div class="inputWrapper"><input type="text" id="tfa_1564" name="tfa_1564" value="" title="SUB_TYPE" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1565-D"> <label id="tfa_1565-L" class="label preField " for="tfa_1565">CITY</label><br><div class="inputWrapper"><input type="text" id="tfa_1565" name="tfa_1565" value="" title="CITY" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1566-D"> <label id="tfa_1566-L" class="label preField " for="tfa_1566">STATE</label><br><div class="inputWrapper"><input type="text" id="tfa_1566" name="tfa_1566" value="" title="STATE" class=""></div> </div> </fieldset> </fieldset> <fieldset id="tfa_1598" class="section inline highlighted" data-condition="`#tfa_729` OR `#tfa_730` OR `#tfa_1742` OR `#tfa_1741` OR `#tfa_1739` OR `#tfa_1747` OR `#tfa_1745` OR `#tfa_1740` OR `#tfa_1817` OR `#tfa_1816` OR `#tfa_1814` OR `#tfa_1822` OR `#tfa_1820` OR `#tfa_1838` OR `#tfa_1837` OR `#tfa_1835` OR `#tfa_1843` OR `#tfa_1841` OR `#tfa_1823`"> <legend id="tfa_1598-L">Major Information</legend> <div id="tfa_1607" class="section inline group" data-condition="NOT (`#tfa_1740`) AND (`#tfa_475` OR `#tfa_1600` OR `#tfa_1724` OR `#tfa_1782` OR `#tfa_1802`) AND NOT (`#tfa_1836`)"> <div class="oneField field-container-D " id="tfa_1582-D"> <label id="tfa_1582-L" class="label preField reqMark" for="tfa_1582">Anticipated Major</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1582" name="tfa_1582" value="" data-condition="NOT (`#tfa_1736`)" title="Anticipated Major" data-dataset-allow-free-responses="0" data-dataset-clear-cache="0" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1666884329" data-dataset-id="9b261a51-4cac-4937-8e2f-fef0730541e2" data-dataset-map="b=tfa_1706,c=tfa_1715," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="calc-Major required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D " id="tfa_1609-D"> <label id="tfa_1609-L" class="label preField reqMark" for="tfa_1609">Anticipated Start Term</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1609" name="tfa_1609" value="" title="Anticipated Start Term" data-dataset-allow-free-responses="0" data-dataset-clear-cache="" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1629150087" data-dataset-id="b6a90ff8-b3ab-435e-93d0-e2889fbc08b7" data-dataset-map="b=tfa_1677," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1706-D"> <label id="tfa_1706-L" class="label preField " for="tfa_1706">Default Major Account ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1706" name="tfa_1706" value="" data-conditionals="#tfa_1748" title="Default Major Account ID" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1715-D"> <label id="tfa_1715-L" class="label preField " for="tfa_1715">Default Major College</label><br><div class="inputWrapper"><input type="text" id="tfa_1715" name="tfa_1715" value="" title="Default Major College" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1677-D"> <label id="tfa_1677-L" class="label preField " for="tfa_1677">Default Term ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1677" name="tfa_1677" value="" title="Default Term ID" class=""></div> </div> <div class="oneField field-container-D " id="tfa_1783-D"> <label id="tfa_1783-L" class="label preField " for="tfa_1783">Sport of Interest</label><br><div class="inputWrapper"><select id="tfa_1783" name="tfa_1783" data-condition="`#tfa_1782`" title="Sport of Interest" class=""><option value="">Please select...</option> <option value="tfa_1784" id="tfa_1784" class="">Men's Baseball</option> <option value="tfa_1785" id="tfa_1785" class="">Men's Basketball</option> <option value="tfa_1786" id="tfa_1786" class="">Men's Football</option> <option value="tfa_1787" id="tfa_1787" class="">Men's Golf</option> <option value="tfa_1788" id="tfa_1788" class="">Men's Rifle</option> <option value="tfa_1789" id="tfa_1789" class="">Men's Soccer</option> <option value="tfa_1790" id="tfa_1790" class="">Men's Tennis</option> <option value="tfa_1791" id="tfa_1791" class="">Women's Basketball</option> <option value="tfa_1792" id="tfa_1792" class="">Women's Beach Volleyball</option> <option value="tfa_1793" id="tfa_1793" class="">Women's Bowlilng</option> <option value="tfa_1794" id="tfa_1794" class="">Women's Cross Country</option> <option value="tfa_1795" id="tfa_1795" class="">Women's Golf</option> <option value="tfa_1796" id="tfa_1796" class="">Women's Rifle</option> <option value="tfa_1797" id="tfa_1797" class="">Women's Soccer</option> <option value="tfa_1798" id="tfa_1798" class="">Women's Softball</option> <option value="tfa_1799" id="tfa_1799" class="">Women's Tennis</option> <option value="tfa_1800" id="tfa_1800" class="">Women's Track & Field</option> <option value="tfa_1801" id="tfa_1801" class="">Women's Volleyball</option></select></div> </div> </div> <div id="tfa_1601" class="section inline group" data-condition="`#tfa_461` AND NOT (`#tfa_1740`) AND NOT (`#tfa_1836`)"> <div class="oneField field-container-D " id="tfa_1599-D"> <label id="tfa_1599-L" class="label preField reqMark" for="tfa_1599">Anticipated Business Major</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1599" name="tfa_1599" value="" data-condition="NOT (`#tfa_1736`)" title="Anticipated Business Major" data-dataset-allow-free-responses="0" data-dataset-clear-cache="0" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1666884390" data-dataset-id="971369ee-07b1-4fcc-a5a2-9d6ce04a9062" data-dataset-map="b=tfa_1675,c=tfa_1716," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D " id="tfa_1603-D"> <label id="tfa_1603-L" class="label preField reqMark" for="tfa_1603">Anticipated Start Term</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1603" name="tfa_1603" value="" title="Anticipated Start Term" data-dataset-allow-free-responses="0" data-dataset-clear-cache="" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1623702676" data-dataset-id="b6a90ff8-b3ab-435e-93d0-e2889fbc08b7" data-dataset-map="b=tfa_1679," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1675-D"> <label id="tfa_1675-L" class="label preField " for="tfa_1675">CSOB Account ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1675" name="tfa_1675" value="" title="CSOB Account ID" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1716-D"> <label id="tfa_1716-L" class="label preField " for="tfa_1716">CSOB Major College</label><br><div class="inputWrapper"><input type="text" id="tfa_1716" name="tfa_1716" value="" title="CSOB Major College" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1679-D"> <label id="tfa_1679-L" class="label preField " for="tfa_1679">CSOB Term ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1679" name="tfa_1679" value="" title="CSOB Term ID" class=""></div> </div> </div> <div id="tfa_1615" class="section inline group" data-condition="`#tfa_464` AND NOT (`#tfa_1740`) AND NOT (`#tfa_1836`)"> <div class="oneField field-container-D " id="tfa_1618-D"> <label id="tfa_1618-L" class="label preField reqMark" for="tfa_1618">Anticipated Education Major</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1618" name="tfa_1618" value="" data-condition="NOT (`#tfa_1736`)" title="Anticipated Education Major" data-dataset-allow-free-responses="0" data-dataset-clear-cache="0" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1666884537" data-dataset-id="55e8e794-35b1-4cde-9adb-7faf1151dcef" data-dataset-map="b=tfa_1576,c=tfa_1717," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D " id="tfa_1617-D"> <label id="tfa_1617-L" class="label preField reqMark" for="tfa_1617">Anticipated Start Term</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1617" name="tfa_1617" value="" title="Anticipated Start Term" data-dataset-allow-free-responses="0" data-dataset-clear-cache="" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1619795420" data-dataset-id="b6a90ff8-b3ab-435e-93d0-e2889fbc08b7" data-dataset-map="b=tfa_1683," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1576-D"> <label id="tfa_1576-L" class="label preField " for="tfa_1576">Education Account ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1576" name="tfa_1576" value="" title="Education Account ID" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1717-D"> <label id="tfa_1717-L" class="label preField " for="tfa_1717">Education Major College</label><br><div class="inputWrapper"><input type="text" id="tfa_1717" name="tfa_1717" value="" title="Education Major College" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1683-D"> <label id="tfa_1683-L" class="label preField " for="tfa_1683">Education Term ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1683" name="tfa_1683" value="" title="Education Term ID" class=""></div> </div> </div> <div id="tfa_1622" class="section inline group" data-condition="`#tfa_468` AND NOT (`#tfa_1740`) AND NOT (`#tfa_1836`)"> <div class="oneField field-container-D " id="tfa_1665-D"> <label id="tfa_1665-L" class="label preField reqMark" for="tfa_1665">Anticipated Nursing Major</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1665" name="tfa_1665" value="" data-condition="NOT (`#tfa_1736`)" title="Anticipated Nursing Major" data-dataset-allow-free-responses="0" data-dataset-clear-cache="0" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1666884908" data-dataset-id="185a7e56-a675-4b54-a107-14e5f95ec097" data-dataset-map="b=tfa_1685,c=tfa_1718," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D " id="tfa_1624-D"> <label id="tfa_1624-L" class="label preField reqMark" for="tfa_1624">Anticipated Start Term</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1624" name="tfa_1624" value="" title="Anticipated Start Term" data-dataset-allow-free-responses="0" data-dataset-clear-cache="" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1619795507" data-dataset-id="b6a90ff8-b3ab-435e-93d0-e2889fbc08b7" data-dataset-map="b=tfa_1681," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1685-D"> <label id="tfa_1685-L" class="label preField " for="tfa_1685">Nursing Account ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1685" name="tfa_1685" value="" title="Nursing Account ID" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1718-D"> <label id="tfa_1718-L" class="label preField " for="tfa_1718">Nursing Major College</label><br><div class="inputWrapper"><input type="text" id="tfa_1718" name="tfa_1718" value="" title="Nursing Major College" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1681-D"> <label id="tfa_1681-L" class="label preField " for="tfa_1681">Nursing Term ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1681" name="tfa_1681" value="" title="Nursing Term ID" class=""></div> </div> </div> <div id="tfa_1628" class="section inline group" data-condition="`#tfa_466` AND NOT (`#tfa_1740`) AND NOT (`#tfa_1836`)"> <div class="oneField field-container-D " id="tfa_1657-D"> <label id="tfa_1657-L" class="label preField reqMark" for="tfa_1657">Anticipated Health Professions Major</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1657" name="tfa_1657" value="" data-condition="NOT (`#tfa_1736`)" title="Anticipated Health Professions Major" data-dataset-allow-free-responses="0" data-dataset-clear-cache="0" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1666885108" data-dataset-id="42d7d851-3792-4df2-83c0-bfe90dcc606e" data-dataset-map="b=tfa_1687,c=tfa_1719," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D " id="tfa_1630-D"> <label id="tfa_1630-L" class="label preField reqMark" for="tfa_1630">Anticipated Start Term</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1630" name="tfa_1630" value="" title="Anticipated Start Term" data-dataset-allow-free-responses="0" data-dataset-clear-cache="" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1619795548" data-dataset-id="b6a90ff8-b3ab-435e-93d0-e2889fbc08b7" data-dataset-map="b=tfa_1689," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1719-D"> <label id="tfa_1719-L" class="label preField " for="tfa_1719">SHP Major College</label><br><div class="inputWrapper"><input type="text" id="tfa_1719" name="tfa_1719" value="" title="SHP Major College" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1687-D"> <label id="tfa_1687-L" class="label preField " for="tfa_1687">SHP Account ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1687" name="tfa_1687" value="" title="SHP Account ID" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1689-D"> <label id="tfa_1689-L" class="label preField " for="tfa_1689">SHP Term ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1689" name="tfa_1689" value="" title="SHP Term ID" class=""></div> </div> </div> <div id="tfa_1634" class="section inline group" data-condition="NOT (`#tfa_1740`) AND (`#tfa_465` OR `#tfa_1723`) AND NOT (`#tfa_1836`)"> <div class="oneField field-container-D " id="tfa_1713-D"> <label id="tfa_1713-L" class="label preField reqMark" for="tfa_1713">Anticipated Engineering Major</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1713" name="tfa_1713" value="" data-condition="NOT (`#tfa_1736`)" title="Anticipated Engineering Major" data-dataset-allow-free-responses="0" data-dataset-clear-cache="0" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1666885235" data-dataset-id="5cafe08b-9730-474e-a632-38b47b2dd961" data-dataset-map="b=tfa_1691,c=tfa_1720," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D " id="tfa_1636-D"> <label id="tfa_1636-L" class="label preField reqMark" for="tfa_1636">Anticipated Start Term</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1636" name="tfa_1636" value="" title="Anticipated Start Term" data-dataset-allow-free-responses="0" data-dataset-clear-cache="" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1619795592" data-dataset-id="b6a90ff8-b3ab-435e-93d0-e2889fbc08b7" data-dataset-map="b=tfa_1693," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1691-D"> <label id="tfa_1691-L" class="label preField " for="tfa_1691">Engineering Account ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1691" name="tfa_1691" value="" title="Engineering Account ID" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1693-D"> <label id="tfa_1693-L" class="label preField " for="tfa_1693">Engineering Term ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1693" name="tfa_1693" value="" title="Engineering Term ID" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1720-D"> <label id="tfa_1720-L" class="label preField " for="tfa_1720">Engineering Major College</label><br><div class="inputWrapper"><input type="text" id="tfa_1720" name="tfa_1720" value="" title="Engineering Major College" class=""></div> </div> </div> <div id="tfa_1640" class="section inline group" data-condition="`#tfa_460` AND NOT (`#tfa_1740`) AND NOT (`#tfa_1836`)"> <div class="oneField field-container-D " id="tfa_1673-D"> <label id="tfa_1673-L" class="label preField reqMark" for="tfa_1673">Anticipated CAS Major</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1673" name="tfa_1673" value="" data-condition="NOT (`#tfa_1736`)" title="Anticipated CAS Major" data-dataset-allow-free-responses="0" data-dataset-clear-cache="0" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1666885344" data-dataset-id="2124d4bc-244b-41c7-9ad4-00632ec8234f" data-dataset-map="b=tfa_1695,c=tfa_1721," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="calc-CASMajor required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D " id="tfa_1642-D"> <label id="tfa_1642-L" class="label preField reqMark" for="tfa_1642">Anticipated Start Term</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1642" name="tfa_1642" value="" title="Anticipated Start Term" data-dataset-allow-free-responses="0" data-dataset-clear-cache="" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1619795636" data-dataset-id="b6a90ff8-b3ab-435e-93d0-e2889fbc08b7" data-dataset-map="b=tfa_1697," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1695-D"> <label id="tfa_1695-L" class="label preField " for="tfa_1695">CAS Account ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1695" name="tfa_1695" value="" data-conditionals="#tfa_1748" title="CAS Account ID" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1721-D"> <label id="tfa_1721-L" class="label preField " for="tfa_1721">CAS Major College</label><br><div class="inputWrapper"><input type="text" id="tfa_1721" name="tfa_1721" value="" title="CAS Major College" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1697-D"> <label id="tfa_1697-L" class="label preField " for="tfa_1697">CAS Term ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1697" name="tfa_1697" value="" title="CAS Term ID" class=""></div> </div> </div> <div class="oneField field-container-D " id="tfa_1748-D" role="group" aria-labelledby="tfa_1748-L" data-tfa-labelledby="-L tfa_1748-L"> <label id="tfa_1748-L" class="label preField reqMark" data-tfa-check-label-for="tfa_1748" aria-label="Instrument or Interest 聽 required">Instrument or Interest</label><br><div class="inputWrapper"><span id="tfa_1748" class="choices vertical required" data-condition="`#tfa_1706,equals,0014V00001y8MzdQAE` OR `#tfa_1695,equals,0014V00001y8MzdQAE`"><span class="oneChoice"><input type="checkbox" value="tfa_1749" class="" id="tfa_1749" name="tfa_1749" aria-labelledby="tfa_1749-L" data-tfa-labelledby="tfa_1748-L tfa_1749-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1749-L" for="tfa_1749"><span class="input-checkbox-faux"></span>Classical Guitar</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1750" class="" id="tfa_1750" name="tfa_1750" aria-labelledby="tfa_1750-L" data-tfa-labelledby="tfa_1748-L tfa_1750-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1750-L" for="tfa_1750"><span class="input-checkbox-faux"></span>Jazz Guitar</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1751" class="" id="tfa_1751" name="tfa_1751" aria-labelledby="tfa_1751-L" data-tfa-labelledby="tfa_1748-L tfa_1751-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1751-L" for="tfa_1751"><span class="input-checkbox-faux"></span>Bass Guitar</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1752" class="" id="tfa_1752" name="tfa_1752" aria-labelledby="tfa_1752-L" data-tfa-labelledby="tfa_1748-L tfa_1752-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1752-L" for="tfa_1752"><span class="input-checkbox-faux"></span>Voice - Soprano</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1753" class="" id="tfa_1753" name="tfa_1753" aria-labelledby="tfa_1753-L" data-tfa-labelledby="tfa_1748-L tfa_1753-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1753-L" for="tfa_1753"><span class="input-checkbox-faux"></span>Voice - Alto or Mezzo-soprano</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1781" class="" id="tfa_1781" name="tfa_1781" aria-labelledby="tfa_1781-L" data-tfa-labelledby="tfa_1748-L tfa_1781-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1781-L" for="tfa_1781"><span class="input-checkbox-faux"></span>Voice - Tenor</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1755" class="" id="tfa_1755" name="tfa_1755" aria-labelledby="tfa_1755-L" data-tfa-labelledby="tfa_1748-L tfa_1755-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1755-L" for="tfa_1755"><span class="input-checkbox-faux"></span>Voice - Baritone or Bass</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1756" class="" id="tfa_1756" name="tfa_1756" aria-labelledby="tfa_1756-L" data-tfa-labelledby="tfa_1748-L tfa_1756-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1756-L" for="tfa_1756"><span class="input-checkbox-faux"></span>Piano</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1757" class="" id="tfa_1757" name="tfa_1757" aria-labelledby="tfa_1757-L" data-tfa-labelledby="tfa_1748-L tfa_1757-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1757-L" for="tfa_1757"><span class="input-checkbox-faux"></span>Jazz Piano</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1758" class="" id="tfa_1758" name="tfa_1758" aria-labelledby="tfa_1758-L" data-tfa-labelledby="tfa_1748-L tfa_1758-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1758-L" for="tfa_1758"><span class="input-checkbox-faux"></span>Gospel Piano</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1759" class="" id="tfa_1759" name="tfa_1759" aria-labelledby="tfa_1759-L" data-tfa-labelledby="tfa_1748-L tfa_1759-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1759-L" for="tfa_1759"><span class="input-checkbox-faux"></span>Flute</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1760" class="" id="tfa_1760" name="tfa_1760" aria-labelledby="tfa_1760-L" data-tfa-labelledby="tfa_1748-L tfa_1760-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1760-L" for="tfa_1760"><span class="input-checkbox-faux"></span>Oboe</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1761" class="" id="tfa_1761" name="tfa_1761" aria-labelledby="tfa_1761-L" data-tfa-labelledby="tfa_1748-L tfa_1761-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1761-L" for="tfa_1761"><span class="input-checkbox-faux"></span>Clarinet</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1762" class="" id="tfa_1762" name="tfa_1762" aria-labelledby="tfa_1762-L" data-tfa-labelledby="tfa_1748-L tfa_1762-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1762-L" for="tfa_1762"><span class="input-checkbox-faux"></span>Saxophone - Alto</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1763" class="" id="tfa_1763" name="tfa_1763" aria-labelledby="tfa_1763-L" data-tfa-labelledby="tfa_1748-L tfa_1763-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1763-L" for="tfa_1763"><span class="input-checkbox-faux"></span>Saxophone - Soprano</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1764" class="" id="tfa_1764" name="tfa_1764" aria-labelledby="tfa_1764-L" data-tfa-labelledby="tfa_1748-L tfa_1764-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1764-L" for="tfa_1764"><span class="input-checkbox-faux"></span>Saxophone - Tenor</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1765" class="" id="tfa_1765" name="tfa_1765" aria-labelledby="tfa_1765-L" data-tfa-labelledby="tfa_1748-L tfa_1765-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1765-L" for="tfa_1765"><span class="input-checkbox-faux"></span>Saxophone - Baritone</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1766" class="" id="tfa_1766" name="tfa_1766" aria-labelledby="tfa_1766-L" data-tfa-labelledby="tfa_1748-L tfa_1766-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1766-L" for="tfa_1766"><span class="input-checkbox-faux"></span>Bassoon</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1767" class="" id="tfa_1767" name="tfa_1767" aria-labelledby="tfa_1767-L" data-tfa-labelledby="tfa_1748-L tfa_1767-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1767-L" for="tfa_1767"><span class="input-checkbox-faux"></span>Trumpet</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1768" class="" id="tfa_1768" name="tfa_1768" aria-labelledby="tfa_1768-L" data-tfa-labelledby="tfa_1748-L tfa_1768-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1768-L" for="tfa_1768"><span class="input-checkbox-faux"></span>French Horn</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1769" class="" id="tfa_1769" name="tfa_1769" aria-labelledby="tfa_1769-L" data-tfa-labelledby="tfa_1748-L tfa_1769-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1769-L" for="tfa_1769"><span class="input-checkbox-faux"></span>Trombone</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1770" class="" id="tfa_1770" name="tfa_1770" aria-labelledby="tfa_1770-L" data-tfa-labelledby="tfa_1748-L tfa_1770-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1770-L" for="tfa_1770"><span class="input-checkbox-faux"></span>Euphonium</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1771" class="" id="tfa_1771" name="tfa_1771" aria-labelledby="tfa_1771-L" data-tfa-labelledby="tfa_1748-L tfa_1771-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1771-L" for="tfa_1771"><span class="input-checkbox-faux"></span>Tuba</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1772" class="" id="tfa_1772" name="tfa_1772" aria-labelledby="tfa_1772-L" data-tfa-labelledby="tfa_1748-L tfa_1772-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1772-L" for="tfa_1772"><span class="input-checkbox-faux"></span>Violin</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1773" class="" id="tfa_1773" name="tfa_1773" aria-labelledby="tfa_1773-L" data-tfa-labelledby="tfa_1748-L tfa_1773-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1773-L" for="tfa_1773"><span class="input-checkbox-faux"></span>Viola</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1774" class="" id="tfa_1774" name="tfa_1774" aria-labelledby="tfa_1774-L" data-tfa-labelledby="tfa_1748-L tfa_1774-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1774-L" for="tfa_1774"><span class="input-checkbox-faux"></span>Cello</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1775" class="" id="tfa_1775" name="tfa_1775" aria-labelledby="tfa_1775-L" data-tfa-labelledby="tfa_1748-L tfa_1775-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1775-L" for="tfa_1775"><span class="input-checkbox-faux"></span>Double Bass</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1776" class="" id="tfa_1776" name="tfa_1776" aria-labelledby="tfa_1776-L" data-tfa-labelledby="tfa_1748-L tfa_1776-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1776-L" for="tfa_1776"><span class="input-checkbox-faux"></span>Percussion - Mallets</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1777" class="" id="tfa_1777" name="tfa_1777" aria-labelledby="tfa_1777-L" data-tfa-labelledby="tfa_1748-L tfa_1777-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1777-L" for="tfa_1777"><span class="input-checkbox-faux"></span>Percussion - Timpani</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1778" class="" id="tfa_1778" name="tfa_1778" aria-labelledby="tfa_1778-L" data-tfa-labelledby="tfa_1748-L tfa_1778-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1778-L" for="tfa_1778"><span class="input-checkbox-faux"></span>Percussion - Snare</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1779" class="" id="tfa_1779" name="tfa_1779" aria-labelledby="tfa_1779-L" data-tfa-labelledby="tfa_1748-L tfa_1779-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1779-L" for="tfa_1779"><span class="input-checkbox-faux"></span>Percussion - Bass Drum</label></span><span class="oneChoice"><input type="checkbox" value="tfa_1780" class="" id="tfa_1780" name="tfa_1780" aria-labelledby="tfa_1780-L" data-tfa-labelledby="tfa_1748-L tfa_1780-L" data-tfa-parent-id="tfa_1748"><label class="label postField" id="tfa_1780-L" for="tfa_1780"><span class="input-checkbox-faux"></span>Percussion - Drumset</label></span></span></div> </div> <div id="tfa_1646" class="section inline group" data-condition="`#tfa_470` AND NOT (`#tfa_1740`) AND NOT (`#tfa_1836`)"> <div class="oneField field-container-D " id="tfa_1649-D"> <label id="tfa_1649-L" class="label preField reqMark" for="tfa_1649">Anticipated Public Health Major</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1649" name="tfa_1649" value="" data-condition="NOT (`#tfa_1736`)" title="Anticipated Public Health Major" data-dataset-allow-free-responses="0" data-dataset-clear-cache="0" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1666885619" data-dataset-id="b7d9e1be-4d9f-433e-a2a3-b681dc0aaae3" data-dataset-map="b=tfa_1699,c=tfa_1722," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D " id="tfa_1648-D"> <label id="tfa_1648-L" class="label preField reqMark" for="tfa_1648">Anticipated Start Term</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1648" name="tfa_1648" value="" title="Anticipated Start Term" data-dataset-allow-free-responses="0" data-dataset-clear-cache="" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1619795673" data-dataset-id="b6a90ff8-b3ab-435e-93d0-e2889fbc08b7" data-dataset-map="b=tfa_1701," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1699-D"> <label id="tfa_1699-L" class="label preField " for="tfa_1699">Public Health Account ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1699" name="tfa_1699" value="" title="Public Health Account ID" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1722-D"> <label id="tfa_1722-L" class="label preField " for="tfa_1722">Public Health Major College</label><br><div class="inputWrapper"><input type="text" id="tfa_1722" name="tfa_1722" value="" title="Public Health Major College" class=""></div> </div> <div class="oneField field-container-D wf-acl-hidden" id="tfa_1701-D"> <label id="tfa_1701-L" class="label preField " for="tfa_1701">Public Health Term ID</label><br><div class="inputWrapper"><input type="text" id="tfa_1701" name="tfa_1701" value="" title="Public Health Term ID" class=""></div> </div> </div> <div id="tfa_1728" class="section group" data-condition="`#tfa_1740` OR `#tfa_1836` OR `#tfa_1823`"> <div class="oneField field-container-D " id="tfa_1729-D"> <label id="tfa_1729-L" class="label preField reqMark" for="tfa_1729">Anticipated Certificate</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1729" name="tfa_1729" value="" data-condition="NOT (`#tfa_1736`)" title="Anticipated Certificate" data-dataset-allow-free-responses="0" data-dataset-clear-cache="0" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1728580043" data-dataset-id="56bbe25f-2484-4a63-9805-e3d5a56febcf" data-dataset-map="b=tfa_1731,c=tfa_1732," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <div class="oneField field-container-D " id="tfa_1730-D"> <label id="tfa_1730-L" class="label preField reqMark" for="tfa_1730">Anticipated Start Term</label><br><div class="inputWrapper"> <input aria-required="true" type="text" id="tfa_1730" name="tfa_1730" value="" title="Anticipated Start Term" data-dataset-allow-free-responses="0" data-dataset-clear-cache="0" autocomplete="off" data-dataset-parameters="undefined" data-dataset-timestamp="1732307188" data-dataset-id="65794f7f-f3fd-4337-829b-b3c00859e72e" data-dataset-map="b=tfa_1733," data-dataset-type="salesforce-picklist" data-dataset-url="https://forms.uab.edu/api_v2/datasets" class="required wfAutosuggest"><i class="fa fa-spinner fa-pulse fa-fw tt-spinner"></i><i class="fa fa-search tt-search" aria-hidden="true"></i><i class="fa fa-times-circle tt-clear no-input" tabindex="0" aria-label="Clear field" role="button"></i> </div> </div> <input type="hidden" id="tfa_1731" name="tfa_1731" value="" class=""><div id="tfa_1734" class="section inline group"> <input type="hidden" id="tfa_1732" name="tfa_1732" value="" class=""><input type="hidden" id="tfa_1733" name="tfa_1733" value="" class=""> </div> <div class="oneField field-container-D " id="tfa_1846-D"> <label id="tfa_1846-L" class="label preField " for="tfa_1846">Interested Sport</label><br><div class="inputWrapper"><select id="tfa_1846" name="tfa_1846" data-condition="`#tfa_1782`" title="Interested Sport" class=""><option value="">Please select...</option> <option value="tfa_1847" id="tfa_1847" class="">Men's Baseball</option> <option value="tfa_1848" id="tfa_1848" class="">Men's Football</option> <option value="tfa_1849" id="tfa_1849" class="">Men's Rifle</option> <option value="tfa_1850" id="tfa_1850" class="">Men's Tennis</option> <option value="tfa_1851" id="tfa_1851" class="">Men's Basketball</option> <option value="tfa_1852" id="tfa_1852" class="">Men's Golf</option> <option value="tfa_1853" id="tfa_1853" class="">Men's Soccer</option> <option value="tfa_1854" id="tfa_1854" class="">Women's Basketball</option> <option value="tfa_1855" id="tfa_1855" class="">Women's Bowling</option> <option value="tfa_1856" id="tfa_1856" class="">Women's Golf</option> <option value="tfa_1857" id="tfa_1857" class="">Women's Soccer</option> <option value="tfa_1858" id="tfa_1858" class="">Women's Tennis</option> <option value="tfa_1859" id="tfa_1859" class="">Women's Volleyball</option> <option value="tfa_1860" id="tfa_1860" class="">Women's Beach Volleyball</option> <option value="tfa_1861" id="tfa_1861" class="">Women's Cross Country</option> <option value="tfa_1862" id="tfa_1862" class="">Women's Rifle</option> <option value="tfa_1863" id="tfa_1863" class="">Women's Softball</option> <option value="tfa_1864" id="tfa_1864" class="">Women's Track & Field</option></select></div> </div> </div> </fieldset> </div> <div id="tfa_433" class="section group" data-condition="`#tfa_1743` OR `#tfa_1818` OR `#tfa_1839`"><div class="htmlSection" id="tfa_434"><div class="htmlContent" id="tfa_434-HTML"><div style="text-align: center;"><span style="background-color: transparent;">If you are a current student and wish to change your major, be sure to speak with your current advisor(s). Find your advisor(s) listed on your student profile page when you log in to </span><a href="http://www.uab.edu/blazernet" target="_blank" style="background-color: rgb(241, 241, 241); outline: 0px; word-spacing: normal;">BlazerNET</a><span style="background-color: transparent;">.</span></div><div style="text-align: center;"><br></div><div style="text-align: center;"><span style="background-color: transparent;">Then you can change your major on BlazerNET. Find more information </span><a style="background-color: rgb(241, 241, 241);" href="https://www.uab.edu/students/academics/changing-majors" target="_blank">here</a><span style="background-color: transparent;">.</span></div></div></div></div> <fieldset id="tfa_474" class="section wf-acl-hidden"> <legend id="tfa_474-L">HIDDEN FIELDS</legend> <div class="oneField field-container-D wf-acl-hidden" id="tfa_472-D" role="radiogroup" aria-labelledby="tfa_472-L" data-tfa-labelledby="-L tfa_472-L"> <label id="tfa_472-L" class="label preField " data-tfa-check-label-for="tfa_472">Bridge Program</label><br><div class="inputWrapper"><span id="tfa_472" class="choices vertical "><span class="oneChoice"><input type="radio" value="tfa_473" class="" id="tfa_473" name="tfa_472" aria-labelledby="tfa_473-L" data-tfa-labelledby="tfa_472-L tfa_473-L" data-tfa-parent-id="tfa_472"><label class="label postField" id="tfa_473-L" for="tfa_473"><span class="input-radio-faux"></span>Yes</label></span></span></div> 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href="/admissions/visit/meet-our-trailblazers" >Meet the TrailBlazers</a></li><li class=" item-1060"><a href="/admissions/visit/contact-us" >Contact Us</a></li></ul></li><li class=" item-867 deeper uab-parent"><a href="#" >Cost</a><ul class="uab-nav-sub" ><li class=" item-870"><a href="/admissions/cost/estimated-costs" >Estimated Costs</a></li><li class=" item-868"><a href="/cost-aid/types-of-aid" >Financial Aid</a></li></ul></li><li class=" item-872 deeper uab-parent"><a href="/admissions/cost/scholarships" >Scholarships</a><ul class="uab-nav-sub" ><li class=" item-873"><a href="/admissions/cost/scholarships/in-state-students" >In-State Students</a></li><li class=" item-874"><a href="/admissions/cost/scholarships/out-of-state-students" >Out-of-State Students</a></li><li class=" item-875"><a href="/admissions/cost/scholarships/transfer-students" >Transfer Students</a></li><li class=" item-877"><a href="/admissions/cost/scholarships/international-students" >International 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