{"id":2324,"date":"2017-08-11T21:32:35","date_gmt":"2017-08-11T21:32:35","guid":{"rendered":"https:\/\/www.aauniv.com\/s\/?page_id=2324\/"},"modified":"2023-02-21T23:22:31","modified_gmt":"2023-02-21T23:22:31","slug":"admission-application","status":"publish","type":"page","link":"https:\/\/www.aauniv.com\/s\/en\/admission-application\/","title":{"rendered":"Admission Application"},"content":{"rendered":"<section class=\"wpb-content-wrapper\"><p>[vc_row gap=&#8221;35&#8243; css=&#8221;.vc_custom_1497043012698{padding-top: 80px !important;padding-bottom: 10px !important;}&#8221;][vc_column width=&#8221;1\/3&#8243; offset=&#8221;vc_hidden-sm vc_hidden-xs&#8221;][vc_wp_custommenu nav_menu=&#8221;13&#8243; el_class=&#8221;menu-programas&#8221;][\/vc_column][vc_column width=&#8221;2\/3&#8243; offset=&#8221;vc_hidden-sm vc_hidden-xs&#8221;][vc_column_text css=&#8221;.vc_custom_1499959723575{margin-top: 0px !important;padding-top: 0px !important;}&#8221;]<\/p>\n<h2>AAU <span style=\"color: #f0b40a;\">ADMISSION APPLICATION<\/span><\/h2>\n<div class=\"linea-001\"><\/div>\n<p>This application will be recorded directly into our records. The information received, will not be provided to third parties or other institutions.<\/p>\n<div data-uniq='69e1ebb3c618c' class='uniq-69e1ebb3c618c formcraft-css form-live align-left'><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[13] = []; <\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \"><\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-13 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #3a424d;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #3a424d;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #333a43;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #333a43;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #3a424d;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar th,\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar td.ui-datepicker-today a,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #3a424d;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #333a43;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-13.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #666666;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #666666;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover textarea,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover .time-fields-cover,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover .awesomplete ul\n\t\t\t{\n\t\t\t\tcolor: #777;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"radio\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"checkbox\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover textarea\n\t\t\t{\n\t\t\t\tbackground-color: #fafafa;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"radio\"]:checked,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"checkbox\"]:checked {\n\t\t\t\tborder-color: #333a43;\n\t\t\t\tbackground: #3a424d;\t\t\t\t\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #333a43;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #333a43 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #333a43;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #3a424d;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13\t\t\t{\n\t\t\t\tfont-family: Roboto;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"\" data-id=\"13\" class=\"fc-form fc-form-13 align- fc-temp-class save-form- dont-submit-hidden- disable-enter- label-placeholder field-border-visible frame-visible remove-asterisk-false icons-hide-false field-alignment-left options-fade  \" style=\"width: 100%; color: #666666; font-size: 90%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field13\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field13 options-false form-element-0 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-false checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >PERSONAL INFORMATION<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field13\" type=\"radio\" data-is-required=\"true\" name=\"field13[]\" value=\"Mr.\" class=\"validation-lenient\"><span><span >Mr.<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field13\" type=\"radio\" data-is-required=\"true\" name=\"field13[]\" value=\"Mrs.\" class=\"validation-lenient\"><span><span >Mrs.<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field13\" type=\"radio\" data-is-required=\"true\" name=\"field13[]\" value=\"Ms.\" class=\"validation-lenient\"><span><span >Ms.<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field7\" data-index=\"1\" style=\"width: 100%\" class=\" even form-element form-element-field7 options-false form-element-1 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Name\" make-read-only=\"\" data-field-id=\"field7\" name=\"field7[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-icon-user\">icon-user<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"2\" style=\"width: 100%\" class=\" form-element form-element-field9 options-false form-element-2 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Last Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Last Name\" make-read-only=\"\" data-field-id=\"field9\" name=\"field9[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-icon-user\">icon-user<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field27\" data-index=\"3\" style=\"width: 100%\" class=\" even form-element form-element-field27 options-false form-element-3 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Address<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Address\" make-read-only=\"\" data-field-id=\"field27\" name=\"field27[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-icon-user\">icon-user<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"4\" style=\"width: 50%\" class=\" form-element form-element-field25 options-false form-element-4 default-false form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Birth Date<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field25\" placeholder=\"Birth Date\" type=\"text\" class=\"validation-lenient    hasDatepicker ng-empty\" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"en\" name=\"field25\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field2\" data-index=\"5\" style=\"width: 50%\" class=\" even form-element form-element-field2 options-false form-element-5 default-false form-element-type-email is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >a valid email<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"Email\" data-field-id=\"field2\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field2\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field20\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field20 options-false form-element-6 default-false form-element-type-dropdown is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Country<\/span><\/span><span class=\"sub-label\"><span >pick one!<\/span><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field20\" name=\"field20\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Country<\/option><option value=\"AFG\" class=\" \">Afghanistan<\/option><option value=\"ALB\" class=\" \">Albania<\/option><option value=\"DZA\" class=\" \">Algeria<\/option><option value=\"ASM\" class=\" \">American Samoa<\/option><option value=\"AND\" class=\" \">Andorra<\/option><option value=\"AGO\" class=\" \">Angola<\/option><option value=\"AIA\" class=\" \">Anguilla<\/option><option value=\"ATQ\" class=\" \">Antarctica<\/option><option value=\"ATG\" class=\" \">Antigua And Barbuda<\/option><option value=\"ARG\" class=\" \">Argentina<\/option><option value=\"ARM\" class=\" \">Armenia<\/option><option value=\"ABW\" class=\" \">Aruba<\/option><option value=\"AUS\" class=\" \">Australia<\/option><option value=\"AUT\" class=\" \">Austria<\/option><option value=\"AZE\" class=\" \">Azerbaijan<\/option><option value=\"BHS\" class=\" \">Bahamas<\/option><option value=\"BHR\" class=\" \">Bahrain<\/option><option value=\"BGD\" class=\" \">Bangladesh<\/option><option value=\"BRB\" class=\" \">Barbados<\/option><option value=\"BLR\" class=\" \">Belarus<\/option><option value=\"BEL\" class=\" \">Belgium<\/option><option value=\"BLZ\" class=\" \">Belize<\/option><option value=\"BEN\" class=\" \">Benin<\/option><option value=\"BMU\" class=\" \">Bermuda<\/option><option value=\"BTN\" class=\" \">Bhutan<\/option><option value=\"BOL\" class=\" \">Bolivia<\/option><option value=\"BIH\" class=\" \">Bosnia And Herzegovina<\/option><option value=\"BWA\" class=\" \">Botswana<\/option><option value=\"BVT\" class=\" \">Bouvet Island<\/option><option value=\"BRA\" class=\" \">Brazil<\/option><option value=\"IOT\" class=\" \">British Indian Ocean Territory<\/option><option value=\"BRN\" class=\" \">Brunei Darussalam<\/option><option value=\"BGR\" class=\" \">Bulgaria<\/option><option value=\"BFA\" class=\" \">Burkina Faso<\/option><option value=\"BDI\" class=\" \">Burundi<\/option><option value=\"KHM\" class=\" \">Cambodia<\/option><option value=\"CMR\" class=\" \">Cameroon<\/option><option value=\"CAN\" class=\" \">Canada<\/option><option value=\"CPV\" class=\" \">Cape Verde<\/option><option value=\"CYM\" class=\" \">Cayman Islands<\/option><option value=\"CAF\" class=\" \">Central African Republic<\/option><option value=\"TCD\" class=\" \">Chad<\/option><option value=\"CHL\" class=\" \">Chile<\/option><option value=\"CHN\" class=\" \">China<\/option><option value=\"CXR\" class=\" \">Christmas Island<\/option><option value=\"CCK\" class=\" \">Cocos (keeling) Islands<\/option><option value=\"COL\" class=\" \">Colombia<\/option><option value=\"COM\" class=\" \">Comoros<\/option><option value=\"COG\" class=\" \">Congo<\/option><option value=\"COD\" class=\" \">Congo, The Democratic Republic Of The<\/option><option value=\"COK\" class=\" \">Cook Islands<\/option><option value=\"CRI\" class=\" \">Costa Rica<\/option><option value=\"HRV\" class=\" \">Croatia<\/option><option value=\"CUB\" class=\" \">Cuba<\/option><option value=\"CYP\" class=\" \">Cyprus<\/option><option value=\"CZE\" class=\" \">Czech Republic<\/option><option value=\"DNK\" class=\" \">Denmark<\/option><option value=\"DJI\" class=\" \">Djibouti<\/option><option value=\"DMA\" class=\" \">Dominica<\/option><option value=\"DOM\" class=\" \">Dominican Republic<\/option><option value=\"TMP\" class=\" \">East Timor<\/option><option value=\"ECU\" class=\" \">Ecuador<\/option><option value=\"EGY\" class=\" \">Egypt<\/option><option value=\"SLV\" class=\" \">El Salvador<\/option><option value=\"GNQ\" class=\" \">Equatorial Guinea<\/option><option value=\"ERI\" class=\" \">Eritrea<\/option><option value=\"EST\" class=\" \">Estonia<\/option><option value=\"ETH\" class=\" \">Ethiopia<\/option><option value=\"FLK\" class=\" \">Falkland Islands (malvinas)<\/option><option value=\"FRO\" class=\" \">Faroe Islands<\/option><option value=\"FJI\" class=\" \">Fiji Islands<\/option><option value=\"FIN\" class=\" \">Finland<\/option><option value=\"FRA\" class=\" \">France<\/option><option value=\"GUF\" class=\" \">French Guiana<\/option><option value=\"PYF\" class=\" \">French Polynesia<\/option><option value=\"ATF\" class=\" \">French Southern Territories<\/option><option value=\"GAB\" class=\" \">Gabon<\/option><option value=\"GMB\" class=\" \">Gambia<\/option><option value=\"GEO\" class=\" \">Georgia<\/option><option value=\"DEU\" class=\" \">Germany<\/option><option value=\"GHA\" class=\" \">Ghana<\/option><option value=\"GIB\" class=\" \">Gibraltar<\/option><option value=\"GRC\" class=\" \">Greece<\/option><option value=\"GRL\" class=\" \">Greenland<\/option><option value=\"GRD\" class=\" \">Grenada<\/option><option value=\"GLP\" class=\" \">Guadeloupe<\/option><option value=\"GUM\" class=\" \">Guam<\/option><option value=\"GTM\" class=\" \">Guatemala<\/option><option value=\"GIN\" class=\" \">Guinea<\/option><option value=\"GNB\" class=\" \">Guinea-bissau<\/option><option value=\"GUY\" class=\" \">Guyana<\/option><option value=\"HTI\" class=\" \">Haiti<\/option><option value=\"HMD\" class=\" \">Heard Island And Mcdonald Islands<\/option><option value=\"VAT\" class=\" \">Holy See (vatican City State)<\/option><option value=\"HND\" class=\" \">Honduras<\/option><option value=\"HKG\" class=\" \">Hong Kong<\/option><option value=\"HUN\" class=\" \">Hungary<\/option><option value=\"ISL\" class=\" \">Iceland<\/option><option value=\"IND\" class=\" \">India<\/option><option value=\"IDN\" class=\" \">Indonesia<\/option><option value=\"IRN\" class=\" \">Iran, Islamic Republic Of<\/option><option value=\"IRQ\" class=\" \">Iraq<\/option><option value=\"IRL\" class=\" \">Ireland<\/option><option value=\"ISR\" class=\" \">Israel<\/option><option value=\"ITA\" class=\" \">Italy<\/option><option value=\"JAM\" class=\" \">Jamaica<\/option><option value=\"JPN\" class=\" \">Japan<\/option><option value=\"JOR\" class=\" \">Jordan<\/option><option value=\"KAZ\" class=\" \">Kazakstan<\/option><option value=\"KEN\" class=\" \">Kenya<\/option><option value=\"KIR\" class=\" \">Kiribati<\/option><option value=\"KWT\" class=\" \">Korea, Democratic People's Republic Of<\/option><option value=\"KR\" class=\" \">Korea, Republic Of<\/option><option value=\"KV\" class=\" \">Kosovo<\/option><option value=\"KW\" class=\" \">Kuwait<\/option><option value=\"KG\" class=\" \">Kyrgyzstan<\/option><option value=\"LAO\" class=\" \">Lao People's Democratic Republic<\/option><option value=\"LVA\" class=\" \">Latvia<\/option><option value=\"LBN\" class=\" \">Lebanon<\/option><option value=\"LSO\" class=\" \">Lesotho<\/option><option value=\"LBR\" class=\" \">Liberia<\/option><option value=\"LBY\" class=\" \">Libyan Arab Jamahiriya<\/option><option value=\"LIE\" class=\" \">Liechtenstein<\/option><option value=\"LTU\" class=\" \">Lithuania<\/option><option value=\"LUX\" class=\" \">Luxembourg<\/option><option value=\"MAC\" class=\" \">Macau<\/option><option value=\"MKD\" class=\" \">Macedonia, The Former Yugoslav Republic Of<\/option><option value=\"MDG\" class=\" \">Madagascar<\/option><option value=\"MWI\" class=\" \">Malawi<\/option><option value=\"MYS\" class=\" \">Malaysia<\/option><option value=\"MDV\" class=\" \">Maldives<\/option><option value=\"MLI\" class=\" \">Mali<\/option><option value=\"MLT\" class=\" \">Malta<\/option><option value=\"MHL\" class=\" \">Marshall Islands<\/option><option value=\"MTQ\" class=\" \">Martinique<\/option><option value=\"MRT\" class=\" \">Mauritania<\/option><option value=\"MUS\" class=\" \">Mauritius<\/option><option value=\"MYT\" class=\" \">Mayotte<\/option><option value=\"MEX\" class=\" \">Mexico<\/option><option value=\"FSM\" class=\" \">Micronesia, Federated States Of<\/option><option value=\"MDA\" class=\" \">Moldova, Republic Of<\/option><option value=\"MCO\" class=\" \">Monaco<\/option><option value=\"MNG\" class=\" \">Mongolia<\/option><option value=\"MSR\" class=\" \">Montserrat<\/option><option value=\"ME\" class=\" \">Montenegro<\/option><option value=\"MAR\" class=\" \">Morocco<\/option><option value=\"MOZ\" class=\" \">Mozambique<\/option><option value=\"MMR\" class=\" \">Myanmar<\/option><option value=\"NAM\" class=\" \">Namibia<\/option><option value=\"NRU\" class=\" \">Nauru<\/option><option value=\"NPL\" class=\" \">Nepal<\/option><option value=\"NLD\" class=\" \">Netherlands<\/option><option value=\"ANT\" class=\" \">Netherlands Antilles<\/option><option value=\"NCL\" class=\" \">New Caledonia<\/option><option value=\"NZL\" class=\" \">New Zealand<\/option><option value=\"NIC\" class=\" \">Nicaragua<\/option><option value=\"NER\" class=\" \">Niger<\/option><option value=\"NGA\" class=\" \">Nigeria<\/option><option value=\"NIU\" class=\" \">Niue<\/option><option value=\"NFK\" class=\" \">Norfolk Island<\/option><option value=\"PRK\" class=\" \">North Korea<\/option><option value=\"MNP\" class=\" \">Northern Mariana Islands<\/option><option value=\"NOR\" class=\" \">Norway<\/option><option value=\"OMN\" class=\" \">Oman<\/option><option value=\"PAK\" class=\" \">Pakistan<\/option><option value=\"PLW\" class=\" \">Palau<\/option><option value=\"PSE\" class=\" \">Palestinian Territory, Occupied<\/option><option value=\"PAN\" class=\" \">Panama<\/option><option value=\"PNG\" class=\" \">Papua New Guinea<\/option><option value=\"PRY\" class=\" \">Paraguay<\/option><option value=\"PER\" class=\" \">Peru<\/option><option value=\"PHL\" class=\" \">Philippines<\/option><option value=\"PCN\" class=\" \">Pitcairn<\/option><option value=\"POL\" class=\" \">Poland<\/option><option value=\"PRT\" class=\" \">Portugal<\/option><option value=\"PRI\" class=\" \">Puerto Rico<\/option><option value=\"QAT\" class=\" \">Qatar<\/option><option value=\"REU\" class=\" \">Reunion<\/option><option value=\"ROM\" class=\" \">Romania<\/option><option value=\"RUS\" class=\" \">Russian Federation<\/option><option value=\"RWA\" class=\" \">Rwanda<\/option><option value=\"SHN\" class=\" \">Saint Helena<\/option><option value=\"KNA\" class=\" \">Saint Kitts And Nevis<\/option><option value=\"LCA\" class=\" \">Saint Lucia<\/option><option value=\"SPM\" class=\" \">Saint Pierre And Miquelon<\/option><option value=\"VCT\" class=\" \">Saint Vincent And The Grenadines<\/option><option value=\"WSM\" class=\" \">Samoa<\/option><option value=\"SMR\" class=\" \">San Marino<\/option><option value=\"STP\" class=\" \">Sao Tome And Principe<\/option><option value=\"SAU\" class=\" \">Saudi Arabia<\/option><option value=\"SEN\" class=\" \">Senegal<\/option><option value=\"RS\" class=\" \">Serbia<\/option><option value=\"SYC\" class=\" \">Seychelles<\/option><option value=\"SLE\" class=\" \">Sierra Leone<\/option><option value=\"SGP\" class=\" \">Singapore<\/option><option value=\"SVK\" class=\" \">Slovakia<\/option><option value=\"SVN\" class=\" \">Slovenia<\/option><option value=\"SLB\" class=\" \">Solomon Islands<\/option><option value=\"SOM\" class=\" \">Somalia<\/option><option value=\"ZAF\" class=\" \">South Africa<\/option><option value=\"SGS\" class=\" \">South Georgia And The South Sandwich Islands<\/option><option value=\"KOR\" class=\" \">South Korea<\/option><option value=\"ESP\" class=\" \">Spain<\/option><option value=\"LKA\" class=\" \">Sri Lanka<\/option><option value=\"SDN\" class=\" \">Sudan<\/option><option value=\"SUR\" class=\" \">Suriname<\/option><option value=\"SJM\" class=\" \">Svalbard And Jan Mayen<\/option><option value=\"SWZ\" class=\" \">Swaziland<\/option><option value=\"SWE\" class=\" \">Sweden<\/option><option value=\"CHE\" class=\" \">Switzerland<\/option><option value=\"SYR\" class=\" \">Syrian Arab Republic<\/option><option value=\"TWN\" class=\" \">Taiwan, Province Of China<\/option><option value=\"TJK\" class=\" \">Tajikistan<\/option><option value=\"TZA\" class=\" \">Tanzania, United Republic Of<\/option><option value=\"THA\" class=\" \">Thailand<\/option><option value=\"TGO\" class=\" \">Togo<\/option><option value=\"TKL\" class=\" \">Tokelau<\/option><option value=\"TON\" class=\" \">Tonga<\/option><option value=\"TTO\" class=\" \">Trinidad And Tobago<\/option><option value=\"TUN\" class=\" \">Tunisia<\/option><option value=\"TUR\" class=\" \">Turkey<\/option><option value=\"TKM\" class=\" \">Turkmenistan<\/option><option value=\"TCA\" class=\" \">Turks And Caicos Islands<\/option><option value=\"TUV\" class=\" \">Tuvalu<\/option><option value=\"UGA\" class=\" \">Uganda<\/option><option value=\"UKR\" class=\" \">Ukraine<\/option><option value=\"ARE\" class=\" \">United Arab Emirates<\/option><option value=\"GBR\" class=\" \">United Kingdom<\/option><option value=\"USA\" class=\" \">United States<\/option><option value=\"UMI\" class=\" \">United States Minor Outlying Islands<\/option><option value=\"URY\" class=\" \">Uruguay<\/option><option value=\"UZB\" class=\" \">Uzbekistan<\/option><option value=\"VUT\" class=\" \">Vanuatu<\/option><option value=\"VEN\" class=\" \">Venezuela<\/option><option value=\"VNM\" class=\" \">Viet Nam<\/option><option value=\"VGB\" class=\" \">Virgin Islands, British<\/option><option value=\"VIR\" class=\" \">Virgin Islands, U.s.<\/option><option value=\"WLF\" class=\" \">Wallis And Futuna<\/option><option value=\"ESH\" class=\" \">Western Sahara<\/option><option value=\"YEM\" class=\" \">Yemen<\/option><option value=\"YUG\" class=\" \">Yugoslavia<\/option><option value=\"ZMB\" class=\" \">Zambia<\/option><option value=\"ZWE\" class=\" \">Zimbabwe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field10\" data-index=\"7\" style=\"width: 50%\" class=\" even form-element form-element-field10 options-false form-element-7 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >City<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"City\" make-read-only=\"\" data-field-id=\"field10\" name=\"field10[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field28\" data-index=\"8\" style=\"width: 50%\" class=\" form-element form-element-field28 options-false form-element-8 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Province \/ State<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Province \/ State\" make-read-only=\"\" data-field-id=\"field28\" name=\"field28[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field3\" data-index=\"9\" style=\"width: 20%\" class=\" even form-element form-element-field3 options-false form-element-9 default-false form-element-type-dropdown is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >C\u00f3digo Pa\u00eds<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field3\" name=\"field3\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"AL\" class=\" \">Albania (+355)<\/option><option value=\"DZ\" class=\" \">Algeria (+213)<\/option><option value=\"AD\" class=\" \">Andorra (+376)<\/option><option value=\"AO\" class=\" \">Angola (+244)<\/option><option value=\"AI\" class=\" \">Anguilla (+1264)<\/option><option value=\"AG\" class=\" \">Antigua And Barbuda (+1268)<\/option><option value=\"AR\" class=\" \">Argentina (+54)<\/option><option value=\"AM\" class=\" \">Armenia (+374)<\/option><option value=\"AW\" class=\" \">Aruba (+297)<\/option><option value=\"AU\" class=\" \">Australia (+61)<\/option><option value=\"AT\" class=\" \">Austria (+43)<\/option><option value=\"AZ\" class=\" \">Azerbaijan (+994)<\/option><option value=\"BS\" class=\" \">Bahamas (+1242)<\/option><option value=\"BH\" class=\" \">Bahrain (+973)<\/option><option value=\"BD\" class=\" \">Bangladesh<\/option><option value=\"BB\" class=\" \">Barbados (+880)<\/option><option value=\"BY\" class=\" \">Belarus (+375)<\/option><option value=\"BE\" class=\" \">Belgium (+32)<\/option><option value=\"BZ\" class=\" \">Belize (+501)<\/option><option value=\"BJ\" class=\" \">Benin (+229)<\/option><option value=\"BM\" class=\" \">Bermuda (+1441)<\/option><option value=\"BT\" class=\" \">Bhutan (+975)<\/option><option value=\"BO\" class=\" \">Bolivia (+591)<\/option><option value=\"BA\" class=\" \">Bosnia And Herzegovina (+387)<\/option><option value=\"BW\" class=\" \">Botswana (+267)<\/option><option value=\"BR\" class=\" \">Brazil (+55)<\/option><option value=\"BN\" class=\" \">Brunei Darussalam (+673)<\/option><option value=\"BG\" class=\" \">Bulgaria (+359)<\/option><option value=\"BF\" class=\" \">Burkina Faso (+226)<\/option><option value=\"BI\" class=\" \">Burundi (+257)<\/option><option value=\"KH\" class=\" \">Cambodia (+855)<\/option><option value=\"CM\" class=\" \">Cameroon (+237)<\/option><option value=\"CA\" class=\" \">Canada (+1)<\/option><option value=\"CV\" class=\" \">Cape Verde (+238)<\/option><option value=\"KY\" class=\" \">Cayman Islands ()<\/option><option value=\"CF\" class=\" \">Central African Republic<\/option><option value=\"TD\" class=\" \">Chad<\/option><option value=\"CL\" class=\" \">Chile<\/option><option value=\"CN\" class=\" \">China<\/option><option value=\"CX\" class=\" \">Christmas Island<\/option><option value=\"CC\" class=\" \">Cocos (keeling) Islands<\/option><option value=\"CO\" class=\" \">Colombia<\/option><option value=\"KM\" class=\" \">Comoros<\/option><option value=\"CG\" class=\" \">Congo<\/option><option value=\"CD\" class=\" \">Congo, The Democratic Republic Of The<\/option><option value=\"CK\" class=\" \">Cook Islands<\/option><option value=\"CR\" class=\" \">Costa Rica<\/option><option value=\"CI\" class=\" \">Cote D'ivoire<\/option><option value=\"HR\" class=\" \">Croatia<\/option><option value=\"CU\" class=\" \">Cuba<\/option><option value=\"CY\" class=\" \">Cyprus<\/option><option value=\"CZ\" class=\" \">Czech Republic<\/option><option value=\"DK\" class=\" \">Denmark<\/option><option value=\"DJ\" class=\" \">Djibouti<\/option><option value=\"DM\" class=\" \">Dominica<\/option><option value=\"DO\" class=\" \">Dominican Republic<\/option><option value=\"TP\" class=\" \">East Timor<\/option><option value=\"EC\" class=\" \">Ecuador<\/option><option value=\"EG\" class=\" \">Egypt<\/option><option value=\"SV\" class=\" \">El Salvador<\/option><option value=\"GQ\" class=\" \">Equatorial Guinea<\/option><option value=\"ER\" class=\" \">Eritrea<\/option><option value=\"EE\" class=\" \">Estonia<\/option><option value=\"ET\" class=\" \">Ethiopia<\/option><option value=\"FK\" class=\" \">Falkland Islands (malvinas)<\/option><option value=\"FO\" class=\" \">Faroe Islands<\/option><option value=\"FJ\" class=\" \">Fiji<\/option><option value=\"FI\" class=\" \">Finland<\/option><option value=\"FR\" class=\" \">France<\/option><option value=\"GF\" class=\" \">French Guiana<\/option><option value=\"PF\" class=\" \">French Polynesia<\/option><option value=\"TF\" class=\" \">French Southern Territories<\/option><option value=\"GA\" class=\" \">Gabon<\/option><option value=\"GM\" class=\" \">Gambia<\/option><option value=\"GE\" class=\" \">Georgia<\/option><option value=\"DE\" class=\" \">Germany<\/option><option value=\"GH\" class=\" \">Ghana<\/option><option value=\"GI\" class=\" \">Gibraltar<\/option><option value=\"GR\" class=\" \">Greece<\/option><option value=\"GL\" class=\" \">Greenland<\/option><option value=\"GD\" class=\" \">Grenada<\/option><option value=\"GP\" class=\" \">Guadeloupe<\/option><option value=\"GU\" class=\" \">Guam<\/option><option value=\"GT\" class=\" \">Guatemala<\/option><option value=\"GN\" class=\" \">Guinea<\/option><option value=\"GW\" class=\" \">Guinea-bissau<\/option><option value=\"GY\" class=\" \">Guyana<\/option><option value=\"HT\" class=\" \">Haiti<\/option><option value=\"HM\" class=\" \">Heard Island And Mcdonald Islands<\/option><option value=\"VA\" class=\" \">Holy See (vatican City State)<\/option><option value=\"HN\" class=\" \">Honduras<\/option><option value=\"HK\" class=\" \">Hong Kong<\/option><option value=\"HU\" class=\" \">Hungary<\/option><option value=\"IS\" class=\" \">Iceland<\/option><option value=\"IN\" class=\" \">India<\/option><option value=\"ID\" class=\" \">Indonesia<\/option><option value=\"IR\" class=\" \">Iran, Islamic Republic Of<\/option><option value=\"IQ\" class=\" \">Iraq<\/option><option value=\"IE\" class=\" \">Ireland<\/option><option value=\"IL\" class=\" \">Israel<\/option><option value=\"IT\" class=\" \">Italy<\/option><option value=\"JM\" class=\" \">Jamaica<\/option><option value=\"JP\" class=\" \">Japan<\/option><option value=\"JO\" class=\" \">Jordan<\/option><option value=\"KZ\" class=\" \">Kazakstan<\/option><option value=\"KE\" class=\" \">Kenya<\/option><option value=\"KI\" class=\" \">Kiribati<\/option><option value=\"KP\" class=\" \">Korea, Democratic People's Republic Of<\/option><option value=\"KR\" class=\" \">Korea, Republic Of<\/option><option value=\"KV\" class=\" \">Kosovo<\/option><option value=\"KW\" class=\" \">Kuwait<\/option><option value=\"KG\" class=\" \">Kyrgyzstan<\/option><option value=\"LA\" class=\" \">Lao People's Democratic Republic<\/option><option value=\"LV\" class=\" \">Latvia<\/option><option value=\"LB\" class=\" \">Lebanon<\/option><option value=\"LS\" class=\" \">Lesotho<\/option><option value=\"LR\" class=\" \">Liberia<\/option><option value=\"LY\" class=\" \">Libyan Arab Jamahiriya<\/option><option value=\"LI\" class=\" \">Liechtenstein<\/option><option value=\"LT\" class=\" \">Lithuania<\/option><option value=\"LU\" class=\" \">Luxembourg<\/option><option value=\"MO\" class=\" \">Macau<\/option><option value=\"MK\" class=\" \">Macedonia, The Former Yugoslav Republic Of<\/option><option value=\"MG\" class=\" \">Madagascar<\/option><option value=\"MW\" class=\" \">Malawi<\/option><option value=\"MY\" class=\" \">Malaysia<\/option><option value=\"MV\" class=\" \">Maldives<\/option><option value=\"ML\" class=\" \">Mali<\/option><option value=\"MT\" class=\" \">Malta<\/option><option value=\"MH\" class=\" \">Marshall Islands<\/option><option value=\"MQ\" class=\" \">Martinique<\/option><option value=\"MR\" class=\" \">Mauritania<\/option><option value=\"MU\" class=\" \">Mauritius<\/option><option value=\"YT\" class=\" \">Mayotte<\/option><option value=\"MX\" class=\" \">Mexico<\/option><option value=\"FM\" class=\" \">Micronesia, Federated States Of<\/option><option value=\"MD\" class=\" \">Moldova, Republic Of<\/option><option value=\"MC\" class=\" \">Monaco<\/option><option value=\"MN\" class=\" \">Mongolia<\/option><option value=\"MS\" class=\" \">Montserrat<\/option><option value=\"ME\" class=\" \">Montenegro<\/option><option value=\"MA\" class=\" \">Morocco<\/option><option value=\"MZ\" class=\" \">Mozambique<\/option><option value=\"MM\" class=\" \">Myanmar<\/option><option value=\"NA\" class=\" \">Namibia<\/option><option value=\"NR\" class=\" \">Nauru<\/option><option value=\"NP\" class=\" \">Nepal<\/option><option value=\"NL\" class=\" \">Netherlands<\/option><option value=\"AN\" class=\" \">Netherlands Antilles<\/option><option value=\"NC\" class=\" \">New Caledonia<\/option><option value=\"NZ\" class=\" \">New Zealand<\/option><option value=\"NI\" class=\" \">Nicaragua<\/option><option value=\"NE\" class=\" \">Niger<\/option><option value=\"NG\" class=\" \">Nigeria<\/option><option value=\"NU\" class=\" \">Niue<\/option><option value=\"NF\" class=\" \">Norfolk Island<\/option><option value=\"MP\" class=\" \">Northern Mariana Islands<\/option><option value=\"NO\" class=\" \">Norway<\/option><option value=\"OM\" class=\" \">Oman<\/option><option value=\"PK\" class=\" \">Pakistan<\/option><option value=\"PW\" class=\" \">Palau<\/option><option value=\"PS\" class=\" \">Palestinian Territory, Occupied<\/option><option value=\"PA\" class=\" \">Panama<\/option><option value=\"PG\" class=\" \">Papua New Guinea<\/option><option value=\"PY\" class=\" \">Paraguay<\/option><option value=\"PE\" class=\" \">Peru<\/option><option value=\"PH\" class=\" \">Philippines<\/option><option value=\"PN\" class=\" \">Pitcairn<\/option><option value=\"PL\" class=\" \">Poland<\/option><option value=\"PT\" class=\" \">Portugal<\/option><option value=\"PR\" class=\" \">Puerto Rico<\/option><option value=\"QA\" class=\" \">Qatar<\/option><option value=\"RE\" class=\" \">Reunion<\/option><option value=\"RO\" class=\" \">Romania<\/option><option value=\"RU\" class=\" \">Russian Federation<\/option><option value=\"RW\" class=\" \">Rwanda<\/option><option value=\"SH\" class=\" \">Saint Helena<\/option><option value=\"KN\" class=\" \">Saint Kitts And Nevis<\/option><option value=\"LC\" class=\" \">Saint Lucia<\/option><option value=\"PM\" class=\" \">Saint Pierre And Miquelon<\/option><option value=\"VC\" class=\" \">Saint Vincent And The Grenadines<\/option><option value=\"WS\" class=\" \">Samoa<\/option><option value=\"SM\" class=\" \">San Marino<\/option><option value=\"ST\" class=\" \">Sao Tome And Principe<\/option><option value=\"SA\" class=\" \">Saudi Arabia<\/option><option value=\"SN\" class=\" \">Senegal<\/option><option value=\"RS\" class=\" \">Serbia<\/option><option value=\"SC\" class=\" \">Seychelles<\/option><option value=\"SL\" class=\" \">Sierra Leone<\/option><option value=\"SG\" class=\" \">Singapore<\/option><option value=\"SK\" class=\" \">Slovakia<\/option><option value=\"SI\" class=\" \">Slovenia<\/option><option value=\"SB\" class=\" \">Solomon Islands<\/option><option value=\"SO\" class=\" \">Somalia<\/option><option value=\"ZA\" class=\" \">South Africa<\/option><option value=\"GS\" class=\" \">South Georgia And The South Sandwich Islands<\/option><option value=\"ES\" class=\" \">Spain<\/option><option value=\"LK\" class=\" \">Sri Lanka<\/option><option value=\"SD\" class=\" \">Sudan<\/option><option value=\"SR\" class=\" \">Suriname<\/option><option value=\"SJ\" class=\" \">Svalbard And Jan Mayen<\/option><option value=\"SZ\" class=\" \">Swaziland<\/option><option value=\"SE\" class=\" \">Sweden<\/option><option value=\"CH\" class=\" \">Switzerland<\/option><option value=\"SY\" class=\" \">Syrian Arab Republic<\/option><option value=\"TW\" class=\" \">Taiwan, Province Of China<\/option><option value=\"TJ\" class=\" \">Tajikistan<\/option><option value=\"TZ\" class=\" \">Tanzania, United Republic Of<\/option><option value=\"TH\" class=\" \">Thailand<\/option><option value=\"TG\" class=\" \">Togo<\/option><option value=\"TK\" class=\" \">Tokelau<\/option><option value=\"TO\" class=\" \">Tonga<\/option><option value=\"TT\" class=\" \">Trinidad And Tobago<\/option><option value=\"TN\" class=\" \">Tunisia<\/option><option value=\"TR\" class=\" \">Turkey<\/option><option value=\"TM\" class=\" \">Turkmenistan<\/option><option value=\"TC\" class=\" \">Turks And Caicos Islands<\/option><option value=\"TV\" class=\" \">Tuvalu<\/option><option value=\"UG\" class=\" \">Uganda<\/option><option value=\"UA\" class=\" \">Ukraine<\/option><option value=\"AE\" class=\" \">United Arab Emirates<\/option><option value=\"GB\" class=\" \">United Kingdom<\/option><option value=\"US\" class=\" \">United States<\/option><option value=\"UM\" class=\" \">United States Minor Outlying Islands<\/option><option value=\"UY\" class=\" \">Uruguay<\/option><option value=\"UZ\" class=\" \">Uzbekistan<\/option><option value=\"VU\" class=\" \">Vanuatu<\/option><option value=\"VE\" class=\" \">Venezuela<\/option><option value=\"VN\" class=\" \">Viet Nam<\/option><option value=\"VG\" class=\" \">Virgin Islands, British<\/option><option value=\"VI\" class=\" \">Virgin Islands, U.s.<\/option><option value=\"WF\" class=\" \">Wallis And Futuna<\/option><option value=\"EH\" class=\" \">Western Sahara<\/option><option value=\"YE\" class=\" \">Yemen<\/option><option value=\"ZM\" class=\" \">Zambia<\/option><option value=\"ZW\" class=\" \">Zimbabwe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field5\" data-index=\"10\" style=\"width: 40%\" class=\" form-element form-element-field5 options-false form-element-10 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Home Phone<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Home Phone\" make-read-only=\"\" data-field-id=\"field5\" name=\"field5[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"numbers\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-icon-phone\">icon-phone<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field29\" data-index=\"11\" style=\"width: 40%\" class=\" even form-element form-element-field29 options-false form-element-11 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Cell Phone<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Cell Phone\" make-read-only=\"\" data-field-id=\"field29\" name=\"field29[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"numbers\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-icon-phone\">icon-phone<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field26\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field26 options-false form-element-12 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-false checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >ACADEMIC INFORMATION<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field26\" type=\"radio\" data-is-required=\"true\" name=\"field26[]\" value=\"4\" class=\"validation-lenient\"><span><span >CERTIFICATE<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field26\" type=\"radio\" data-is-required=\"true\" name=\"field26[]\" value=\"1\" class=\"validation-lenient\"><span><span >BACHELOR<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field26\" type=\"radio\" data-is-required=\"true\" name=\"field26[]\" value=\"2\" class=\"validation-lenient\"><span><span >MASTER<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field26\" type=\"radio\" data-is-required=\"true\" name=\"field26[]\" value=\"3\" class=\"validation-lenient\"><span><span >DOCTORATE<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field26\" type=\"radio\" data-is-required=\"true\" name=\"field26[]\" value=\"5\" class=\"validation-lenient\"><span><span >POST-DOCTORATE<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field55\" data-index=\"13\" style=\"width: 100%\" class=\" even form-element form-element-field55 options-false form-element-13 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Field of study: Ex. Business Administration<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Field of study: Ex. Business Administration\" make-read-only=\"\" data-field-id=\"field55\" name=\"field55[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field57\" data-index=\"14\" style=\"width: 100%\" class=\" form-element form-element-field57 options-false form-element-14 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><!--StartFragment--><p style=\"padding: 0px;font-size: 12.6px;vertical-align: baseline;width: 737.625px;text-align: left\" ><\/p><p >CERTIFICATE:&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<span id=\"docs-internal-guid-332ab668-7fff-55e4-37b7-113be86ab977\"><span style=\"font-size: 10pt;color: #666666;background-color: transparent;vertical-align: baseline\">$1500.00 dollars&nbsp;with discount = $300 dollars<\/span><\/span>&nbsp;&nbsp;<\/p><p ><!--StartFragment-->BACHELOR:&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<span id=\"docs-internal-guid-d6673cf8-7fff-9c6b-3057-f36fb8e06f04\"><span style=\"font-size: 10pt;background-color: transparent;vertical-align: baseline\">$5000.00 dollars with discount = $1250 dollars<\/span><\/span> <!--EndFragment--><\/p><p >MASTER:&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<span id=\"docs-internal-guid-6dacca31-7fff-d993-0947-3e2bf7c99c40\"><span style=\"font-size: 10pt;background-color: transparent;vertical-align: baseline\">$6000 dollars with discount = $1250 dollars<\/span><\/span> <br>DOCTORATE:&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<span id=\"docs-internal-guid-d3a7f8bf-7fff-16bd-95b2-8486a0cdffaa\"><span style=\"font-size: 10pt;background-color: transparent;vertical-align: baseline\">$7000 dollars&nbsp;with discount = $1250 dollars<\/span><\/span><\/p><p ><span style=\"color: inherit;font-size: 1em\">POST-DOCTORATE:&nbsp; &nbsp; &nbsp; <span id=\"docs-internal-guid-6c372775-7fff-49ea-59b6-67dfddd955ce\"><span style=\"font-size: 10pt;background-color: transparent;vertical-align: baseline\">$7000 dollars with discount = $1250 dollars<\/span><\/span><\/span><\/p><p style=\"padding: 0px;font-size: 12.6px;vertical-align: baseline;width: 737.625px;text-align: left\" ><span style=\"padding: 0px;font-size: 1em;vertical-align: baseline;color: inherit\"><span style=\"padding: 0px;font-size: 12.87px;vertical-align: baseline;text-align: left;float: none\"><\/span><\/span><\/p><!--EndFragment--><\/div><input type=\"hidden\" name=\"field57\" data-field-id=\"field57\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field64\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field64 options-false form-element-15 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: 10px;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b><span style=\"font-size: 9.0pt\"><\/span><\/b><\/p><h4 ><span>METHODS OF PAYMENT<span style=\"color: red\">*<\/span><\/span><br><\/h4><\/div><input type=\"hidden\" name=\"field64\" value=\"Methods of Payment\" data-field-id=\"field64\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field31\" data-index=\"16\" style=\"width: 100%\" class=\" form-element form-element-field31 options-false form-element-16 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-false checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field31\" type=\"radio\" data-is-required=\"true\" name=\"field31[]\" value=\"1\" class=\"validation-lenient\"><span><span >Visa<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field31\" type=\"radio\" data-is-required=\"true\" name=\"field31[]\" value=\"2\" class=\"validation-lenient\"><span><span >MasterCard<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field31\" type=\"radio\" data-is-required=\"true\" name=\"field31[]\" value=\"3\" class=\"validation-lenient\"><span><span >American Express<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field31\" type=\"radio\" data-is-required=\"true\" name=\"field31[]\" value=\"7\" class=\"validation-lenient\"><span><span >Bank Wire Transfer<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field31\" type=\"radio\" data-is-required=\"true\" name=\"field31[]\" value=\"5\" class=\"validation-lenient\"><span><span >Western Union \/ Money Gram<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field30\" data-index=\"17\" style=\"width: 100%\" class=\" even form-element form-element-field30 options-false form-element-17 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-false checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >PAYMENT ARRENGEMENT<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field30\" type=\"radio\" data-is-required=\"true\" name=\"field30[]\" value=\"1\" class=\"validation-lenient\"><span><span >OPTION 1: Payment in full <\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field30\" type=\"radio\" data-is-required=\"true\" name=\"field30[]\" value=\"2\" class=\"validation-lenient\"><span><span >OPTION 2: Enrollment fee $ 300 dollars + 8 monthly payments of $150 dollars (for certificates enrollment fee of $100 dollars + 7 monthly payments of $50 dollars).<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field54\" data-index=\"18\" style=\"width: 100%\" class=\" form-element form-element-field54 options-false form-element-18 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: 0px;right: ;bottom: 0;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p >Once you have entered your credit \/ debit card information, you will be charged for the option you have chosen and you will be given direct access to the Virtual Academic Platform to start your studies.<br><\/p><\/div><input type=\"hidden\" name=\"field54\" value=\"Methods of Payment\" data-field-id=\"field54\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"19\" style=\"width: 60%\" class=\" even form-element form-element-field32 options-false form-element-19 default-false form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Name as it appears on the credit card<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Name as it appears on the credit card\" make-read-only=\"\" data-field-id=\"field32\" name=\"field32[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"20\" style=\"width: 40%\" class=\" form-element form-element-field36 options-false form-element-20 default-false form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Credit card number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Credit card number\" make-read-only=\"\" data-field-id=\"field36\" name=\"field36[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"numbers\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field37\" data-index=\"21\" style=\"width: 30%\" class=\" even form-element form-element-field37 options-false form-element-21 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p >Expiration date<\/p><\/div><input type=\"hidden\" name=\"field37\" data-field-id=\"field37\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"22\" style=\"width: 25%\" class=\" form-element form-element-field38 options-false form-element-22 default-false form-element-type-dropdown is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Month<\/span><\/span><span class=\"sub-label\"><span >pick one!<\/span><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field38\" name=\"field38\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Month<\/option><option value=\"January\" class=\" \">January<\/option><option value=\"February\" class=\" \">February<\/option><option value=\"March\" class=\" \">March<\/option><option value=\"April\" class=\" \">April<\/option><option value=\"May\" class=\" \">May<\/option><option value=\"June\" class=\" \">June<\/option><option value=\"July\" class=\" \">July<\/option><option value=\"August\" class=\" \">August<\/option><option value=\"September\" class=\" \">September<\/option><option value=\"October\" class=\" \">October<\/option><option value=\"November\" class=\" \">November<\/option><option value=\"December\" class=\" \">December<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"23\" style=\"width: 25%\" class=\" even form-element form-element-field39 options-false form-element-23 default-false form-element-type-dropdown is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Year<\/span><\/span><span class=\"sub-label\"><span >pick one!<\/span><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field39\" name=\"field39\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Year<\/option><option value=\"2017\" class=\" \">2017<\/option><option value=\"2018\" class=\" \">2018<\/option><option value=\"2019\" class=\" \">2019<\/option><option value=\"2020\" class=\" \">2020<\/option><option value=\"2021\" class=\" \">2021<\/option><option value=\"2022\" class=\" \">2022<\/option><option value=\"2023\" class=\" \">2023<\/option><option value=\"2024\" class=\" \">2024<\/option><option value=\"2025\" class=\" \">2025<\/option><option value=\"2026\" class=\" \">2026<\/option><option value=\"2027\" class=\" \">2027<\/option><option value=\"2028\" class=\" \">2028<\/option><option value=\"2029\" class=\" \">2029<\/option><option value=\"2030\" class=\" \">2030<\/option><option value=\"2031\" class=\" \">2031<\/option><option value=\"2032\" class=\" \">2032<\/option><option value=\"2033\" class=\" \">2033<\/option><option value=\"2034\" class=\" \">2034<\/option><option value=\"2035\" class=\" \">2035<\/option><option value=\"2036\" class=\" \">2036<\/option><option value=\"2037\" class=\" \">2037<\/option><option value=\"2038\" class=\" \">2038<\/option><option value=\"2039\" class=\" \">2039<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field65\" data-index=\"24\" style=\"width: 30%\" class=\" form-element form-element-field65 options-false form-element-24 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 0.9999999999999997em; padding-top: 10px; padding-bottom: 2px; color:\" class=\"bold-\"><span >Security code<\/span><\/div><input type=\"hidden\" data-field-id=\"field65\" name=\"field65[]\" value=\"Security code\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field66\" data-index=\"25\" style=\"width: 25%\" class=\" even form-element form-element-field66 options-false form-element-25 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >CVC<\/span><\/span><span class=\"sub-label\"><span >your full name<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"CVC\" make-read-only=\"\" data-field-id=\"field66\" name=\"field66[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"numbers\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"(3 digits and is located on the back of the card)\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field62\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field62 form-element-26 default-false form-element-type-customText is-required-false odd -handle options-true\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: 10px;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b><span style=\"font-size: 9.0pt\"><\/span><\/b><\/p><p ><span style=\"font-size: 9pt\">I certify that the foregoing information is true and complete to the best of my knowledge and fully realize that omission or falsification of information will be considered sufficient reason for the rejectionor dismissal of this application.<\/span><\/p><p ><span style=\"font-size: 9.0pt\"><br><\/span><\/p><p ><span style=\"font-size: 9.0pt\"><b>NOTE:<\/b> The University requires each student to be academically and financially active monthly. The fee for Academic Inactivity is $100\/month,which is added to the regular monthly tuition due.<\/span><\/p><\/div><input type=\"hidden\" name=\"field62\" data-field-id=\"field62\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field51\" data-index=\"27\" style=\"width: 100%\" class=\" even form-element form-element-field51 options-false form-element-27 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-false checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field51\" type=\"radio\" data-is-required=\"true\" name=\"field51[]\" value=\"si\" class=\"validation-lenient\"><span><span >Yes, I accept AAU's terms and conditions<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field51\" type=\"radio\" data-is-required=\"true\" name=\"field51[]\" value=\"no\" class=\"validation-lenient\"><span><span >No, I do not accept AAU's terms and conditions<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"28\" style=\"width: 100%\" class=\" form-element form-element-field8 options-false form-element-28 default-false form-element-type-submit is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-center wide-false submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">SEND THE ADMISSION APPLICATION<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field56\" data-index=\"29\" style=\"width: 100%\" class=\" even form-element form-element-field56 options- form-element-29 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><span >Add some text or <\/span><strong >HTML<\/strong><span > here<\/span><\/div><input type=\"hidden\" name=\"field56\" data-field-id=\"field56\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 100%; color: #666666; font-size: 90%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>[\/vc_column_text][\/vc_column][\/vc_row][vc_row gap=&#8221;35&#8243; css=&#8221;.vc_custom_1497043012698{padding-top: 80px !important;padding-bottom: 10px !important;}&#8221;][vc_column width=&#8221;2\/3&#8243; offset=&#8221;vc_hidden-lg vc_hidden-md&#8221;][vc_column_text css=&#8221;.vc_custom_1499959723575{margin-top: 0px !important;padding-top: 0px !important;}&#8221;]<\/p>\n<h2>AAU <span style=\"color: #f0b40a;\">ADMISSION APPLICATION<\/span><\/h2>\n<div class=\"linea-001\"><\/div>\n<p>This application will be recorded directly into our records. The information received, will not be provided to third parties or other institutions.<\/p>\n<div data-uniq='69e1ebb3d04ba' class='uniq-69e1ebb3d04ba formcraft-css form-live align-left'><script> window.formcraftLogic = window.formcraftLogic || {}; window.formcraftLogic[13] = []; <\/script><div class=\"fc-pagination-cover fc-pagination-1\">\n\t\t\t\t<div class=\"fc-pagination width-100\">\n\t\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"pagination-trigger \" data-index=\"0\">\n\t\t\t\t\t\t<span class=\"page-number\"><span >1<\/span><\/span>\n\t\t\t\t\t\t<span class=\"page-name \"><\/span>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t<style scoped=\"scoped\" >\n\t\t\t@media (max-width : 480px) {\n\t\t\t\t.fc_modal-dialog-13 .fc-pagination-cover .fc-pagination\n\t\t\t\t{\n\t\t\t\t\tbackground-color: white !important;\n\t\t\t\t}\n\t\t\t}\n\t\t\t\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .submit-cover .submit-button,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .fileupload-cover .button-file,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover .button,\n\t\t\t.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-datepicker .ui-datepicker-title\n\t\t\t{\n\t\t\t\tbackground: #3a424d;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t.formcraft-datepicker td .ui-state-active,\n\t\t\t.formcraft-datepicker td .ui-state-hover,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbackground: #3a424d;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-header,\n\t\t\t.formcraft-css .fc-form .field-cover>div.full hr\n\t\t\t{\n\t\t\t\tborder-color: #333a43;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-prev:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker .ui-datepicker-next:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-month:hover,\n\t\t\t#ui-datepicker-div.formcraft-datepicker select.ui-datepicker-year:hover\n\t\t\t{\n\t\t\t\tbackground-color: #333a43;\n\t\t\t}\n\t\t\t.formcraft-css .fc-pagination>div.active .page-number,\n\t\t\t.formcraft-css .form-cover-builder .fc-pagination>div:first-child .page-number\n\t\t\t{\n\t\t\t\tbackground-color: #3a424d;\n\t\t\t\tcolor: #fff;\n\t\t\t}\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar th,\n\t\t\t#ui-datepicker-div.formcraft-datepicker table.ui-datepicker-calendar td.ui-datepicker-today a,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .star-cover label,\n\t\t\thtml .formcraft-css .fc-form.label-floating .form-element .field-cover.has-focus>span,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .customText-cover a,\n\t\t\t.formcraft-css .prev-next>div span:hover\n\t\t\t{\n\t\t\t\tcolor: #3a424d;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .customText-cover a:hover\n\t\t\t{\n\t\t\t\tcolor: #333a43;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form.fc-form-13.label-floating .form-element .field-cover > span\n\t\t\t{\n\t\t\t\tcolor: #666666;\n\t\t\t}\n\t\t\thtml .formcraft-css .fc-form .final-success .final-success-check {\n\t\t\t\tborder: 2px solid #666666;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover textarea,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover .time-fields-cover,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover .awesomplete ul\n\t\t\t{\n\t\t\t\tcolor: #777;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"text\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"password\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"email\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"radio\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"checkbox\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"tel\"],\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover select,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover textarea\n\t\t\t{\n\t\t\t\tbackground-color: #fafafa;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"radio\"]:checked,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .field-cover input[type=\"checkbox\"]:checked {\n\t\t\t\tborder-color: #333a43;\n\t\t\t\tbackground: #3a424d;\t\t\t\t\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .star-cover label .star\n\t\t\t{\n\t\t\t\ttext-shadow: 0px 1px 0px #333a43;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .slider-cover .ui-slider-range\n\t\t\t{\n\t\t\t\tbox-shadow: 0px 1px 1px #333a43 inset;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .fileupload-cover .button-file\n\t\t\t{\n\t\t\t\tborder-color: #333a43;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .form-element-html input[type=\"password\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .form-element-html input[type=\"email\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .form-element-html input[type=\"tel\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .form-element-html input[type=\"text\"]:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .form-element-html textarea:focus,\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .form-element-html select:focus\n\t\t\t{\n\t\t\t\tborder-color: #3a424d;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13 .form-element .form-element-html .field-cover .is-read-only:focus {\n\t\t\t\tborder-color: #ccc;\n\t\t\t}\n\t\t\t.formcraft-css .fc-form.fc-form-13\t\t\t{\n\t\t\t\tfont-family: Roboto;\n\t\t\t}\n\t\t\t@media (max-width : 480px) {\n\t\t\t\thtml .dedicated-page,\n\t\t\t\thtml .dedicated-page .formcraft-css .fc-pagination > div.active\n\t\t\t\t{\n\t\t\t\t\tbackground: white;\n\t\t\t\t}\n\t\t\t}\n\t\t<\/style>\n\t\t<div class=\"form-cover\">\n\t\t\t<form data-auto-scroll=\"\" data-no-message-redirect=\"\" data-thousand=\"\" data-decimal=\".\" data-delay=\"\" data-id=\"13\" class=\"fc-form fc-form-13 align- fc-temp-class save-form- dont-submit-hidden- disable-enter- label-placeholder field-border-visible frame-visible remove-asterisk-false icons-hide-false field-alignment-left options-fade  \" style=\"width: 100%; color: #666666; font-size: 90%; background: white\">\n\t\t\t\t<!-- ngRepeat: page in Builder.FormElements track by $index --><div class=\"form-page form-page-0\" data-index=\"0\">\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"form-page-content      ng-not-empty\">\n\t\t\t\t\t\t<div data-identifier=\"field13\" data-index=\"0\" style=\"width: 100%\" class=\" form-element form-element-field13 options-false form-element-0 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-false checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >PERSONAL INFORMATION<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field13\" type=\"radio\" data-is-required=\"true\" name=\"field13[]\" value=\"Mr.\" class=\"validation-lenient\"><span><span >Mr.<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field13\" type=\"radio\" data-is-required=\"true\" name=\"field13[]\" value=\"Mrs.\" class=\"validation-lenient\"><span><span >Mrs.<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field13\" type=\"radio\" data-is-required=\"true\" name=\"field13[]\" value=\"Ms.\" class=\"validation-lenient\"><span><span >Ms.<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field7\" data-index=\"1\" style=\"width: 100%\" class=\" even form-element form-element-field7 options-false form-element-1 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Name\" make-read-only=\"\" data-field-id=\"field7\" name=\"field7[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-icon-user\">icon-user<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field9\" data-index=\"2\" style=\"width: 100%\" class=\" form-element form-element-field9 options-false form-element-2 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Last Name<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Last Name\" make-read-only=\"\" data-field-id=\"field9\" name=\"field9[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-icon-user\">icon-user<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field27\" data-index=\"3\" style=\"width: 100%\" class=\" even form-element form-element-field27 options-false form-element-3 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Address<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Address\" make-read-only=\"\" data-field-id=\"field27\" name=\"field27[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-icon-user\">icon-user<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field25\" data-index=\"4\" style=\"width: 50%\" class=\" form-element form-element-field25 options-false form-element-4 default-false form-element-type-datepicker is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"datepicker-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Birth Date<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input autocomplete=\"off\" data-field-id=\"field25\" placeholder=\"Birth Date\" type=\"text\" class=\"validation-lenient    hasDatepicker ng-empty\" data-is-required=\"true\" datepicker=\"\" data-date-min-range=\"\" data-date-format=\"dd\/mm\/yy\" data-date-days=\"{&quot;0&quot;:true,&quot;1&quot;:true,&quot;2&quot;:true,&quot;3&quot;:true,&quot;4&quot;:true,&quot;5&quot;:true,&quot;6&quot;:true}\" data-date-min=\"\" data-date-min-alt=\"\" data-date-max-alt=\"\" data-date-max=\"\" data-date-lang=\"en\" name=\"field25\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">date_range<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field2\" data-index=\"5\" style=\"width: 50%\" class=\" even form-element form-element-field2 options-false form-element-5 default-false form-element-type-email is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"email-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Email<\/span><\/span><span class=\"sub-label\"><span >a valid email<\/span><\/span><\/span><div><span class=\"error\"><\/span><input placeholder=\"Email\" data-field-id=\"field2\" type=\"text\" data-val-type=\"email\" make-read-only=\"\" data-is-required=\"true\" name=\"field2\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-original-title=\"\"><i class=\"formcraft-icon\">email<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field20\" data-index=\"6\" style=\"width: 100%\" class=\" form-element form-element-field20 options-false form-element-6 default-false form-element-type-dropdown is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Country<\/span><\/span><span class=\"sub-label\"><span >pick one!<\/span><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field20\" name=\"field20\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Country<\/option><option value=\"AFG\" class=\" \">Afghanistan<\/option><option value=\"ALB\" class=\" \">Albania<\/option><option value=\"DZA\" class=\" \">Algeria<\/option><option value=\"ASM\" class=\" \">American Samoa<\/option><option value=\"AND\" class=\" \">Andorra<\/option><option value=\"AGO\" class=\" \">Angola<\/option><option value=\"AIA\" class=\" \">Anguilla<\/option><option value=\"ATQ\" class=\" \">Antarctica<\/option><option value=\"ATG\" class=\" \">Antigua And Barbuda<\/option><option value=\"ARG\" class=\" \">Argentina<\/option><option value=\"ARM\" class=\" \">Armenia<\/option><option value=\"ABW\" class=\" \">Aruba<\/option><option value=\"AUS\" class=\" \">Australia<\/option><option value=\"AUT\" class=\" \">Austria<\/option><option value=\"AZE\" class=\" \">Azerbaijan<\/option><option value=\"BHS\" class=\" \">Bahamas<\/option><option value=\"BHR\" class=\" \">Bahrain<\/option><option value=\"BGD\" class=\" \">Bangladesh<\/option><option value=\"BRB\" class=\" \">Barbados<\/option><option value=\"BLR\" class=\" \">Belarus<\/option><option value=\"BEL\" class=\" \">Belgium<\/option><option value=\"BLZ\" class=\" \">Belize<\/option><option value=\"BEN\" class=\" \">Benin<\/option><option value=\"BMU\" class=\" \">Bermuda<\/option><option value=\"BTN\" class=\" \">Bhutan<\/option><option value=\"BOL\" class=\" \">Bolivia<\/option><option value=\"BIH\" class=\" \">Bosnia And Herzegovina<\/option><option value=\"BWA\" class=\" \">Botswana<\/option><option value=\"BVT\" class=\" \">Bouvet Island<\/option><option value=\"BRA\" class=\" \">Brazil<\/option><option value=\"IOT\" class=\" \">British Indian Ocean Territory<\/option><option value=\"BRN\" class=\" \">Brunei Darussalam<\/option><option value=\"BGR\" class=\" \">Bulgaria<\/option><option value=\"BFA\" class=\" \">Burkina Faso<\/option><option value=\"BDI\" class=\" \">Burundi<\/option><option value=\"KHM\" class=\" \">Cambodia<\/option><option value=\"CMR\" class=\" \">Cameroon<\/option><option value=\"CAN\" class=\" \">Canada<\/option><option value=\"CPV\" class=\" \">Cape Verde<\/option><option value=\"CYM\" class=\" \">Cayman Islands<\/option><option value=\"CAF\" class=\" \">Central African Republic<\/option><option value=\"TCD\" class=\" \">Chad<\/option><option value=\"CHL\" class=\" \">Chile<\/option><option value=\"CHN\" class=\" \">China<\/option><option value=\"CXR\" class=\" \">Christmas Island<\/option><option value=\"CCK\" class=\" \">Cocos (keeling) Islands<\/option><option value=\"COL\" class=\" \">Colombia<\/option><option value=\"COM\" class=\" \">Comoros<\/option><option value=\"COG\" class=\" \">Congo<\/option><option value=\"COD\" class=\" \">Congo, The Democratic Republic Of The<\/option><option value=\"COK\" class=\" \">Cook Islands<\/option><option value=\"CRI\" class=\" \">Costa Rica<\/option><option value=\"HRV\" class=\" \">Croatia<\/option><option value=\"CUB\" class=\" \">Cuba<\/option><option value=\"CYP\" class=\" \">Cyprus<\/option><option value=\"CZE\" class=\" \">Czech Republic<\/option><option value=\"DNK\" class=\" \">Denmark<\/option><option value=\"DJI\" class=\" \">Djibouti<\/option><option value=\"DMA\" class=\" \">Dominica<\/option><option value=\"DOM\" class=\" \">Dominican Republic<\/option><option value=\"TMP\" class=\" \">East Timor<\/option><option value=\"ECU\" class=\" \">Ecuador<\/option><option value=\"EGY\" class=\" \">Egypt<\/option><option value=\"SLV\" class=\" \">El Salvador<\/option><option value=\"GNQ\" class=\" \">Equatorial Guinea<\/option><option value=\"ERI\" class=\" \">Eritrea<\/option><option value=\"EST\" class=\" \">Estonia<\/option><option value=\"ETH\" class=\" \">Ethiopia<\/option><option value=\"FLK\" class=\" \">Falkland Islands (malvinas)<\/option><option value=\"FRO\" class=\" \">Faroe Islands<\/option><option value=\"FJI\" class=\" \">Fiji Islands<\/option><option value=\"FIN\" class=\" \">Finland<\/option><option value=\"FRA\" class=\" \">France<\/option><option value=\"GUF\" class=\" \">French Guiana<\/option><option value=\"PYF\" class=\" \">French Polynesia<\/option><option value=\"ATF\" class=\" \">French Southern Territories<\/option><option value=\"GAB\" class=\" \">Gabon<\/option><option value=\"GMB\" class=\" \">Gambia<\/option><option value=\"GEO\" class=\" \">Georgia<\/option><option value=\"DEU\" class=\" \">Germany<\/option><option value=\"GHA\" class=\" \">Ghana<\/option><option value=\"GIB\" class=\" \">Gibraltar<\/option><option value=\"GRC\" class=\" \">Greece<\/option><option value=\"GRL\" class=\" \">Greenland<\/option><option value=\"GRD\" class=\" \">Grenada<\/option><option value=\"GLP\" class=\" \">Guadeloupe<\/option><option value=\"GUM\" class=\" \">Guam<\/option><option value=\"GTM\" class=\" \">Guatemala<\/option><option value=\"GIN\" class=\" \">Guinea<\/option><option value=\"GNB\" class=\" \">Guinea-bissau<\/option><option value=\"GUY\" class=\" \">Guyana<\/option><option value=\"HTI\" class=\" \">Haiti<\/option><option value=\"HMD\" class=\" \">Heard Island And Mcdonald Islands<\/option><option value=\"VAT\" class=\" \">Holy See (vatican City State)<\/option><option value=\"HND\" class=\" \">Honduras<\/option><option value=\"HKG\" class=\" \">Hong Kong<\/option><option value=\"HUN\" class=\" \">Hungary<\/option><option value=\"ISL\" class=\" \">Iceland<\/option><option value=\"IND\" class=\" \">India<\/option><option value=\"IDN\" class=\" \">Indonesia<\/option><option value=\"IRN\" class=\" \">Iran, Islamic Republic Of<\/option><option value=\"IRQ\" class=\" \">Iraq<\/option><option value=\"IRL\" class=\" \">Ireland<\/option><option value=\"ISR\" class=\" \">Israel<\/option><option value=\"ITA\" class=\" \">Italy<\/option><option value=\"JAM\" class=\" \">Jamaica<\/option><option value=\"JPN\" class=\" \">Japan<\/option><option value=\"JOR\" class=\" \">Jordan<\/option><option value=\"KAZ\" class=\" \">Kazakstan<\/option><option value=\"KEN\" class=\" \">Kenya<\/option><option value=\"KIR\" class=\" \">Kiribati<\/option><option value=\"KWT\" class=\" \">Korea, Democratic People's Republic Of<\/option><option value=\"KR\" class=\" \">Korea, Republic Of<\/option><option value=\"KV\" class=\" \">Kosovo<\/option><option value=\"KW\" class=\" \">Kuwait<\/option><option value=\"KG\" class=\" \">Kyrgyzstan<\/option><option value=\"LAO\" class=\" \">Lao People's Democratic Republic<\/option><option value=\"LVA\" class=\" \">Latvia<\/option><option value=\"LBN\" class=\" \">Lebanon<\/option><option value=\"LSO\" class=\" \">Lesotho<\/option><option value=\"LBR\" class=\" \">Liberia<\/option><option value=\"LBY\" class=\" \">Libyan Arab Jamahiriya<\/option><option value=\"LIE\" class=\" \">Liechtenstein<\/option><option value=\"LTU\" class=\" \">Lithuania<\/option><option value=\"LUX\" class=\" \">Luxembourg<\/option><option value=\"MAC\" class=\" \">Macau<\/option><option value=\"MKD\" class=\" \">Macedonia, The Former Yugoslav Republic Of<\/option><option value=\"MDG\" class=\" \">Madagascar<\/option><option value=\"MWI\" class=\" \">Malawi<\/option><option value=\"MYS\" class=\" \">Malaysia<\/option><option value=\"MDV\" class=\" \">Maldives<\/option><option value=\"MLI\" class=\" \">Mali<\/option><option value=\"MLT\" class=\" \">Malta<\/option><option value=\"MHL\" class=\" \">Marshall Islands<\/option><option value=\"MTQ\" class=\" \">Martinique<\/option><option value=\"MRT\" class=\" \">Mauritania<\/option><option value=\"MUS\" class=\" \">Mauritius<\/option><option value=\"MYT\" class=\" \">Mayotte<\/option><option value=\"MEX\" class=\" \">Mexico<\/option><option value=\"FSM\" class=\" \">Micronesia, Federated States Of<\/option><option value=\"MDA\" class=\" \">Moldova, Republic Of<\/option><option value=\"MCO\" class=\" \">Monaco<\/option><option value=\"MNG\" class=\" \">Mongolia<\/option><option value=\"MSR\" class=\" \">Montserrat<\/option><option value=\"ME\" class=\" \">Montenegro<\/option><option value=\"MAR\" class=\" \">Morocco<\/option><option value=\"MOZ\" class=\" \">Mozambique<\/option><option value=\"MMR\" class=\" \">Myanmar<\/option><option value=\"NAM\" class=\" \">Namibia<\/option><option value=\"NRU\" class=\" \">Nauru<\/option><option value=\"NPL\" class=\" \">Nepal<\/option><option value=\"NLD\" class=\" \">Netherlands<\/option><option value=\"ANT\" class=\" \">Netherlands Antilles<\/option><option value=\"NCL\" class=\" \">New Caledonia<\/option><option value=\"NZL\" class=\" \">New Zealand<\/option><option value=\"NIC\" class=\" \">Nicaragua<\/option><option value=\"NER\" class=\" \">Niger<\/option><option value=\"NGA\" class=\" \">Nigeria<\/option><option value=\"NIU\" class=\" \">Niue<\/option><option value=\"NFK\" class=\" \">Norfolk Island<\/option><option value=\"PRK\" class=\" \">North Korea<\/option><option value=\"MNP\" class=\" \">Northern Mariana Islands<\/option><option value=\"NOR\" class=\" \">Norway<\/option><option value=\"OMN\" class=\" \">Oman<\/option><option value=\"PAK\" class=\" \">Pakistan<\/option><option value=\"PLW\" class=\" \">Palau<\/option><option value=\"PSE\" class=\" \">Palestinian Territory, Occupied<\/option><option value=\"PAN\" class=\" \">Panama<\/option><option value=\"PNG\" class=\" \">Papua New Guinea<\/option><option value=\"PRY\" class=\" \">Paraguay<\/option><option value=\"PER\" class=\" \">Peru<\/option><option value=\"PHL\" class=\" \">Philippines<\/option><option value=\"PCN\" class=\" \">Pitcairn<\/option><option value=\"POL\" class=\" \">Poland<\/option><option value=\"PRT\" class=\" \">Portugal<\/option><option value=\"PRI\" class=\" \">Puerto Rico<\/option><option value=\"QAT\" class=\" \">Qatar<\/option><option value=\"REU\" class=\" \">Reunion<\/option><option value=\"ROM\" class=\" \">Romania<\/option><option value=\"RUS\" class=\" \">Russian Federation<\/option><option value=\"RWA\" class=\" \">Rwanda<\/option><option value=\"SHN\" class=\" \">Saint Helena<\/option><option value=\"KNA\" class=\" \">Saint Kitts And Nevis<\/option><option value=\"LCA\" class=\" \">Saint Lucia<\/option><option value=\"SPM\" class=\" \">Saint Pierre And Miquelon<\/option><option value=\"VCT\" class=\" \">Saint Vincent And The Grenadines<\/option><option value=\"WSM\" class=\" \">Samoa<\/option><option value=\"SMR\" class=\" \">San Marino<\/option><option value=\"STP\" class=\" \">Sao Tome And Principe<\/option><option value=\"SAU\" class=\" \">Saudi Arabia<\/option><option value=\"SEN\" class=\" \">Senegal<\/option><option value=\"RS\" class=\" \">Serbia<\/option><option value=\"SYC\" class=\" \">Seychelles<\/option><option value=\"SLE\" class=\" \">Sierra Leone<\/option><option value=\"SGP\" class=\" \">Singapore<\/option><option value=\"SVK\" class=\" \">Slovakia<\/option><option value=\"SVN\" class=\" \">Slovenia<\/option><option value=\"SLB\" class=\" \">Solomon Islands<\/option><option value=\"SOM\" class=\" \">Somalia<\/option><option value=\"ZAF\" class=\" \">South Africa<\/option><option value=\"SGS\" class=\" \">South Georgia And The South Sandwich Islands<\/option><option value=\"KOR\" class=\" \">South Korea<\/option><option value=\"ESP\" class=\" \">Spain<\/option><option value=\"LKA\" class=\" \">Sri Lanka<\/option><option value=\"SDN\" class=\" \">Sudan<\/option><option value=\"SUR\" class=\" \">Suriname<\/option><option value=\"SJM\" class=\" \">Svalbard And Jan Mayen<\/option><option value=\"SWZ\" class=\" \">Swaziland<\/option><option value=\"SWE\" class=\" \">Sweden<\/option><option value=\"CHE\" class=\" \">Switzerland<\/option><option value=\"SYR\" class=\" \">Syrian Arab Republic<\/option><option value=\"TWN\" class=\" \">Taiwan, Province Of China<\/option><option value=\"TJK\" class=\" \">Tajikistan<\/option><option value=\"TZA\" class=\" \">Tanzania, United Republic Of<\/option><option value=\"THA\" class=\" \">Thailand<\/option><option value=\"TGO\" class=\" \">Togo<\/option><option value=\"TKL\" class=\" \">Tokelau<\/option><option value=\"TON\" class=\" \">Tonga<\/option><option value=\"TTO\" class=\" \">Trinidad And Tobago<\/option><option value=\"TUN\" class=\" \">Tunisia<\/option><option value=\"TUR\" class=\" \">Turkey<\/option><option value=\"TKM\" class=\" \">Turkmenistan<\/option><option value=\"TCA\" class=\" \">Turks And Caicos Islands<\/option><option value=\"TUV\" class=\" \">Tuvalu<\/option><option value=\"UGA\" class=\" \">Uganda<\/option><option value=\"UKR\" class=\" \">Ukraine<\/option><option value=\"ARE\" class=\" \">United Arab Emirates<\/option><option value=\"GBR\" class=\" \">United Kingdom<\/option><option value=\"USA\" class=\" \">United States<\/option><option value=\"UMI\" class=\" \">United States Minor Outlying Islands<\/option><option value=\"URY\" class=\" \">Uruguay<\/option><option value=\"UZB\" class=\" \">Uzbekistan<\/option><option value=\"VUT\" class=\" \">Vanuatu<\/option><option value=\"VEN\" class=\" \">Venezuela<\/option><option value=\"VNM\" class=\" \">Viet Nam<\/option><option value=\"VGB\" class=\" \">Virgin Islands, British<\/option><option value=\"VIR\" class=\" \">Virgin Islands, U.s.<\/option><option value=\"WLF\" class=\" \">Wallis And Futuna<\/option><option value=\"ESH\" class=\" \">Western Sahara<\/option><option value=\"YEM\" class=\" \">Yemen<\/option><option value=\"YUG\" class=\" \">Yugoslavia<\/option><option value=\"ZMB\" class=\" \">Zambia<\/option><option value=\"ZWE\" class=\" \">Zimbabwe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field10\" data-index=\"7\" style=\"width: 50%\" class=\" even form-element form-element-field10 options-false form-element-7 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >City<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"City\" make-read-only=\"\" data-field-id=\"field10\" name=\"field10[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field28\" data-index=\"8\" style=\"width: 50%\" class=\" form-element form-element-field28 options-false form-element-8 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Province \/ State<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Province \/ State\" make-read-only=\"\" data-field-id=\"field28\" name=\"field28[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field3\" data-index=\"9\" style=\"width: 20%\" class=\" even form-element form-element-field3 options-false form-element-9 default-false form-element-type-dropdown is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >C\u00f3digo Pa\u00eds<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"true\" class=\"validation-lenient\" data-field-id=\"field3\" name=\"field3\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"AL\" class=\" \">Albania (+355)<\/option><option value=\"DZ\" class=\" \">Algeria (+213)<\/option><option value=\"AD\" class=\" \">Andorra (+376)<\/option><option value=\"AO\" class=\" \">Angola (+244)<\/option><option value=\"AI\" class=\" \">Anguilla (+1264)<\/option><option value=\"AG\" class=\" \">Antigua And Barbuda (+1268)<\/option><option value=\"AR\" class=\" \">Argentina (+54)<\/option><option value=\"AM\" class=\" \">Armenia (+374)<\/option><option value=\"AW\" class=\" \">Aruba (+297)<\/option><option value=\"AU\" class=\" \">Australia (+61)<\/option><option value=\"AT\" class=\" \">Austria (+43)<\/option><option value=\"AZ\" class=\" \">Azerbaijan (+994)<\/option><option value=\"BS\" class=\" \">Bahamas (+1242)<\/option><option value=\"BH\" class=\" \">Bahrain (+973)<\/option><option value=\"BD\" class=\" \">Bangladesh<\/option><option value=\"BB\" class=\" \">Barbados (+880)<\/option><option value=\"BY\" class=\" \">Belarus (+375)<\/option><option value=\"BE\" class=\" \">Belgium (+32)<\/option><option value=\"BZ\" class=\" \">Belize (+501)<\/option><option value=\"BJ\" class=\" \">Benin (+229)<\/option><option value=\"BM\" class=\" \">Bermuda (+1441)<\/option><option value=\"BT\" class=\" \">Bhutan (+975)<\/option><option value=\"BO\" class=\" \">Bolivia (+591)<\/option><option value=\"BA\" class=\" \">Bosnia And Herzegovina (+387)<\/option><option value=\"BW\" class=\" \">Botswana (+267)<\/option><option value=\"BR\" class=\" \">Brazil (+55)<\/option><option value=\"BN\" class=\" \">Brunei Darussalam (+673)<\/option><option value=\"BG\" class=\" \">Bulgaria (+359)<\/option><option value=\"BF\" class=\" \">Burkina Faso (+226)<\/option><option value=\"BI\" class=\" \">Burundi (+257)<\/option><option value=\"KH\" class=\" \">Cambodia (+855)<\/option><option value=\"CM\" class=\" \">Cameroon (+237)<\/option><option value=\"CA\" class=\" \">Canada (+1)<\/option><option value=\"CV\" class=\" \">Cape Verde (+238)<\/option><option value=\"KY\" class=\" \">Cayman Islands ()<\/option><option value=\"CF\" class=\" \">Central African Republic<\/option><option value=\"TD\" class=\" \">Chad<\/option><option value=\"CL\" class=\" \">Chile<\/option><option value=\"CN\" class=\" \">China<\/option><option value=\"CX\" class=\" \">Christmas Island<\/option><option value=\"CC\" class=\" \">Cocos (keeling) Islands<\/option><option value=\"CO\" class=\" \">Colombia<\/option><option value=\"KM\" class=\" \">Comoros<\/option><option value=\"CG\" class=\" \">Congo<\/option><option value=\"CD\" class=\" \">Congo, The Democratic Republic Of The<\/option><option value=\"CK\" class=\" \">Cook Islands<\/option><option value=\"CR\" class=\" \">Costa Rica<\/option><option value=\"CI\" class=\" \">Cote D'ivoire<\/option><option value=\"HR\" class=\" \">Croatia<\/option><option value=\"CU\" class=\" \">Cuba<\/option><option value=\"CY\" class=\" \">Cyprus<\/option><option value=\"CZ\" class=\" \">Czech Republic<\/option><option value=\"DK\" class=\" \">Denmark<\/option><option value=\"DJ\" class=\" \">Djibouti<\/option><option value=\"DM\" class=\" \">Dominica<\/option><option value=\"DO\" class=\" \">Dominican Republic<\/option><option value=\"TP\" class=\" \">East Timor<\/option><option value=\"EC\" class=\" \">Ecuador<\/option><option value=\"EG\" class=\" \">Egypt<\/option><option value=\"SV\" class=\" \">El Salvador<\/option><option value=\"GQ\" class=\" \">Equatorial Guinea<\/option><option value=\"ER\" class=\" \">Eritrea<\/option><option value=\"EE\" class=\" \">Estonia<\/option><option value=\"ET\" class=\" \">Ethiopia<\/option><option value=\"FK\" class=\" \">Falkland Islands (malvinas)<\/option><option value=\"FO\" class=\" \">Faroe Islands<\/option><option value=\"FJ\" class=\" \">Fiji<\/option><option value=\"FI\" class=\" \">Finland<\/option><option value=\"FR\" class=\" \">France<\/option><option value=\"GF\" class=\" \">French Guiana<\/option><option value=\"PF\" class=\" \">French Polynesia<\/option><option value=\"TF\" class=\" \">French Southern Territories<\/option><option value=\"GA\" class=\" \">Gabon<\/option><option value=\"GM\" class=\" \">Gambia<\/option><option value=\"GE\" class=\" \">Georgia<\/option><option value=\"DE\" class=\" \">Germany<\/option><option value=\"GH\" class=\" \">Ghana<\/option><option value=\"GI\" class=\" \">Gibraltar<\/option><option value=\"GR\" class=\" \">Greece<\/option><option value=\"GL\" class=\" \">Greenland<\/option><option value=\"GD\" class=\" \">Grenada<\/option><option value=\"GP\" class=\" \">Guadeloupe<\/option><option value=\"GU\" class=\" \">Guam<\/option><option value=\"GT\" class=\" \">Guatemala<\/option><option value=\"GN\" class=\" \">Guinea<\/option><option value=\"GW\" class=\" \">Guinea-bissau<\/option><option value=\"GY\" class=\" \">Guyana<\/option><option value=\"HT\" class=\" \">Haiti<\/option><option value=\"HM\" class=\" \">Heard Island And Mcdonald Islands<\/option><option value=\"VA\" class=\" \">Holy See (vatican City State)<\/option><option value=\"HN\" class=\" \">Honduras<\/option><option value=\"HK\" class=\" \">Hong Kong<\/option><option value=\"HU\" class=\" \">Hungary<\/option><option value=\"IS\" class=\" \">Iceland<\/option><option value=\"IN\" class=\" \">India<\/option><option value=\"ID\" class=\" \">Indonesia<\/option><option value=\"IR\" class=\" \">Iran, Islamic Republic Of<\/option><option value=\"IQ\" class=\" \">Iraq<\/option><option value=\"IE\" class=\" \">Ireland<\/option><option value=\"IL\" class=\" \">Israel<\/option><option value=\"IT\" class=\" \">Italy<\/option><option value=\"JM\" class=\" \">Jamaica<\/option><option value=\"JP\" class=\" \">Japan<\/option><option value=\"JO\" class=\" \">Jordan<\/option><option value=\"KZ\" class=\" \">Kazakstan<\/option><option value=\"KE\" class=\" \">Kenya<\/option><option value=\"KI\" class=\" \">Kiribati<\/option><option value=\"KP\" class=\" \">Korea, Democratic People's Republic Of<\/option><option value=\"KR\" class=\" \">Korea, Republic Of<\/option><option value=\"KV\" class=\" \">Kosovo<\/option><option value=\"KW\" class=\" \">Kuwait<\/option><option value=\"KG\" class=\" \">Kyrgyzstan<\/option><option value=\"LA\" class=\" \">Lao People's Democratic Republic<\/option><option value=\"LV\" class=\" \">Latvia<\/option><option value=\"LB\" class=\" \">Lebanon<\/option><option value=\"LS\" class=\" \">Lesotho<\/option><option value=\"LR\" class=\" \">Liberia<\/option><option value=\"LY\" class=\" \">Libyan Arab Jamahiriya<\/option><option value=\"LI\" class=\" \">Liechtenstein<\/option><option value=\"LT\" class=\" \">Lithuania<\/option><option value=\"LU\" class=\" \">Luxembourg<\/option><option value=\"MO\" class=\" \">Macau<\/option><option value=\"MK\" class=\" \">Macedonia, The Former Yugoslav Republic Of<\/option><option value=\"MG\" class=\" \">Madagascar<\/option><option value=\"MW\" class=\" \">Malawi<\/option><option value=\"MY\" class=\" \">Malaysia<\/option><option value=\"MV\" class=\" \">Maldives<\/option><option value=\"ML\" class=\" \">Mali<\/option><option value=\"MT\" class=\" \">Malta<\/option><option value=\"MH\" class=\" \">Marshall Islands<\/option><option value=\"MQ\" class=\" \">Martinique<\/option><option value=\"MR\" class=\" \">Mauritania<\/option><option value=\"MU\" class=\" \">Mauritius<\/option><option value=\"YT\" class=\" \">Mayotte<\/option><option value=\"MX\" class=\" \">Mexico<\/option><option value=\"FM\" class=\" \">Micronesia, Federated States Of<\/option><option value=\"MD\" class=\" \">Moldova, Republic Of<\/option><option value=\"MC\" class=\" \">Monaco<\/option><option value=\"MN\" class=\" \">Mongolia<\/option><option value=\"MS\" class=\" \">Montserrat<\/option><option value=\"ME\" class=\" \">Montenegro<\/option><option value=\"MA\" class=\" \">Morocco<\/option><option value=\"MZ\" class=\" \">Mozambique<\/option><option value=\"MM\" class=\" \">Myanmar<\/option><option value=\"NA\" class=\" \">Namibia<\/option><option value=\"NR\" class=\" \">Nauru<\/option><option value=\"NP\" class=\" \">Nepal<\/option><option value=\"NL\" class=\" \">Netherlands<\/option><option value=\"AN\" class=\" \">Netherlands Antilles<\/option><option value=\"NC\" class=\" \">New Caledonia<\/option><option value=\"NZ\" class=\" \">New Zealand<\/option><option value=\"NI\" class=\" \">Nicaragua<\/option><option value=\"NE\" class=\" \">Niger<\/option><option value=\"NG\" class=\" \">Nigeria<\/option><option value=\"NU\" class=\" \">Niue<\/option><option value=\"NF\" class=\" \">Norfolk Island<\/option><option value=\"MP\" class=\" \">Northern Mariana Islands<\/option><option value=\"NO\" class=\" \">Norway<\/option><option value=\"OM\" class=\" \">Oman<\/option><option value=\"PK\" class=\" \">Pakistan<\/option><option value=\"PW\" class=\" \">Palau<\/option><option value=\"PS\" class=\" \">Palestinian Territory, Occupied<\/option><option value=\"PA\" class=\" \">Panama<\/option><option value=\"PG\" class=\" \">Papua New Guinea<\/option><option value=\"PY\" class=\" \">Paraguay<\/option><option value=\"PE\" class=\" \">Peru<\/option><option value=\"PH\" class=\" \">Philippines<\/option><option value=\"PN\" class=\" \">Pitcairn<\/option><option value=\"PL\" class=\" \">Poland<\/option><option value=\"PT\" class=\" \">Portugal<\/option><option value=\"PR\" class=\" \">Puerto Rico<\/option><option value=\"QA\" class=\" \">Qatar<\/option><option value=\"RE\" class=\" \">Reunion<\/option><option value=\"RO\" class=\" \">Romania<\/option><option value=\"RU\" class=\" \">Russian Federation<\/option><option value=\"RW\" class=\" \">Rwanda<\/option><option value=\"SH\" class=\" \">Saint Helena<\/option><option value=\"KN\" class=\" \">Saint Kitts And Nevis<\/option><option value=\"LC\" class=\" \">Saint Lucia<\/option><option value=\"PM\" class=\" \">Saint Pierre And Miquelon<\/option><option value=\"VC\" class=\" \">Saint Vincent And The Grenadines<\/option><option value=\"WS\" class=\" \">Samoa<\/option><option value=\"SM\" class=\" \">San Marino<\/option><option value=\"ST\" class=\" \">Sao Tome And Principe<\/option><option value=\"SA\" class=\" \">Saudi Arabia<\/option><option value=\"SN\" class=\" \">Senegal<\/option><option value=\"RS\" class=\" \">Serbia<\/option><option value=\"SC\" class=\" \">Seychelles<\/option><option value=\"SL\" class=\" \">Sierra Leone<\/option><option value=\"SG\" class=\" \">Singapore<\/option><option value=\"SK\" class=\" \">Slovakia<\/option><option value=\"SI\" class=\" \">Slovenia<\/option><option value=\"SB\" class=\" \">Solomon Islands<\/option><option value=\"SO\" class=\" \">Somalia<\/option><option value=\"ZA\" class=\" \">South Africa<\/option><option value=\"GS\" class=\" \">South Georgia And The South Sandwich Islands<\/option><option value=\"ES\" class=\" \">Spain<\/option><option value=\"LK\" class=\" \">Sri Lanka<\/option><option value=\"SD\" class=\" \">Sudan<\/option><option value=\"SR\" class=\" \">Suriname<\/option><option value=\"SJ\" class=\" \">Svalbard And Jan Mayen<\/option><option value=\"SZ\" class=\" \">Swaziland<\/option><option value=\"SE\" class=\" \">Sweden<\/option><option value=\"CH\" class=\" \">Switzerland<\/option><option value=\"SY\" class=\" \">Syrian Arab Republic<\/option><option value=\"TW\" class=\" \">Taiwan, Province Of China<\/option><option value=\"TJ\" class=\" \">Tajikistan<\/option><option value=\"TZ\" class=\" \">Tanzania, United Republic Of<\/option><option value=\"TH\" class=\" \">Thailand<\/option><option value=\"TG\" class=\" \">Togo<\/option><option value=\"TK\" class=\" \">Tokelau<\/option><option value=\"TO\" class=\" \">Tonga<\/option><option value=\"TT\" class=\" \">Trinidad And Tobago<\/option><option value=\"TN\" class=\" \">Tunisia<\/option><option value=\"TR\" class=\" \">Turkey<\/option><option value=\"TM\" class=\" \">Turkmenistan<\/option><option value=\"TC\" class=\" \">Turks And Caicos Islands<\/option><option value=\"TV\" class=\" \">Tuvalu<\/option><option value=\"UG\" class=\" \">Uganda<\/option><option value=\"UA\" class=\" \">Ukraine<\/option><option value=\"AE\" class=\" \">United Arab Emirates<\/option><option value=\"GB\" class=\" \">United Kingdom<\/option><option value=\"US\" class=\" \">United States<\/option><option value=\"UM\" class=\" \">United States Minor Outlying Islands<\/option><option value=\"UY\" class=\" \">Uruguay<\/option><option value=\"UZ\" class=\" \">Uzbekistan<\/option><option value=\"VU\" class=\" \">Vanuatu<\/option><option value=\"VE\" class=\" \">Venezuela<\/option><option value=\"VN\" class=\" \">Viet Nam<\/option><option value=\"VG\" class=\" \">Virgin Islands, British<\/option><option value=\"VI\" class=\" \">Virgin Islands, U.s.<\/option><option value=\"WF\" class=\" \">Wallis And Futuna<\/option><option value=\"EH\" class=\" \">Western Sahara<\/option><option value=\"YE\" class=\" \">Yemen<\/option><option value=\"ZM\" class=\" \">Zambia<\/option><option value=\"ZW\" class=\" \">Zimbabwe<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field5\" data-index=\"10\" style=\"width: 40%\" class=\" form-element form-element-field5 options-false form-element-10 default-false form-element-type-oneLineText is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Home Phone<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Home Phone\" make-read-only=\"\" data-field-id=\"field5\" name=\"field5[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"numbers\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-icon-phone\">icon-phone<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field29\" data-index=\"11\" style=\"width: 40%\" class=\" even form-element form-element-field29 options-false form-element-11 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Cell Phone<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Cell Phone\" make-read-only=\"\" data-field-id=\"field29\" name=\"field29[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"numbers\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-icon-phone\">icon-phone<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field26\" data-index=\"12\" style=\"width: 100%\" class=\" form-element form-element-field26 options-false form-element-12 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-false checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >ACADEMIC INFORMATION<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field26\" type=\"radio\" data-is-required=\"true\" name=\"field26[]\" value=\"4\" class=\"validation-lenient\"><span><span >CERTIFICATE<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field26\" type=\"radio\" data-is-required=\"true\" name=\"field26[]\" value=\"1\" class=\"validation-lenient\"><span><span >BACHELOR<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field26\" type=\"radio\" data-is-required=\"true\" name=\"field26[]\" value=\"2\" class=\"validation-lenient\"><span><span >MASTER<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field26\" type=\"radio\" data-is-required=\"true\" name=\"field26[]\" value=\"3\" class=\"validation-lenient\"><span><span >DOCTORATE<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field26\" type=\"radio\" data-is-required=\"true\" name=\"field26[]\" value=\"5\" class=\"validation-lenient\"><span><span >POST-DOCTORATE<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field55\" data-index=\"13\" style=\"width: 100%\" class=\" even form-element form-element-field55 options-false form-element-13 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Field of study: Ex. Business Administration<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Field of study: Ex. Business Administration\" make-read-only=\"\" data-field-id=\"field55\" name=\"field55[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field57\" data-index=\"14\" style=\"width: 100%\" class=\" form-element form-element-field57 options-false form-element-14 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><!--StartFragment--><p style=\"padding: 0px;font-size: 12.6px;vertical-align: baseline;width: 737.625px;text-align: left\" ><\/p><p >CERTIFICATE:&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<span id=\"docs-internal-guid-332ab668-7fff-55e4-37b7-113be86ab977\"><span style=\"font-size: 10pt;color: #666666;background-color: transparent;vertical-align: baseline\">$1500.00 dollars&nbsp;with discount = $300 dollars<\/span><\/span>&nbsp;&nbsp;<\/p><p ><!--StartFragment-->BACHELOR:&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<span id=\"docs-internal-guid-d6673cf8-7fff-9c6b-3057-f36fb8e06f04\"><span style=\"font-size: 10pt;background-color: transparent;vertical-align: baseline\">$5000.00 dollars with discount = $1250 dollars<\/span><\/span> <!--EndFragment--><\/p><p >MASTER:&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<span id=\"docs-internal-guid-6dacca31-7fff-d993-0947-3e2bf7c99c40\"><span style=\"font-size: 10pt;background-color: transparent;vertical-align: baseline\">$6000 dollars with discount = $1250 dollars<\/span><\/span> <br>DOCTORATE:&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<span id=\"docs-internal-guid-d3a7f8bf-7fff-16bd-95b2-8486a0cdffaa\"><span style=\"font-size: 10pt;background-color: transparent;vertical-align: baseline\">$7000 dollars&nbsp;with discount = $1250 dollars<\/span><\/span><\/p><p ><span style=\"color: inherit;font-size: 1em\">POST-DOCTORATE:&nbsp; &nbsp; &nbsp; <span id=\"docs-internal-guid-6c372775-7fff-49ea-59b6-67dfddd955ce\"><span style=\"font-size: 10pt;background-color: transparent;vertical-align: baseline\">$7000 dollars with discount = $1250 dollars<\/span><\/span><\/span><\/p><p style=\"padding: 0px;font-size: 12.6px;vertical-align: baseline;width: 737.625px;text-align: left\" ><span style=\"padding: 0px;font-size: 1em;vertical-align: baseline;color: inherit\"><span style=\"padding: 0px;font-size: 12.87px;vertical-align: baseline;text-align: left;float: none\"><\/span><\/span><\/p><!--EndFragment--><\/div><input type=\"hidden\" name=\"field57\" data-field-id=\"field57\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field64\" data-index=\"15\" style=\"width: 100%\" class=\" even form-element form-element-field64 options-false form-element-15 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: 10px;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b><span style=\"font-size: 9.0pt\"><\/span><\/b><\/p><h4 ><span>METHODS OF PAYMENT<span style=\"color: red\">*<\/span><\/span><br><\/h4><\/div><input type=\"hidden\" name=\"field64\" value=\"Methods of Payment\" data-field-id=\"field64\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field31\" data-index=\"16\" style=\"width: 100%\" class=\" form-element form-element-field31 options-false form-element-16 default-false form-element-type-checkbox is-required-true odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-false checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field31\" type=\"radio\" data-is-required=\"true\" name=\"field31[]\" value=\"1\" class=\"validation-lenient\"><span><span >Visa<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field31\" type=\"radio\" data-is-required=\"true\" name=\"field31[]\" value=\"2\" class=\"validation-lenient\"><span><span >MasterCard<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field31\" type=\"radio\" data-is-required=\"true\" name=\"field31[]\" value=\"3\" class=\"validation-lenient\"><span><span >American Express<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field31\" type=\"radio\" data-is-required=\"true\" name=\"field31[]\" value=\"7\" class=\"validation-lenient\"><span><span >Bank Wire Transfer<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field31\" type=\"radio\" data-is-required=\"true\" name=\"field31[]\" value=\"5\" class=\"validation-lenient\"><span><span >Western Union \/ Money Gram<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field30\" data-index=\"17\" style=\"width: 100%\" class=\" even form-element form-element-field30 options-false form-element-17 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-false checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><span >PAYMENT ARRENGEMENT<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field30\" type=\"radio\" data-is-required=\"true\" name=\"field30[]\" value=\"1\" class=\"validation-lenient\"><span><span >OPTION 1: Payment in full <\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field30\" type=\"radio\" data-is-required=\"true\" name=\"field30[]\" value=\"2\" class=\"validation-lenient\"><span><span >OPTION 2: Enrollment fee $ 300 dollars + 8 monthly payments of $150 dollars (for certificates enrollment fee of $100 dollars + 7 monthly payments of $50 dollars).<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field54\" data-index=\"18\" style=\"width: 100%\" class=\" form-element form-element-field54 options-false form-element-18 default-false form-element-type-customText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: 0px;right: ;bottom: 0;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p >Once you have entered your credit \/ debit card information, you will be charged for the option you have chosen and you will be given direct access to the Virtual Academic Platform to start your studies.<br><\/p><\/div><input type=\"hidden\" name=\"field54\" value=\"Methods of Payment\" data-field-id=\"field54\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field32\" data-index=\"19\" style=\"width: 60%\" class=\" even form-element form-element-field32 options-false form-element-19 default-false form-element-type-oneLineText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Name as it appears on the credit card<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Name as it appears on the credit card\" make-read-only=\"\" data-field-id=\"field32\" name=\"field32[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field36\" data-index=\"20\" style=\"width: 40%\" class=\" form-element form-element-field36 options-false form-element-20 default-false form-element-type-oneLineText is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-false\"><span class=\"main-label\"><span >Credit card number<\/span><\/span><span class=\"sub-label\"><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"Credit card number\" make-read-only=\"\" data-field-id=\"field36\" name=\"field36[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"numbers\" data-regexp=\"\" data-is-required=\"false\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field37\" data-index=\"21\" style=\"width: 30%\" class=\" even form-element form-element-field37 options-false form-element-21 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p >Expiration date<\/p><\/div><input type=\"hidden\" name=\"field37\" data-field-id=\"field37\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field38\" data-index=\"22\" style=\"width: 25%\" class=\" form-element form-element-field38 options-false form-element-22 default-false form-element-type-dropdown is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Month<\/span><\/span><span class=\"sub-label\"><span >pick one!<\/span><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field38\" name=\"field38\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Month<\/option><option value=\"January\" class=\" \">January<\/option><option value=\"February\" class=\" \">February<\/option><option value=\"March\" class=\" \">March<\/option><option value=\"April\" class=\" \">April<\/option><option value=\"May\" class=\" \">May<\/option><option value=\"June\" class=\" \">June<\/option><option value=\"July\" class=\" \">July<\/option><option value=\"August\" class=\" \">August<\/option><option value=\"September\" class=\" \">September<\/option><option value=\"October\" class=\" \">October<\/option><option value=\"November\" class=\" \">November<\/option><option value=\"December\" class=\" \">December<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field39\" data-index=\"23\" style=\"width: 25%\" class=\" even form-element form-element-field39 options-false form-element-23 default-false form-element-type-dropdown is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"dropdown-cover field-cover autocomplete-type- \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >Year<\/span><\/span><span class=\"sub-label\"><span >pick one!<\/span><\/span><\/span><div><span class=\"error\"><\/span><select data-is-required=\"false\" class=\"validation-lenient\" data-field-id=\"field39\" name=\"field39\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><option value=\"\" class=\" \">Year<\/option><option value=\"2017\" class=\" \">2017<\/option><option value=\"2018\" class=\" \">2018<\/option><option value=\"2019\" class=\" \">2019<\/option><option value=\"2020\" class=\" \">2020<\/option><option value=\"2021\" class=\" \">2021<\/option><option value=\"2022\" class=\" \">2022<\/option><option value=\"2023\" class=\" \">2023<\/option><option value=\"2024\" class=\" \">2024<\/option><option value=\"2025\" class=\" \">2025<\/option><option value=\"2026\" class=\" \">2026<\/option><option value=\"2027\" class=\" \">2027<\/option><option value=\"2028\" class=\" \">2028<\/option><option value=\"2029\" class=\" \">2029<\/option><option value=\"2030\" class=\" \">2030<\/option><option value=\"2031\" class=\" \">2031<\/option><option value=\"2032\" class=\" \">2032<\/option><option value=\"2033\" class=\" \">2033<\/option><option value=\"2034\" class=\" \">2034<\/option><option value=\"2035\" class=\" \">2035<\/option><option value=\"2036\" class=\" \">2036<\/option><option value=\"2037\" class=\" \">2037<\/option><option value=\"2038\" class=\" \">2038<\/option><option value=\"2039\" class=\" \">2039<\/option><\/select><input type=\"text\"><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field65\" data-index=\"24\" style=\"width: 30%\" class=\" form-element form-element-field65 options-false form-element-24 default-false form-element-type-heading is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div style=\"background-color:\" class=\"heading-cover field-cover \"><div style=\"text-align: left; font-size: 0.9999999999999997em; padding-top: 10px; padding-bottom: 2px; color:\" class=\"bold-\"><span >Security code<\/span><\/div><input type=\"hidden\" data-field-id=\"field65\" name=\"field65[]\" value=\"Security code\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field66\" data-index=\"25\" style=\"width: 25%\" class=\" even form-element form-element-field66 options-false form-element-25 default-false form-element-type-oneLineText is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><label class=\"oneLineText-cover field-cover \"><span class=\"sub-label-true\"><span class=\"main-label\"><span >CVC<\/span><\/span><span class=\"sub-label\"><span >your full name<\/span><\/span><\/span><div><span class=\"error\"><\/span><input type=\"text\" placeholder=\"CVC\" make-read-only=\"\" data-field-id=\"field66\" name=\"field66[]\" data-min-char=\"\" data-max-char=\"\" data-val-type=\"numbers\" data-regexp=\"\" data-is-required=\"true\" data-allow-spaces=\"\" class=\"validation-lenient\" data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"focus\" data-html=\"true\" data-input-mask=\"\" data-mask-placeholder=\"\" data-original-title=\"(3 digits and is located on the back of the card)\"><i class=\"formcraft-icon formcraft-icon-type-no-icon\">no-icon<\/i><\/div><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field62\" data-index=\"26\" style=\"width: 100%\" class=\" form-element form-element-field62 form-element-26 default-false form-element-type-customText is-required-false odd -handle options-true\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: 10px;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><p ><b><span style=\"font-size: 9.0pt\"><\/span><\/b><\/p><p ><span style=\"font-size: 9pt\">I certify that the foregoing information is true and complete to the best of my knowledge and fully realize that omission or falsification of information will be considered sufficient reason for the rejectionor dismissal of this application.<\/span><\/p><p ><span style=\"font-size: 9.0pt\"><br><\/span><\/p><p ><span style=\"font-size: 9.0pt\"><b>NOTE:<\/b> The University requires each student to be academically and financially active monthly. The fee for Academic Inactivity is $100\/month,which is added to the regular monthly tuition due.<\/span><\/p><\/div><input type=\"hidden\" name=\"field62\" data-field-id=\"field62\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field51\" data-index=\"27\" style=\"width: 100%\" class=\" even form-element form-element-field51 options-false form-element-27 default-false form-element-type-checkbox is-required-true -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"images-false checkbox-cover field-cover\"><span class=\"sub-label-false\"><span class=\"main-label\"><\/span><span class=\"sub-label\"><\/span><\/span><div data-placement=\"right\" data-toggle=\"tooltip\" tooltip=\"\" data-trigger=\"hover\" data-html=\"true\" data-original-title=\"\"><span class=\"error\"><\/span><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field51\" type=\"radio\" data-is-required=\"true\" name=\"field51[]\" value=\"si\" class=\"validation-lenient\"><span><span >Yes, I accept AAU's terms and conditions<\/span><\/span><\/label><label style=\"width:\" ><img alt=\"\"><input data-field-id=\"field51\" type=\"radio\" data-is-required=\"true\" name=\"field51[]\" value=\"no\" class=\"validation-lenient\"><span><span >No, I do not accept AAU's terms and conditions<\/span><\/span><\/label><\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field8\" data-index=\"28\" style=\"width: 100%\" class=\" form-element form-element-field8 options-false form-element-28 default-false form-element-type-submit is-required-false odd -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"align-center wide-false submit-cover field-cover\"><button type=\"submit\" class=\"button submit-button\"><span class=\"text \">SEND THE ADMISSION APPLICATION<\/span><span class=\"spin-cover\"><i style=\"color:\" class=\"loading-icon icon-cog animate-spin\"><\/i><\/span><\/button><\/div><div class=\"submit-response \"><\/div><label ><input type=\"text\" class=\"required_field\" name=\"website\" autocomplete=\"maple-syrup-pot\"><\/label><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div><div data-identifier=\"field56\" data-index=\"29\" style=\"width: 100%\" class=\" even form-element form-element-field56 options- form-element-29 default-false form-element-type-customText is-required-false -handle\">\n\t\t\t\t\t\t\t<div class=\"form-element-html\"><div ><div class=\"absolute-false customText-cover field-cover\" style=\"left: ; top: ;right: ;bottom: ;color: #666666 !important; background-color:\"><div class=\"full\" style=\"text-align: left\"><span >Add some text or <\/span><strong >HTML<\/strong><span > here<\/span><\/div><input type=\"hidden\" name=\"field56\" data-field-id=\"field56\"><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div><!-- end ngRepeat: page in Builder.FormElements track by $index -->\n\t\t\t<\/form>\n\t\t\t<div class=\"prev-next prev-next-1\" style=\"width: 100%; color: #666666; font-size: 90%; background: white\">\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"inactive page-prev \"><i class=\"formcraft-icon\">keyboard_arrow_left<\/i>Previous<\/span><\/div>\n\t\t\t\t<div>\n\t\t\t\t\t\n\t\t\t\t\t<span class=\"page-next \">Next<i class=\"formcraft-icon\">keyboard_arrow_right<\/i><\/span><\/div>\n\t\t\t<\/div>\n\t\t<\/div><\/div>[\/vc_column_text][vc_wp_custommenu nav_menu=&#8221;13&#8243; el_class=&#8221;menu-programas&#8221;][\/vc_column][\/vc_row]<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>[vc_row gap=&#8221;35&#8243; css=&#8221;.vc_custom_1497043012698{padding-top: 80px !important;padding-bottom: 10px !important;}&#8221;][vc_column width=&#8221;1\/3&#8243; offset=&#8221;vc_hidden-sm vc_hidden-xs&#8221;][vc_wp_custommenu nav_menu=&#8221;13&#8243; el_class=&#8221;menu-programas&#8221;][\/vc_column][vc_column width=&#8221;2\/3&#8243; offset=&#8221;vc_hidden-sm vc_hidden-xs&#8221;][vc_column_text css=&#8221;.vc_custom_1499959723575{margin-top: 0px !important;padding-top: 0px !important;}&#8221;] AAU ADMISSION APPLICATION This application will<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Online Admission Application | American Andragogy University<\/title>\n<meta name=\"description\" content=\"This application will be recorded directly into our records. The information received, will not be provided to third parties or other institutions.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.aauniv.com\/s\/en\/admission-application\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Online Admission Application | American Andragogy University\" \/>\n<meta property=\"og:description\" content=\"This application will be recorded directly into our records. The information received, will not be provided to third parties or other institutions.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.aauniv.com\/s\/en\/admission-application\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-02-21T23:22:31+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.aauniv.com\/s\/en\/admission-application\/\",\"url\":\"https:\/\/www.aauniv.com\/s\/en\/admission-application\/\",\"name\":\"Online Admission Application | American Andragogy University\",\"isPartOf\":{\"@id\":\"https:\/\/www.aauniv.com\/s\/en\/#website\"},\"datePublished\":\"2017-08-11T21:32:35+00:00\",\"dateModified\":\"2023-02-21T23:22:31+00:00\",\"description\":\"This application will be recorded directly into our records. 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