1 2<!doctype html> 3<html lang="en"> 4<head> 5 <meta charset="UTF-8"> 6<meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=5.0"> 7<title>Adult Education Enrollment Form | Wallingford Adult Education</title> 8<meta name="keywords" content="Adult Education Enrollment Form"> 9<meta name="description" content="Adult Education Enrollment Form"> 10<link rel="preconnect" href="https://fonts.gstatic.com"> 11<link rel="stylesheet" href="/includes/style.css?v=6.5" media="screen"> 12<link rel="stylesheet" href="/includes/style-d.css?v=6.5" media="screen and (min-width: 750px)"> 13<link rel="stylesheet" href="/includes/style-m.css?v=6.5" media="screen and (max-width: 749px)"> 14<link rel="stylesheet" href="/includes/style_print.css?v=6" media="print"> 15 16<link href="https://fonts.googleapis.com/css2?family=Montserrat:ital,wght@0,400;0,500;0,700;0,800;1,300;1,400;1,500&display=swap" rel="stylesheet">
17<script src="https://code.jquery.com/jquery-3.7.1.min.js" integrity="sha256-/JqT3SQfawRcv/BIHPThkBvs0OEvtFFmqPF/lYI/Cxo=" crossorigin="anonymous"></script>
vendor: 1 bytes, line 17
17
18<script type="text/javascript" src="/includes/pageLoad.js?v=7.5"></script>
18 19 20 21 22 23<!-- Global site tag (gtag.js) - Google Analytics -->
vendor: 65 bytes, lines 23-24
23 24<script async src="https://www.googletagmanager.com/gtag/js?id=
24UA-23341451-1
vendor: 13 bytes, line 24
24"></script>
25<script> 26
vendor: 138 bytes, lines 26-30
26window.dataLayer = window.dataLayer || []; 27 function gtag(){dataLayer.push(arguments);} 28 gtag('js', new Date()); 29 30 gtag('config', '
30UA-23341451-1
vendor: 5 bytes, line 30
30');
31</script>
31 32 33 34<meta name="msvalidate.01" content="E3B0E82C48FBC5BD90D18B53100583C7" /> 35 36 37 <style type="text/css"> 38 .wioaCorePrograms input[type=date]{ 39 width:200px !important; 40 } 41 </style> 42 43
44<script type="text/javascript"> 45 46 $(document).ready(function () { 47 48 toggleEducation(); 49 toggleHearAboutUs(); 50 toggleFarmworker(); 51 $("input[name='education']").change(toggleEducation); 52 $("input[name='hearAboutUs']").change(toggleHearAboutUs); 53 $("input[name='farmworker']").change(toggleFarmworker); 54 55 }); 56 57 var headerHeight; 58 var reposition = function () { 59 headerHeight || (headerHeight = jQuery('.header-container').outerHeight() + 50); 60 setTimeout(function () { 61 window.scrollBy(0, -headerHeight); 62 }, 50); 63 }; 64 65 function toggleEducation() { 66 $(".education input.writeIn").prop("required", false); 67 $(".education .writeIn").hide(); 68 $(".education #lastHighSchool").hide(); 69 $(".education #lastHighSchool input").prop('required', false); 70 71 if (!$("input[name='education']:checked").length) { 72 return; 73 } 74 75 var chkd = $("input[name='education']:checked"); 76 77 chkd.closest("div").find(".writeIn").show(); 78 chkd.closest("div").find("input.writeIn").prop("required", true); 79 80 if (chkd.val() != 'No Schooling' && chkd.val() != 'Elementary Grade') { 81 $(".education #lastHighSchool").show(); 82 $(".education #lastHighSchool input").prop('required', true); 83 } 84 } 85 86 function toggleHearAboutUs() { 87 $(".hearAboutUs").hide(); 88 89 if ($("input[name='hearAboutUs'][value='Other']").is(":checked")) { 90 $(".hearAboutUs").show(); 91 $("input.hearAboutUs").prop("required", true); 92 } 93 else { 94 $("input.hearAboutUs").prop("required", false); 95 $(".hearAboutUs").hide(); 96 } 97 } 98 99 function toggleFarmworker() { 100 if ($("input[name='farmworker']:checked").length && $("input[name='farmworker']:checked").val() == 'Yes') { 101 $("#farmworkerSubcategory").show(); 102 $("#farmworkerSubcategory input").prop("required", true); 103 } 104 else { 105 $("#farmworkerSubcategory input").prop("required", false); 106 $("#farmworkerSubcategory").hide(); 107 } 108 109 } 110</script>
110 111 112</head> 113<body class="interior"> 114 115 116<header> 117 <a id="skipNavigation" href="#main" tabindex="0">Skip Navigation</a> 118 <a href="/" id="brand"><img src="/images/logo.svg" alt="Logo for: Wallingford Adult Education" /></a> 119 120 <div id="navContainer"> 121 <button class="menu toggleNav" aria-controls="navContainer" aria-expanded="false"><span>×</span> Close Menu</button> 122 <nav id="mainnav" aria-label="Main"> 123 <ul><li class="on menu-item-has-children"><a href="/academic-programs/" target="_self" class="Menu">Academic Programs</a><button aria-controls="academic-programs-dropdown" aria-expanded="false"><span class="sr-only">Toggle submenu for Academic Programs</span></button><div id="academic-programs-dropdown"><ul><li class="on"><a href="/adult-education-enrollment-form/" target="_self">Adult Education Enrollment Form</a></li><li><a href="/academic-programs/adult-basic-education/" target="_self">Adult Basic Education (ABE)</a></li><li><a href="/academic-programs/english-as-a-second-language/" target="_self">English as a Second Language (ESL)</a></li><li><a href="/academic-programs/family-literacy/" target="_self">Family Literacy</a></li><li><a href="/academic-programs/citizenship/" target="_self">Citizenship</a></li><li><a href="/academic-programs/high-school-credit-diploma-program/" target="_self">High School Credit Diploma Program (CDP)</a></li><li><a href="/academic-programs/national-external-diploma-program/" target="_self">National External Diploma Program (NEDP)</a></li><li><a href="/academic-programs/ged-preparation/" target="_self">GED Preparation</a></li><li><a href="/academic-programs/eat-around-the-world/" target="_self">ESL - Eat Around the World</a></li></ul></div></li><li><a href="https://enrichment.wallingfordadulted.org/CourseCatalog/?Division=Medical%20Programs" target="_self" class="Menu">Medical Programs</a></li><li class="menu-item-has-children"><a href="https://enrichment.wallingfordadulted.org/CourseCatalog/?Division=Wallingford" target="_self" class="Menu">Enrichment Programs</a><button aria-controls="enrichment-programs-dropdown" aria-expanded="false"><span class="sr-only">Toggle submenu for Enrichment Programs</span></button><div id="enrichment-programs-dropdown"><ul><li><a href="https://enrichment.wallingfordadulted.org/CourseCatalog/CategoryView.asp?ID=750">Creative Arts</a></li><li><a href="https://enrichment.wallingfordadulted.org/CourseCatalog/CategoryView.asp?ID=754">Health & Wellness</a></li><li><a href="https://enrichment.wallingfordadulted.org/CourseCatalog/CategoryView.asp?ID=751">Money Matters</a></li><li><a href="https://enrichment.wallingfordadulted.org/CourseCatalog/CategoryView.asp?ID=752">Personal Enrichment</a></li><li><a href="https://enrichment.wallingfordadulted.org/CourseCatalog/CategoryView.asp?ID=753">Specialty Classes</a></li><li><a href="https://enrichment.wallingfordadulted.org/CourseCatalog/CategoryView.asp?ID=755">Travel</a></li><li><a href="https://enrichment.wallingfordadulted.org/CourseCatalog/CategoryView.asp?ID=756">Cooking</a></li><li><a href="https://enrichment.wallingfordadulted.org/CourseCatalog/CategoryView.asp?ID=757">ed2go</a></li><li><a href="https://enrichment.wallingfordadulted.org/CourseCatalog/CategoryView.asp?ID=758">Languages</a></li><li><a href="https://enrichment.wallingfordadulted.org/CourseCatalog/?Division=Medical%20Programs">Medical Career Programs</a></li></ul></div></li><li class="menu-item-has-children"><a href="/contact-form/" target="_self" class="Menu">Contact</a><button aria-controls="contact-dropdown" aria-expanded="false"><span class="sr-only">Toggle submenu for Contact</span></button><div id="contact-dropdown"><ul><li><a href="/contact-form/teach-with-us/" target="_self">Teach With Us</a></li><li><a href="/contact-medical-career-programs-coordinator/" target="_self">Contact Medical Career Programs Coordinator</a></li><li><a href="/driving-directions/" target="_self">Locations & Directions</a></li><li><a href="/contact-form/transcript-request-form/" target="_self">Transcript Request Form</a></li></ul></div></li></ul> 124 </nav> 125 <nav id="ancillary" aria-label="Ancillary"> 126 <ul><li><a href="/about/" target="_self">About</a></li><li class='search-li'><a id='search-button' class="search-toggle" href='#'>Search</a></li></ul> 127 <form id="search-form" class="search" action="/Search/" method="get"> 128 <div> 129 <input id="search-terms" type="text" name="s" placeholder="Search" required data-container=".search-error" /> 130 <input type="submit" name="FormAction" value="Search" /> 131 <button type="reset" name="cancel" class="search-toggle"><span class="sr-only">Dismiss search form</span> </button> 132 </div> 133 <div class="search-error"></div> 134 </form> 135 </nav> 136 </div> 137 138 <nav id="mobilenav" aria-label="Mobile"> 139 <a href="/academic-programs/" target="_self">Academic Programs</a><a href="https://enrichment.wallingfordadulted.org/CourseCatalog/?Division=Medical%20Programs" target="_self">Medical Programs</a> 140 <button type="button" class="menu toggleNav" aria-controls="navContainer" aria-expanded="false">More <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512"><path d="M16 132h416c8.837 0 16-7.163 16-16V76c0-8.837-7.163-16-16-16H16C7.163 60 0 67.163 0 76v40c0 8.837 7.163 16 16 16zm0 160h416c8.837 0 16-7.163 16-16v-40c0-8.837-7.163-16-16-16H16c-8.837 0-16 7.163-16 16v40c0 8.837 7.163 16 16 16zm0 160h416c8.837 0 16-7.163 16-16v-40c0-8.837-7.163-16-16-16H16c-8.837 0-16 7.163-16 16v40c0 8.837 7.163 16 16 16z"/></svg></button> 141 </nav> 142 143</header> 144 145 146<main id="main" class="interior"> 147 <div class="wrap">
148 <div id="content" class="content"> 149 150 <h1>Adult Education Enrollment Form</h1> 151 152 <!-- cms start --> 153 154 155 156<div style="clear:both"></div> 157<hr /> 158 159 160 161<form id="StudentInfoForm" class="ContactForm" action="/adult-education-enrollment-form/default.aspx" method="post"> 162 <input type="hidden" name="FormAction" value="Submit Form" /> 163 <h2>Please fill out the form: <em class="text">(<span style="color:#ff0000">*</span> denotes required fields)</em></h2> 164 165 <table role="presentation" cellspacing="0" cellpadding="0" class="formTable"> 166 <col width="50%"> 167 <col width="50%"> 168 169 <tr> 170 <td colspan="2"> 171 <fieldset id="student-type" class="no-border" data-required="true" data-container=".student-type-error"> 172 <legend>Student Type: <span style="color:#ff0000">*</span></legend> 173 <div class="student-type-error"></div> 174 <div><input type="radio" required name="studentType" id="returningStudent" value="Returning Student" /><label for="returningStudent">Returning Student</label></div> 175 <div><input type="radio" required name="studentType" id="newStudent" value="New Student" /><label for="newStudent">New Student</label></div> 176 </fieldset> 177 </td> 178 </tr> 179 180 <tr> 181 <td> 182 <label for="intake-date">Intake Date</label> 183 <input id="intake-date" type="date" name="intakeDate" value="2026-10-04" /> 184 </td> 185 186 <td> 187 <label for="social-security-number">SSN</label> 188 <input id="social-security-number" type="text" name="ssn" maxlength="9" aria-describedby="ssn-format" /> 189 <span class="sr-only" id="ssn-format">max length 9 characters</span> 190 </td> 191 </tr> 192 193 194 <tr> 195 <td> 196 <label for="last-name">Last Name <span style="color:#ff0000">*</span></label> 197 <input id="last-name" type="text" required name="lastName" autocomplete="family-name" /> 198 </td> 199 <td> 200 <label for="first-name">First Name <span style="color:#ff0000">*</span> (as it appears on your ID)</label> 201 <input id="first-name" type="text" required name="firstName" name="given-name" /> 202 </td> 203 </tr> 204 205 <tr> 206 <td> 207 <label for="middle-name">Middle Name</label> 208 <input id="middle-name" type="text" name="middleName" name="middle-name" /> 209 </td> 210 <td> 211 <label for="suffix">Suffix</label> 212 <input id="suffix" type="text" name="suffix" name="honorific-suffix" /> 213 </td> 214 </tr> 215 216 <tr> 217 <td> 218 <label for="preferred-name">Preferred Name</label> 219 <input id="preferred-name" type="text" name="preferredName" maxlength="250" /> 220 </td> 221 <td></td> 222 </tr> 223 224 </table> 225 226 227 <hr> 228 229 230 <table role="presentation" cellspacing="0" cellpadding="0" class="formTable"> 231 <col width="50%"> 232 <col width="50%"> 233 234 <tr> 235 <td> 236 <fieldset id="program" class="no-border" data-required="true" data-container=".program-error"> 237 <legend>Program <span style="color:#ff0000">*</span></legend> 238 <div class="program-error"></div> 239 <div><input type="checkbox" name="program" id="ged" value="GED" required /><label for="ged">General Educational Development</label></div> 240 <div><input type="checkbox" name="program" id="cdp" value="CDP" required /><label for="cdp">Credit Diploma Program</label></div> 241 <div><input type="checkbox" name="program" id="nedp" value="NEDP" required /><label for="nedp">National External Diploma Program</label></div> 242 <div><input type="checkbox" name="program" id="esl" value="ESL" required /><label for="esl">English As A Second Language</label></div> 243 <div><input type="checkbox" name="program" id="ESLSCOW" value="ESL SCOW" required /><label for="ESLSCOW">ESL SCOW</label></div> 244 <div><input type="checkbox" name="program" id="ESLCheshire" value="ESL Cheshire" required /><label for="ESLCheshire">ESL Cheshire</label></div> 245 <div><input type="checkbox" name="program" id="citizenship" value="Citizenship" required /><label for="citizenship">Americanization/Citizenship</label></div> 246 <div><input type="checkbox" name="program" id="adultBasicEducation" value="Adult Basic Education" required /><label for="adultBasicEducation">Adult Basic Education</label></div> 247 <div>
247<input type="checkbox" name="program" id="eatAroundTheWorld" value="Eat Around The World Class" required /><label for="eatAroundTheWorld">Eat Around The World Class</label></div> 248 <div><input type="checkbox" name="program" id="familyLiteracy" value="Family Literacy Class" required /><label for="familyLiteracy">Family Literacy Class</label></div> 249 </fieldset> 250 </td> 251 252 <td> 253 <fieldset id="class-time" class="no-border" data-required="true" data-container=".class-time-error"> 254 <legend>Preferred Class Time <span style="color:#ff0000">*</span></legend> 255 <div class="class-time-error"></div> 256 <div><input type="radio" name="classTime" id="Morning" value="Morning" required /><label for="Morning">Morning</label></div> 257 <div><input type="radio" name="classTime" id="Afternoon" value="Afternoon" required /><label for="Afternoon">Afternoon</label></div> 258 <div><input type="radio" name="classTime" id="Evening" value="Evening" required /><label for="Evening">Evening</label></div> 259 </fieldset> 260 </td> 261 </tr> 262 263 <tr> 264 <td> 265 <label for="SASID">SASID</label> 266 <input id="SASID" type="text" name="sasid" maxlength="250" /> 267 </td> 268 <td> 269 <fieldset id="residence-area" class="no-border"> 270 <legend>Residence Area</legend> 271 <div><input type="radio" name="residence" id="rural" value="Rural" /><label for="rural">Rural</label></div> 272 <div><input type="radio" name="residence" id="urban" value="Urban" /><label for="urban">Urban</label></div> 273 </fieldset> 274 </td> 275 </tr> 276 277 <tr> 278 <td> 279 <label for="country-of-birth">Country Born: <span style="color:#ff0000">*</span></label> 280 <input id="country-of-birth" type="text" required name="countryBorn" /> 281 </td> 282 <td> 283 <label for="birthdate">Birthdate <span style="color:#ff0000">*</span></label> 284 <input id="birthdate" type="date" required name="birthdate" placeholder="mm/dd/yyyy" autocomplete="bday" /> 285 </td> 286 </tr> 287 288 <tr> 289 <td> 290 <fieldset id="gender" class="no-border"> 291 <legend>Gender <span style="color:#ff0000">*</span></legend> 292 <div><input type="radio" name="gender" id="male" value="Male" required /><label for="male">Male</label></div> 293 <div><input type="radio" name="gender" id="female" value="Female" required /><label for="female">Female</label></div> 294 <div><input type="radio" name="gender" id="sex-other" value="Other" required /><label for="sex-other">Other</label></div> 295 </fieldset> 296 </td> 297 <td> 298 <fieldset id="pronouns" class="no-border"> 299 <legend>Pronouns</legend> 300 <div><input type="radio" name="pronouns" id="he" value="He" /><label for="he">He</label></div> 301 <div><input type="radio" name="pronouns" id="she" value="She" /><label for="she">She</label></div> 302 <div><input type="radio" name="pronouns" id="they" value="They" /><label for="they">They</label></div> 303 <div><input type="radio" name="pronouns" id="pronouns-other" value="Other" /><label for="pronouns-other">Other</label></div> 304 </fieldset> 305 </td> 306 </tr> 307 308 <tr> 309 <td> 310 <fieldset id="ethnicity" class="no-border" data-required="true" data-container=".ethnicity-error"> 311 <legend>Ethnicity <span style="color:#ff0000">*</span> (check one)</legend> 312 <div class="ethnicity-error"></div> 313 <div><input type="radio" required name="ethnicity" id="hispanic" value="Hispanic" /><label for="hispanic">Hispanic or Latino</label></div> 314 <div><input type="radio" required name="ethnicity" id="notHispanic" value="Not Hispanic" /><label for="notHispanic">Not Hispanic or Latino</label></div> 315 </fieldset> 316 </td> 317 <td> 318 <fieldset id="race" class="no-border" data-required="true" data-container=".race-error"> 319 <legend>Race <span style="color:#ff0000">*</span> (must select at least one)</legend> 320 <div class="race-error"></div> 321 <div><input type="checkbox" class="formBox required" name="race" id="native" value="Native" /><label for="native">American Indian or Alaskan Native</label></div> 322 <div><input type="checkbox" class="formBox required" name="race" id="asian" value="Asian" /><label for="asian">Asian</label></div> 323 <div><input type="checkbox" class="formBox required" name="race" id="black" value="Black" /><label for="black">Black or African American</label></div> 324 <div><input type="checkbox" class="formBox required" name="race" id="pacificIslander" value="Pacific Islander" /><label for="pacificIslander">Native Hawaiian or Other Pacific Islander</label></div> 325 <div><input type="checkbox" class="formBox required" name="race" id="white" value="White" /><label for="white">White</label></div> 326 </fieldset> 327 </td> 328 </tr> 329 330 <tr class="education"> 331 <td> 332 <fieldset id="education" class="no-border" data-required="true" data-container=".education-error"> 333 <legend>Highest Education Level Completed on Entry: <span style="color:#ff0000">*</span></legend> 334 <div class="education-error"></div> 335 336 <div> 337 <input type="radio" name="education" id="noSchooling" value="No Schooling" required /> 338 <label for="noSchooling">No Schooling</label> 339 </div> 340 341 <div> 342 <input type="radio" name="education" id="elementary" value="Elementary Grade" required aria-controls="elementaryGradeLabel elementaryGrade" /> 343 <label for="elementary">Elementary Grade</label> 344 345 <div aria-live="polite"> 346 <label id="elementaryGradeLabel" for="elementaryGrade" class="writeIn" style="display: block;"> 347 Write in the grade level:<span style="color:#ff0000">*</span> 348 </label> 349 <input id="elementaryGrade" class="formBox writeIn" type="number" name="elementaryGrade" placeholder="Last grade completed" /> 350 </div> 351 </div> 352 353 <div> 354 <input type="radio" name="education" id="highSchoolGrade" value="High School Grade" required aria-controls="highSchoolGradeLabel highSchoolGrade lastHighSchool"/> 355 <label for="highSchoolGrade">High School Grade</label> 356 357 <div aria-live="polite"> 358 <label id="highSchoolGradeLabel" for="highSchoolGrade" class="writeIn" style="display: block;"> 359 Write in the grade level:<span style="color:#ff0000">*</span> 360 </label> 361 <input id="highSchoolGrade" class="formBox writeIn" type="number" name="highSchoolGrade" placeholder="Last grade completed" /> 362 </div> 363 </div> 364 365 <div> 366 <input type="radio" name="education" id="secondarySchoolDiploma" value="Secondary School Diploma" required aria-controls="lastHighSchool"/> 367 <label for="secondarySchoolDiploma">Secondary School Diploma</label> 368 </div> 369 370 <div> 371 <input type="radio" name="education" id="somePostSecondary" value="Some Post-Secondary/Post-Secondary Degree" required aria-controls="lastHighSchool" /> 372 <label for="somePostSecondary">Some Post-Secondary/Post-Secondary Degree</label> 373 </div> 374 375 <div id="lastHighSchool" aria-live="polite"> 376 <label for="lastHighSchoolAttended">Last High School Attended <span style="color:#ff0000">*</span><label> 377 <br /> 378 <input id="lastHighSchoolAttended" type="text" required name="lastHighSchoolAttended" maxlength="100" /> 379 </div> 380 381 </fieldset> 382 </td> 383 <td> 384 <fieldset id="education-location" class="no-border" data-required="true" data-container=".education-location-error"> 385 <legend>Highest Education Level Location <span style="color:#ff0000">*</span></legend> 386 <div class="education-location-error"></div> 387 <div><input type="radio" name="educationLocation" id="usBased" value="US Based" required /><label for="usBased">US-based Schooling</label></div> 388 <div><input type="radio" name="educationLocation" id="nonUsBased" value="Non-US Based" required /><label for="nonUsBased">Non-US-based Schooling</label></div> 389 </fieldset> 390 </td> 391 </tr> 392 393 <tr> 394 <td> 395 <fieldset id="employment-status" class="no-border" data-required="true" data-container=".employment-status-error"> 396 <legend>Employment Status <span style="color:#ff0000">*</span></legend> 397 <div class="employment-status-error"></div> 398 <div><input type="radio" name="employment" value="Full Time" id="employedFull" required /><label for="employedFull">Employed, Full Time</label></div> 399 <div><input type="radio" name="employment" value="Part Time" id="employedPart" required /><label for="employedPart">
399Employed, Part Time</label></div> 400 <div><input type="radio" name="employment" value="Unemployed seeking employment" id="unemployed" required /><label for="unemployed">Unemployed, seeking employment</label></div> 401 <div><input type="radio" name="employment" value="Not looking for work" id="notLooking" required /><label for="notLooking">Not looking for work</label></div> 402 <div><input type="radio" name="employment" value="Unavailable for work" id="unavailable" required /><label for="unavailable">Unavailable for work</label></div> 403 <div><input type="radio" name="employment" value="Retired" id="retired" required /><label for="retired">Retired</label></div> 404 <div><input type="radio" name="employment" value="Unemployed with Separation Notice" id="unEmployedWithNotice" required /><label for="unEmployedWithNotice">Unemployed with Separation Notice</label></div> 405 </fieldset> 406 </td> 407 <td> 408 <fieldset id="miscellaneous-characteristics" class="no-border"> 409 <legend>Miscellaneous Characteristics<br /> <span style="font-weight: 400">(Check all that apply)</span></legend> 410 <div><input type="checkbox" name="misc" value="Receive Public Assistance" id="receivePublicAssistance" /><label for="receivePublicAssistance">Receive Public Assistance</label></div> 411 <div><input type="checkbox" name="misc" value="Immigrant" id="immigrant" /><label for="immigrant">Immigrant</label></div> 412 <div><input type="checkbox" name="misc" value="Community/Alt. Corrections" id="communityAltCorrections" /><label for="communityAltCorrections">Community/Alt. Corrections</label></div> 413 <div><input type="checkbox" name="misc" value="Mother Under 17- C.G.S.10-73d" id="mother" /><label for="mother">Mother Under 17- C.G.S.10-73d</label></div> 414 <div><input type="checkbox" name="misc" value="Needs Child/Dependent Care" id="childCare" /><label for="childCare">Needs Child/Dependent Care</label></div> 415 <div><input type="checkbox" name="misc" value="Needs Transportation" id="needsTransportation" /><label for="needsTransportation">Needs Transportation</label></div> 416 </fieldset> 417 </td> 418 </tr> 419 420 <tr> 421 <td> 422 <fieldset id="referral" class="no-border" data-required="true" data-container=".referral-error"> 423 <legend>How did you hear about Adult Education? <span style="color:#ff0000">*</span><br /> <span style="font-weight: 400">(Check all that apply)</span></legend> 424 <div class="referral-error"></div> 425 <div><input type="checkbox" name="hearAboutUs" class="required" value="Internet Search" id="internetSearch" /><label for="internetSearch">Internet Search</label></div> 426 <div><input type="checkbox" name="hearAboutUs" class="required" value="Brochure" id="brochure" /><label for="brochure">Brochure</label></div> 427 <div><input type="checkbox" name="hearAboutUs" class="required" value="Social Media" id="socialMedia" /><label for="socialMedia">Social Media</label></div> 428 <div><input type="checkbox" name="hearAboutUs" class="required" value="School Counselor" id="schoolCounselor" /><label for="schoolCounselor">School Counselor</label></div> 429 <div><input type="checkbox" name="hearAboutUs" class="required" value="Adult Ed Student" id="adultEdStudent" /><label for="adultEdStudent">Adult Ed Student</label></div> 430 <div><input type="checkbox" name="hearAboutUs" class="required" value="Friend/Family" id="friendFamily" /><label for="friendFamily">Friend/Family</label></div> 431 <div><input type="checkbox" name="hearAboutUs" class="required" value="Local Job Service" id="localJobService" /><label for="localJobService">Local Job Service</label></div> 432 <div><input type="checkbox" name="hearAboutUs" class="required" value="Community Agency" id="communityAgency" /><label for="communityAgency">Community Agency</label></div> 433 <div><input type="checkbox" name="hearAboutUs" class="required" value="Other" id="other" /><label for="other">Other</label></div> 434 </fieldset> 435 </td> 436 <td></td> 437 </tr> 438 </table> 439 440 441<hr> 442 443 444<table role="presentation" cellspacing="0" cellpadding="0" class="formTable"> 445 <col width="50%"> 446 <col width="50%"> 447 <tr> 448 <td colspan="2"> 449 <label for="home-address">Home Street Address <span style="color:#ff0000">*</span></label> 450 <input id="home-address" type="text" required name="homeStreet" autocomplete="address-line1" /> 451 </td> 452 </tr> 453 <tr> 454 <td> 455 <label for="zip-code">
455Zip Code <span style="color:#ff0000">*</span></label> 456 <input id="zip-code" type="text" required name="homeZip" maxlength="10" autocomplete="postal-code" aria-describedby="zip-format" /> 457 <span class="sr-only" id="zip-format">(max length 10 characters)</span> 458 </td> 459 <td> 460 <label for="city">City <span style="color:#ff0000">*</span></label> 461 <input id="city" type="text" required name="homeCity" autocomplete="address-level2" /> 462 </td> 463 </tr> 464 <tr> 465 <td> 466 <label for="county">County </label> 467 <input id="county" type="text" name="homeCounty" /> 468 </td> 469 <td> 470 <label for="state">State <span style="color:#ff0000">*</span></label> 471 <input id="state" type="text" required name="homeState" autocomplete="address-level1" /> 472 </td> 473 </tr> 474 <tr> 475 <td colspan="2"> 476 <label for="email-2">Email Address <span style="color:#ff0000">*</span></label> 477 <input id="email-2" type="text" required name="email" maxlength="250" data-display="email-2" autocomplete="email" aria-describedby="email-format" /> 478 <span class="sr-only" id="email-format">Please enter a valid email address (max length 60 characters)</span> 479 </td> 480 </tr> 481</table> 482 483 484<hr> 485 486 487<table role="presentation" class="formTable"> 488 <tr> 489 <td> 490 <strong>Phone Number</strong> <span style="color:#ff0000">*</span> (fill in at least one) 491 <div class="phone-number-error"></div> 492 </td> 493 </tr> 494 <tr> 495 <td> 496 <label for="homePhoneNumber">Home Phone</label> 497 <input type="tel" id="homePhoneNumber" name="homePhoneNumber" maxlength="250" data-container=".phone-number-error" autocomplete="tel" /> 498 </td> 499 </tr> 500 <tr> 501 <td> 502 <label for="cellPhoneNumber">Mobile Phone</label> 503 <input type="tel" id="cellPhoneNumber" name="cellPhoneNumber" maxlength="250" /> 504 </td> 505 </tr> 506 <tr> 507 <td> 508 <label for="workPhoneNumber">Work Phone</label> 509 <input type="tel" id="workPhoneNumber" name="workPhoneNumber" maxlength="250" /> 510 </td> 511 </tr> 512</table> 513 514<hr> 515 516<fieldset class="no-border"> 517 <legend><strong>Parent/Guardian of:</strong> <span style="font-weight: 400">(Check all that apply and list number)</span></legend> 518 519 <table role="presentation" class="formTable"> 520 <tr> 521 <td> 522 <div> 523 <input type="checkbox" name="parentOf" id="fiveYears" value="Five Years and Younger" /> 524 <label for="fiveYears">Child(ren) 5 years and younger</label> 525 </div> 526 </td> 527 <td> 528 <label for="children-five-and-younger" style="font-weight: 400">If yes, how many and what school?</label> 529 <input id="children-five-and-younger" type="number" name="chlidrenFiveYearsAndYounger" min="0" /> 530 </td> 531 </tr> 532 <tr> 533 <td> 534 <div> 535 <input type="checkbox" name="parentOf" id="sixToTenYears" value="Six to Ten Years" /> 536 <label for="sixToTenYears">Child(ren) 6 to 10 years</label> 537 </div> 538 </td> 539 <td> 540 <label for="children-six-to-ten" style="font-weight: 400">If yes, how many and what school?</label> 541 <input id="children-six-to-ten" type="number" name="chlidrenSixToTenYears" min="0" /> 542 </td> 543 </tr> 544 <tr> 545 <td> 546 <div> 547 <input type="checkbox" name="parentOf" value="Eleven to Eighteen Years" id="elevenToEightteenYears" /> 548 <label for="elevenToEightteenYears">Child(ren) 11 to 18 years</label> 549 </div> 550 </td> 551 <td> 552 <label for="children-eleven-to-eighteen" style="font-weight: 400">If yes, how many and what school?</label> 553 <input id="children-eleven-to-eighteen" type="number" name="chlidrenElevenToEighteenYears" min="0" /> 554 </td> 555 </tr> 556 </table> 557</fieldset> 558 559 560 561 <hr /> 562 563 564 <section> 565 <h3>Emergency Contact Information</h3> 566 <table role="presentation" cellspacing="0" cellpadding="0" class="formTable emergencyContact"> 567 <tr> 568 <td> 569 <label for="emergency-contact">Name of Emergency Contact <span style="color:#ff0000">*</span></label> 570 <input id="emergency-contact" type="text" required name="emergencyContact" maxlength="250" /> 571 </td> 572 <td> 573 <label for="emergency-phone">Emergency Telephone <span style="color:#ff0000">*</span></label> 574 <input id="emergency-phone" type="tel" required name="emergencyPhone" maxlength="250" /> 575 </td> 576 </tr> 577 </table> 578 </section> 579 580 581 <hr /> 582 583 584 <section> 585 <h3>Employer</h3> 586 <table role="presentation" cellspacing="0" cellpadding="0" class="formTable employer"> 587 <tr> 588 <td> 589 <label for="employer">Name of Employer</label> 590 <input id="employer" type="text" name="employer" maxlength="250" /> 591 </td> 592 <td> 593 <label for="employer-phone">Employer Phone</label> 594 <input id="employer-phone" type="tel" name="employerPhone" maxlength="250" /> 595 </td> 596 </tr> 597 <tr> 598 <td colspan="2"> 599 <label for="employer-address">Employer Address</label> 600 <input id="employer-address" type="text" name="employerAddress" maxlength="500" /> 601 </td> 602 </tr> 603 </table> 604 </section> 605 606 607 <hr /> 608 609 610 611 612 613 614 615 616 617 618 619 620 621 622 623 624 625 626 627 628 629 630 631 632 633 634 635 636 637 638 639 640 641 642 643 644 645 646 647 648 649 650 651 652 653 654 655 656 657 658 659 660 661 662 663 664 665 666 667 668 669 670 671 672 673 674 675 676 677 678 679 680 681 682 683 684 685 686 687 688 689 690 691 692 693 694 695 696 697 698 699 700 701 702 703 704 705 706 707 708 709 710 711 712 713 714 715 716 717 718 719 720 721 722 723 724 725 726 727 728 729 730 731 732 733 734 735 736 737 738 739 740 741 742 743 744 745 746 747 748 749 750 751 752 753 754 755 756 757 758 759 760 761 762 763 764 765 766 767 768 769 770 771 772 773 774 775 776 777 778 779 780 781 782 783 784 785 786 787 788 789 790 791 792 793 794 795 796 797 798 799 800 801 802 803 804 805 806 807 808 809 810 811 812 813 814 815 816 817 818 819 820 821 822 823 824 825 826 827 828 829 830 831 832 833 834 835 836 837 838 839 840 841 842 843 844 845 846 847 848 849 850 851 852 853 854 855 856 857 858 859 860 861 862 863 <strong>I understand (must select all 4): <span style="color:#ff0000">*</span></strong> 864 <div class="waiver-error"></div> 865 <div class="half"> 866 <fieldset id="confidential-field" data-error="You must check this checkbox" data-required="true" class="no-border" data-container=".confidential-error"> 867 <div class="confidential-error"></div> 868 <input type="checkbox" class="formBox required" name="waiver" id="confidential" value="Confidential" required /> 869 <label for="confidential">That student information is confidential and will only be used for program administration, research and evaluation purposes.</label> 870 </fieldset> 871 </div> 872 873 <div class="half"> 874 <fieldset id="social-security-field" data-error="You must check this checkbox" data-required="true" class="no-border" data-container=".ss-error"> 875 <div class="ss-error"></div> 876 <input type="checkbox" class="formBox required" name="waiver" id="social-security" value="Social Security" required /> 877 <label for="social-security">I will provide my social security number if I have one.</label> 878 </fieldset> 879 </div> 880 881 <div class="half"> 882 <fieldset id="tests-field" data-error="You must check this checkbox" data-required="true" class="no-border" data-container=".tests-error"> 883 <div class="tests-error"></div> 884 <input type="checkbox" class="formBox required" name="waiver" id="tests" value="Tests" required /> 885 <label for="tests">I will take all pre/post tests as required.</label> 886 </fieldset> 887 </div> 888 889 <div class="full"> 890 <fieldset id="photo-id-field" data-error="You must check this checkbox" data-required="true" class="no-border" data-container=".photo-id-error"> 891 <div class="photo-id-error"></div> 892 <input type="checkbox" class="formBox required" name="waiver" id="photo-id" value="Photo ID" required /> 893 <label for="photo-id">I will provide a photo I.D. and address verification.</label> 894 </fieldset> 895 </div> 896 897 <br /> 898 899 <fieldset id="photo-release" class="no-border" data-required="true" data-container=".photo-release-error"> 900 <legend>Photo release (select one): <span style="color:#ff0000">*</span></legend> 901 <div class="photo-release-error"></div> 902 <div class="half"> 903 <input type="radio" name="photoRelease" id="photoReleaseYes" value="Yes" /> 904 <label for="photoReleaseYes">I agree to have my name or picture/video appear in any Wallingford Adult Education publications.</label> 905 </div> 906 <div class="half"> 907 <input type="radio" name="photoRelease" id="photoReleaseNo" value="No" /> 908 <label for="photoReleaseNo">I do not wish to have my name or picture/video appear in any Wallingford Adult Education publications.</label> 909 </div> 910 </fieldset> 911 912 <br /> 913 914 <table role="presentation" cellspacing="0" cellpadding="0" class="formTable"> 915 <tr> 916 <td> 917 <label for="applicant-signature">Applicant Signature <span style="color:#ff0000">*</span></label> 918 <input id="applicant-signature" type="text" required name="applicantSignature" maxlength="250" /> 919 </td> 920 <td> 921 <label for="signature-date">Date <span style="color:#ff0000">*</span></label> 922 <input id="signature-date" type="date" required value="2026-10-04" name="todaysDate" maxlength="250" placeholder="mm/dd/yyyy" data-display="signature" /> 923 </td> 924 </tr> 925 </table> 926 927 <br /> 928 929 <p> 930 Data Matching is used to improve Adult Education performance and serve our students. By signing this form, I give permission to the Connecticut State 931 Department of Education to share my data with other agencies. 932 </p> 933 934 <label>Check this box <input type="checkbox" name="OptInToStateAgencyDataMatching" value="Yes" />to opt in to State Agency Data Matching.</label> 935 936 937 <hr /> 938 939 940 <p> 941 <input type="text" name="Subject" value="" class="subjClass" /><input type="text" name="SubjectDate" value="EAAAAJ67e1n9rbWjYLrDIRXZ0X7sXTqmB3JWnwDjTYaOa5FAWP8LB6QiMF2JlvU5kIaaDg==" class="subjClass" /><input type="text" name="SubjectDomain" value="EAAAAB3nTmdhbwkdUxjZnQ8tUZkQ2CtnLd7GpoX6xTt4ibyemisjBTkRD8SBi6/bc6w37g==" class="subjClass" />
942 <input id="btnSubmit" type="submit" class="submit" value="Submit Form" /> 943 </p> 944 945 946</form> 947 948
949<script> 950 $(function () { 951 952 let validator = new WS_Form_Validator({ 'selector': '#StudentInfoForm' }); 953 954 resetSubmitBtn(); 955 956 $('#StudentInfoForm').submit(function (e) { 957 e.preventDefault(); 958 959 // Make sure one of the phone numbers has been filled in 960 let home_number = document.getElementById('homePhoneNumber'); 961 let cell_number = document.getElementById('cellPhoneNumber'); 962 let work_number = document.getElementById('workPhoneNumber'); 963 964 if (home_number.value.trim().length == 0 && cell_number.value.trim().length == 0 && work_number.value.trim().length == 0) { 965 validator.append_error(home_number, 'You must fill in at least one number'); 966 home_number.focus(); 967 return; 968 } 969 970 $('#btnSubmit').val('Submitting...').prop('disabled', true); 971 972 var formData = $(this).serialize() + '&ValidateOnly=1' 973 974 $.post('/adult-education-enrollment-form/', formData, function (data) { 975 if (data && data.length > 0) { 976 alert(data); 977 resetSubmitBtn(); 978 } 979 else { 980 //remove submit handler and submit the form 981 $('#StudentInfoForm').off('submit').submit(); 982 } 983 }); 984 }); 985 }); 986 987 function resetSubmitBtn() { 988 $('#btnSubmit').val('Submit Form').prop('disabled', false); 989 } 990</script>
990 991 992 993 994 995 996 <!-- cms end --> 997 998 </div><!--/content--> 999 <aside aria-label="Sidebar"><nav id="sidenav" aria-label="Sidebar"><ul><li class="on"><a href="/adult-education-enrollment-form/" target="_self">Adult Education Enrollment Form</a> </li><li ><a href="/academic-programs/adult-basic-education/" target="_self">Adult Basic Education (ABE)</a> </li><li ><a href="/academic-programs/english-as-a-second-language/" target="_self">English as a Second Language (ESL)</a> </li><li ><a href="/academic-programs/family-literacy/" target="_self">Family Literacy</a> </li><li ><a href="/academic-programs/citizenship/" target="_self">Citizenship</a> </li><li ><a href="/academic-programs/high-school-credit-diploma-program/" target="_self">High School Credit Diploma Program (CDP)</a> </li><li ><a href="/academic-programs/national-external-diploma-program/" target="_self">National External Diploma Program (NEDP)</a> </li><li ><a href="/academic-programs/ged-preparation/" target="_self">GED Preparation</a> </li><li ><a href="/academic-programs/eat-around-the-world/" target="_self">ESL - Eat Around the World</a> </li></ul></nav></aside> 1000 1001 </div> 1002</main> 1003 1004<footer> 1005 <div class="fatFooter"> 1006 1007 <address class="column"> 1008 <p><strong>Wallingford Adult Ed</strong></p> 1009 1010 <p> 1011 <span> 1012 4 Fairfield Blvd., Suite 1<br /> 1013 Wallingford, CT 06492<br /> 1014 </span> 1015 <a href="/driving-directions/?LocationID=1">Get Directions</a> 1016 </p> 1017 1018 <p> 1019 For questions or office hours call:<br /> 1020 <a href="tel:2032943900">203-294-3900</a> 1021 </p> 1022 </address> <!-- .column --> 1023 1024 <div class="column"> 1025 <form id="footer-email-signup" action="/email-signup/" method="post" class="reverse"> 1026 <label for="email-signup">Email Signup</label> 1027 <input id="email-signup" type="text" name="Email" placeholder="Email Address" required data-display="email address"/> 1028 <button class="button blue" type="submit">Submit</button> 1029 </form> 1030 1031 <ul class="social"> 1032 <li><a href="https://www.facebook.com/WallingfordAdultEducation/" rel="noopener noreferrer nofollow" aria-label="Wallingford Adult Ed on Facebook"> 1033 <svg height="18.49px" width="9.68px" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 320 512" role="img" aria-label="Facebook icon"><path fill="currentColor" d="M279.14 288l14.22-92.66h-88.91v-60.13c0-25.35 12.42-50.06 52.24-50.06h40.42V6.26S260.43 0 225.36 0c-73.22 0-121.08 44.38-121.08 124.72v70.62H22.89V288h81.39v224h100.17V288z"></path></svg> 1034 1035 </a></li> 1036 <li><a href="https://www.youtube.com/@WallingfordAdultEd" rel="noopener noreferrer nofollow" aria-label="Wallingford Adult Ed on YouTube"> 1037 <svg height="16px" width="23px" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 576 512" role="img" aria-label="YouTube icon"><path fill="currentColor" d="M549.655 124.083c-6.281-23.65-24.787-42.276-48.284-48.597C458.781 64 288 64 288 64S117.22 64 74.629 75.486c-23.497 6.322-42.003 24.947-48.284 48.597-11.412 42.867-11.412 132.305-11.412 132.305s0 89.438 11.412 132.305c6.281 23.65 24.787 41.5 48.284 47.821C117.22 448 288 448 288 448s170.78 0 213.371-11.486c23.497-6.321 42.003-24.171 48.284-47.821 11.412-42.867 11.412-132.305 11.412-132.305s0-89.438-11.412-132.305zm-317.51 213.508V175.185l142.739 81.205-142.739 81.201z"></path></svg> 1038 1039 </a></li> 1040 <li><a href="https://www.instagram.com/wallingford_adult_ed/" rel="noopener noreferrer nofollow" aria-label="Wallingford Adult Ed on Instagram"> 1041 <svg height="18.71px" width="18.86px" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" role="img" aria-label="Instagram icon"><path fill="currentColor" d="M224.1 141c-63.6 0-114.9 51.3-114.9 114.9s51.3 114.9 114.9 114.9S339 319.5 339 255.9 287.7 141 224.1 141zm0 189.6c-41.1 0-74.7-33.5-74.7-74.7s33.5-74.7 74.7-74.7 74.7 33.5 74.7 74.7-33.6 74.7-74.7 74.7zm146.4-194.3c0 14.9-12 26.8-26.8 26.8-14.9 0-26.8-12-26.8-26.8s12-26.8 26.8-26.8 26.8 12 26.8 26.8zm76.1 27.2c-1.7-35.9-9.9-67.7-36.2-93.9-26.2-26.2-58-34.4-93.9-36.2-37-2.1-147.9-2.1-184.9 0-35.8 1.7-67.6 9.9-93.9 36.1s-34.4 58-36.2 93.9c-2.1 37-2.1 147.9 0 184.9 1.7 35.9 9.9 67.7 36.2 93.9s58 34.4 93.9 36.2c37 2.1 147.9 2.1 184.9 0 35.9-1.7 67.7-9.9 93.9-36.2 26.2-26.2 34.4-58 36.2-93.9 2.1-37 2.1-147.8 0-184.8zM398.8 388c-7.8 19.6-22.9 34.7-42.6 42.6-29.5 11.7-99.5 9-132.1 9s-102.7 2.6-132.1-9c-19.6-7.8-34.7-22.9-42.6-42.6-11.7-29.5-9-99.5-9-132.1s-2.6-102.7 9-132.1c7.8-19.6 22.9-34.7 42.6-42.6 29.5-11.7 99.5-9 132.1-9s102.7-2.6 132.1 9c19.6 7.8 34.7 22.9 42.6 42.6 11.7 29.5 9 99.5 9 132.1s2.7 102.7-9 132.1z"></path></svg> 1042 1043 </a></li> 1044 <li><a href="https://www.linkedin.com/in/wallingfordadulted/" rel="noopener noreferrer nofollow" aria-label="Wallingford Adult Ed on Instagram"> 1045 <svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512" role="img" aria-label="LinkedIn icon"><path d="M416 32H31.9C14.3 32 0 46.5 0 64.3v383.4C0 465.5 14.3 480 31.9 480H416c17.6 0 32-14.5 32-32.3V64.3c0-17.8-14.4-32.3-32-32.3zM135.4 416H69V202.2h66.5V416zm-33.2-243c-21.3 0-38.5-17.3-38.5-38.5S80.9 96 102.2 96c21.2 0 38.5 17.3 38.5 38.5 0 21.3-17.2 38.5-38.5 38.5zm282.1 243h-66.4V312c0-24.8-.5-56.7-34.5-56.7-34.6 0-39.9 27-39.9 54.9V416h-66.4V202.2h63.7v29.2h.9c8.9-16.8 30.6-34.5 62.9-34.5 67.2 0 79.7 44.3 79.7 101.9V416z"/></svg> 1046 1047 </a></li> 1048 </ul> 1049 1050 </div> <!-- .column --> 1051 1052 </div> <!-- .fatFooter --> 1053 1054 1055 <div class="wrap footer-bottom"> 1056 <div id="web-solutions"> 1057 <a href="https://www.exposure.com/">Web Solutions</a> 1058 </div> 1059 <div class="copyright"> 1060 © 2019 – 2026 Wallingford Adult Education. All rights reserved. 1061 </div> 1062 <nav class="dontPrint" aria-label="Footer"> 1063 <span></span><a href="/Site-Map/" target="_self">Site Map</a><span></span><a href="/privacy-policy/" target="_self">Privacy</a><span></span><a href="/terms-of-use/" target="_self">Terms</a><span></span><a href="/accessibility/" target="_self">Accessibility</a><span></span><a href="/statement-of-non-discrimination/" target="_self">Statement of Non-Discrimination</a> 1064 </nav> 1065 <div id="seoFooter"></div> 1066 </div> 1067</footer> 1068 1069 1070
1071<script src="/includes/js/form-validator.js?v=1.01"></script>
vendor: 1 bytes, line 1071
1071
1072<script> 1073document.addEventListener( 'DOMContentLoaded', () => { 1074 new WS_Form_Validator({ 1075 'selector': '#footer-email-signup', 1076 }); 1077 new WS_Form_Validator({ 1078 'selector': '#search-form', 1079 }); 1080}); 1081</script>
1081 1082 1083
1084<script type="module" src="https://static.cloudflareinsights.com/beacon.min.js/v31edd6df95cf4e85bb4c19e7a9bdbcba1788362987495" integrity="sha512-iIg7k2xntmwu6/uSb5tpc/hySgZc4eoL31yB29W6tJFo2akwjPWcEqnCEdJvGexCL0KEQwVYv5BlowfhVz26hg==" data-cf-beacon='{"version":"2024.11.0","token":"7f8dd0a0865543008147f58861827abb","r":1,"spa":2}' crossorigin="anonymous"></script>
vendor: 1 bytes, line 1084
1084
1085<script>(function(){function c(){var b=a.contentDocument||(a.contentWindow&&a.contentWindow.document);if(b){var d=b.createElement('script');d.innerHTML="window.__CF$cv$params={r:'a4592ca6afa0eaf5',t:'MTc5MTE2OTIwOQ=='};var a=document.createElement('script');a.src='/cdn-cgi/challenge-platform/scripts/jsd/main.js';document.getElementsByTagName('head')[0].appendChild(a);";b.getElementsByTagName('head')[0].appendChild(d)}}if(document.body){var a=document.createElement('iframe');a.height=1;a.width=1;a.style.position='absolute';a.style.top=0;a.style.left=0;a.style.border='none';a.style.visibility='hidden';document.body.appendChild(a);if('loading'!==document.readyState)c();else if(window.addEventListener)document.addEventListener('DOMContentLoaded',c);else{var e=document.onreadystatechange||function(){};document.onreadystatechange=function(b){e(b);'loading'!==document.readyState&&(document.onreadystatechange=e,c())}}}})();</script>
1085</body> 1086</html>
Line numbers count LF bytes from the start of the resource, as the search results do. Vendor segments are library code the classifier recognised; they are stored but not indexed. Bytes are shown as Latin1 characters, one per byte.