<h2 class="block-title">For More Information</h2>
<div class="contact-form block-content">
<form
action="https://webto.salesforce.com/servlet/servlet.WebToCase?encoding=UTF-8"
method="POST"
>
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<input
keyname=""
name="captcha_settings"
type="hidden"
value='{"keyname":"reCaptchaProd","fallback":"true","orgId":"00D390000005Z6D","ts":"1592323524595"}'
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<!-- Org ID -->
<input name="orgid" type="hidden" value="00D390000005Z6D" />
<!-- Case Record Type -->
<input type="hidden" id="recordType" name="recordType" value="" />
<!-- SET BY CODE -->
<!-- Return URL -->
<input
name="retURL"
type="hidden"
value="https://professional.charlotte.edu/thank-you-ad-landing"
/>
<!-- Description -->
<input
name="description"
type="hidden"
value="Degree Completion Ad Landing "
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<!-- Form Elements -->
<div class="form-group">
<label class="hidden" for="name">Name</label>
<input
class="form-control"
id="name"
maxlength="80"
name="name"
placeholder="Name *"
required="required"
size="20"
type="text"
/>
</div>
<div class="form-group">
<label class="hidden" for="email">Email</label>
<input
class="form-control"
id="email"
maxlength="80"
name="email"
placeholder="Email *"
required="required"
size="20"
type="email"
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<div class="form-group">
<label class="hidden" for="phone">Phone</label>
<input
class="form-control"
id="phone"
maxlength="40"
name="phone"
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required="required"
size="20"
type="text"
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<!-- SET BY CODE -->
<!-- Academic Interest / Interest Area Visible-->
<div class="form-group">
<label for="00N4X00000AuWxv">SELECT PROGRAM OF INTEREST:</label>
<select
name="interestSelect"
id="interestSelect"
class="form-control"
required="required"
onchange="updateInterest()"
>
<option class="interestDE" value="a0n4X00000FKdyT">Political Science, B.A.</option>
<option class="interestDE" value="a0n4X00000GC1Bk">Professional Studies, B.A.</option>
<option class="interestDE" value="a0n0z000008ZOuF">Elementary Education, B.A.</option>
<option class="interestDE" value="a0n0z000008ZOuR">Engineering Technology: Electrical, B.A.</option>
<option class="interestDE" value="a0n0z000008ZOuS">Engineering Technology: Fire Safety, B.A.</option>
<option class="interestDE" value="a0n0z000008ZOvk">R.N. to B.S.N. Completion Program</option>
<option class="interestDE" value="a0n0z000008ZOuc">Respiratory Therapy, B.S.</option>
<option class="interestDE" value="a0n4X00000FJl3s">Sociology, B.A.</option>
</select>
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<div class="row top-pad">
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<div
class="g-recaptcha"
style="
display: inline-block;
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<div class="col">
<div id="errAlert" class="alert alert-danger" hidden>
There was an error submitting your request. If this issue persists,
please contact us at
<a href="mailto:distanceed@uncc.edu">distanceed@uncc.edu</a> or
<a href="tel:704-687-1283">704-687-1283</a>.
</div>
</div>
</div>
<label class="hidden" for="submitBtn">Submit</label>
<input
class="button button-gold"
id="submitBtn"
name="submit"
type="submit"
/>
</form>
</div>
UNC Charlotte School of Professional Studies offers 100% online bachelor’s-degree-completion and degree-advancement programs. Each program is flexible and affordable for students who are balancing busy life demands.
Charlotte’s commitment to life-long learning drives the development of online, degree-completion programs designed to meet students where they are in the areas of education, engineering technology, healthcare, and liberal arts.
