<h2 class="block-title">For More Information</h2>
<div class="contact-form block-content" id="form-container">
<form action="/" method="POST" id="request_form">
<input keyname="" name="captcha_settings" type="hidden" value="{"/>
<!-- Org ID --> <input name="orgid" type="hidden" value="00D390000005Z6D" />
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<input type="hidden" id="type" name="type" value="Recruitment" />
<input type="hidden" id="00N39000004WhxV" name="00N39000004WhxV" value="Recruitment" />
<!-- Case Record Type --> <input type="hidden" id="recordType" name="recordType" value="0120z000000UPl8" />
<!-- Return URL --> <input name="retURL" id="retURL" type="hidden" value="https://professional.charlotte.edu/programs/de/thankyou" />
<!--Event Tag--><input type="hidden" id="00N0z000003O0Xj" name="00N0z000003O0Xj" size="20" value="programs/sociology" />
<!-- Campaign --> <input data-defaultvalue="yi6t-b.a.%20in%20sociology" id="00N0z000003GGtU" name="00N0z000003GGtU" type="hidden" value="yi6t-b.a.%20in%20sociology" />
<!-- Description --> <input name="description" type="hidden" value="Online B.A. in Sociology (Organizations, Occupations, and Work concentration)" />
<!-- Academic Interest --> <input id="00N4X00000AuWxv" name="00N4X00000AuWxv" type="hidden" value="a0n4X00000FJl3s" />
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<label class="hidden" for="name">Name</label>
<br><input class="form-control" id="name" maxlength="80" name="name" placeholder="Name *" required="required" size="20" type="text" />
<label class="hidden" for="email">Email</label>
<br><input class="form-control" id="email" maxlength="80" name="email" placeholder="Email *" required="required" size="20" type="email" />
<label class="hidden" for="phone">Phone</label>
<br><input class="form-control" id="phone" maxlength="40" name="phone" placeholder="Phone *" required="required" size="20" type="text" />
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<div class="form-check">
<label class="form-check-label">
<input class="form-check-input" id="smsCheck" type="checkbox" value=""/>
<small>I would like to receive occasional support and advising for the selected program via text message to the phone number provided. Message and data rates may apply. Reply HELP for help or STOP to cancel.</small>
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<label class="hidden" for="submitBtn">Submit</label>
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<button class="button button-gold" id="submitBtn" name="submit" type="submit">
<span id="submitText">Submit</span>
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