{"id":1630,"date":"2020-12-07T15:54:52","date_gmt":"2020-12-07T21:54:52","guid":{"rendered":"https:\/\/www.missouriwestern.edu\/mwsu-testing-centers\/?page_id=1630"},"modified":"2024-08-15T10:27:00","modified_gmt":"2024-08-15T15:27:00","slug":"act-oc","status":"publish","type":"page","link":"https:\/\/www.missouriwestern.edu\/mwsu-testing-centers\/act-oc\/","title":{"rendered":"ACT On-Campus Exam Registration Form"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: rgba(255,255,255,0);background-position: center center;background-repeat: no-repeat;padding-top:0px;padding-right:30px;padding-bottom:0px;padding-left:30px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_2_3 2_3 fusion-two-third fusion-column-first\" style=\"width:65.3333%; margin-right: 4%;margin-top:-20px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_15' ><form method='post' enctype='multipart\/form-data'  id='gform_15'  action='\/mwsu-testing-centers\/wp-json\/wp\/v2\/pages\/1630' data-formid='15' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_15' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_15_10\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_10\" ><div class='ginput_container ginput_container_text'><input name='input_10' id='input_15_10' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='0519133025100905230' \/><\/div><\/li><li id=\"field_15_11\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_11\" ><div class='ginput_container ginput_container_text'><input name='input_11' id='input_15_11' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='No' \/><\/div><\/li><li id=\"field_15_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_1\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_15_1'>\n                            \n                            <span id='input_15_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_15_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_15_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_15_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_15_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_15_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_15_3\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_3\" ><label class='gfield_label gform-field-label' for='input_15_3'>G Number (if available)<\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_15_3' type='text' value='' class='medium'    placeholder='G'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_15_2\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_2\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_15_2' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_15_2_1_container' >\n                                        <input type='text' name='input_2.1' id='input_15_2_1' value=''    aria-required='true'    \/>\n                                        <label for='input_15_2_1' id='input_15_2_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_15_2_2_container' >\n                                        <input type='text' name='input_2.2' id='input_15_2_2' value=''     aria-required='false'   \/>\n                                        <label for='input_15_2_2' id='input_15_2_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_15_2_3_container' >\n                                    <input type='text' name='input_2.3' id='input_15_2_3' value=''    aria-required='true'    \/>\n                                    <label for='input_15_2_3' id='input_15_2_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_15_2_4_container' >\n                                        <select name='input_2.4' id='input_15_2_4'     aria-required='true'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='大象传媒' selected='selected'>大象传媒<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_15_2_4' id='input_15_2_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_15_2_5_container' >\n                                    <input type='text' name='input_2.5' id='input_15_2_5' value=''    aria-required='true'    \/>\n                                    <label for='input_15_2_5' id='input_15_2_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_2.6' id='input_15_2_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_15_4\" class=\"gfield gfield--type-email gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_4\" ><label class='gfield_label gform-field-label' for='input_15_4'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_15_4' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_15_5\" class=\"gfield gfield--type-phone gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_5\" ><label class='gfield_label gform-field-label' for='input_15_5'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_15_5' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_15_9\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_15_9\" ><label class='gfield_label gform-field-label' for='input_15_9'>Military ID - insert YES if so<\/label><div class='gfield_description' id='gfield_description_15_9'>A reduced rate is available for those with a military ID.<\/div><div class='ginput_container ginput_container_text'><input name='input_9' id='input_15_9' type='text' value='' class='medium'  aria-describedby=\"gfield_description_15_9\"    aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_15_6\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_6\" ><label class='gfield_label gform-field-label' for='input_15_6'>Do you want us to email your score?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_15_6' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select...<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_15_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_15_7\" ><label class='gfield_label gform-field-label' >Select a test date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_15_7'>\n\t\t\t<li class='gchoice gchoice_15_7_0'>\n\t\t\t\t<input name='input_7' type='radio' value='June 23, 2026: 9:45am - 1:30pm'  id='choice_15_7_0'    \/>\n\t\t\t\t<label for='choice_15_7_0' id='label_15_7_0' class='gform-field-label gform-field-label--type-inline'>June 23, 2026: 9:45am - 1:30pm<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_15_12\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield_price gfield_price_15_12 gfield_product_15_12 gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_12\" ><label class='gfield_label gform-field-label' >Pricing Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_15_12'>\n\t\t\t<li class='gchoice gchoice_15_12_0'>\n\t\t\t\t<input name='input_12' type='radio' value='Regular ($90)|90'  id='choice_15_12_0'    \/>\n\t\t\t\t<label for='choice_15_12_0' id='label_15_12_0' class='gform-field-label gform-field-label--type-inline'>Regular ($90)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_15_12_1'>\n\t\t\t\t<input name='input_12' type='radio' value='Military ID ($65)|65'  id='choice_15_12_1'    \/>\n\t\t\t\t<label for='choice_15_12_1' id='label_15_12_1' class='gform-field-label gform-field-label--type-inline'>Military ID ($65)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_15_13\" class=\"gfield gfield--type-total gfield_price gfield_price_15_ gfield_total gfield_total_15_ field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" data-js-reload=\"field_15_13\" ><label class='gfield_label gform-field-label' for='input_15_13'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_15'>$0.00<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_13' id='input_15_13' class='gform_hidden'\/>\n\t\t\t\t\t\t<\/div><\/li><li id=\"field_15_14\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_14\" ><div class='ginput_container ginput_container_text'><input name='input_14' id='input_15_14' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='K1Ul3FE9+lqEAP09ZlD53z93Gya\/xTrH3eOm3xmqbTna4rrlyj44\/jUW5U+8fUePFa6zQ\/Imby5+JOi0D\/2V\/UvIhr7a\/veV0MtzUmtR\/9glc4xiWa4bTJ6bhaq6CEFv\/z\/kmSXemGUeQqWNZ9UvtELkevKoIl8HDdgwkSifxyaFrOZisDu8lL01Fj5fUhTQhc+CUc8Z4R+2jb3OUsm8OVBaAr8qVIJf0RYHMtyug8Cis5IPEOh7JzaAY6lmUCNOzk5qYnmNisg8ifO3VBmXTYYa9OrLT2GNyG4miZ3qTiUOIQz2nSDVN9HRLP3yvk0vo4om8MxUL7NzXE3Z1f8fIe4nzHlPn7XVvoYXw5ckBajJJVCdcVcpHtZvIdZTPt8DuGcej5nmtfGsR+NhiDmIc+txYcafja247x5u++yblL0NqGnEuz4Yu6lbJZBRK8rH[mwsu_gf_upay]' \/><\/div><\/li><li id=\"field_15_15\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_15\" ><strong>After you click the submit button below, you will be redirected to the payment gateway. Please go through the payment process completely, being sure to click on the \"continue\" button in Touchnet at the end, and save your payment confirmation email.<\/strong><\/li><li id=\"field_15_8\" class=\"gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_15_8\" ><label class='gfield_label gform-field-label screen-reader-text' for='input_15_8'><\/label><div id='input_15_8' class='ginput_container ginput_recaptcha' data-sitekey='6LfgQhYUAAAAAFXxEL9bNqVT_ZLysjQixVbS4Ob8'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_15' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_15\"]){return false;}  if( !jQuery(\"#gform_15\")[0].checkValidity || jQuery(\"#gform_15\")[0].checkValidity()){window[\"gf_submitting_15\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_15\"]){return false;} if( !jQuery(\"#gform_15\")[0].checkValidity || jQuery(\"#gform_15\")[0].checkValidity()){window[\"gf_submitting_15\"]=true;}  jQuery(\"#gform_15\").trigger(\"submit\",[true]); 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