Student Life Centre
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Student Life Centre Enquiry Form
Confirmation of receipt of enquiry
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Student Life Centre
Welcome
Student Life Centre Enquiry Form
Student Life Centre
Student Life Centre Enquiry Form
<h3 class="wcmform-title">Student Life Centre Enquiry Form</h3> <form class="style1 wcmform" action="" method="post" id="f78FD77DE-70EB-B03C-88B5-73DDD753BC97" enctype="application/x-www-form-urlencoded"> <input type="hidden" name="csrf_token" value="MTYxNDQ3NDAzOWZhYTBlOTdjYmViNjVmMTVjMjE5ZWM1ODA0ZTc0NmNmYjJkY2Q4OWU3NWMzNzFkYTEyMjM4NDk0OGI0OGMwYjg4OGM3NTdlYTMwYTcwYmVl" /> <input type="hidden" name="form" value="78FD77DE-70EB-B03C-88B5-73DDD753BC97" /> <fieldset data-id="fs-0"><legend class="legend show-for-sr">Enquiry Details</legend><h3 aria-hidden="true">Enquiry Details</h3><dl><dt><label class="required" for="ItMrHQUQWu">First Name</label></dt><dd><div class="description">Please enter your preferred name</div><input type="text" name="ItMrHQUQWu" id="ItMrHQUQWu" required="required" /></dd><dt><label class="required" for="rYx4brUwOt">Surname</label></dt><dd><input type="text" name="rYx4brUwOt" id="rYx4brUwOt" required="required" /></dd><dt><label class="" for="pcS6YscBDY">Registration Number</label></dt><dd><div class="description">If you are a current student, please enter your Registration Number which is on your student card and begins 21****** (22****** for students starting in 2020 or later)</div><input type="text" name="pcS6YscBDY" id="pcS6YscBDY" maxlength="8" /><i class="suffix">Maximum of 8 characters. <span></span></i></dd><dt><label class="required" for="cP6zzLnWZD">Email address</label></dt><dd><div class="description">Please provide your University email address. In line with University gudiance, you are expected to communicate with the the Student Life Centre through your assigned email address.</div><input type="email" name="cP6zzLnWZD" id="cP6zzLnWZD" required="required" /></dd><dt><label class="" for="d5IPYVNPt4">Previous contact with the Student Life Centre</label></dt><dd><div class="description">If you have been in contact with the Student Life Centre before and would like to contact a specific Student Life Advisor, please write their name</div><input type="text" name="d5IPYVNPt4" id="d5IPYVNPt4" /></dd><dt><label class="required">Subject of Enquiry</label></dt><dd><div class="elementGroupContainer elementRadio"><label><input name="h7WHQe4pVP" type="radio" required="required" value="Academic" /> Academic</label><br /><label><input name="h7WHQe4pVP" type="radio" required="required" value="Exceptional Circumstances" /> Exceptional Circumstances</label><br /><label><input name="h7WHQe4pVP" type="radio" required="required" value="Health" /> Health</label><br /><label><input name="h7WHQe4pVP" type="radio" required="required" value="Personal" /> Personal</label><br /><label><input name="h7WHQe4pVP" type="radio" required="required" value="Progress" /> Progress</label><br /><label><input name="h7WHQe4pVP" type="radio" required="required" value="Withdrawal (Temporary or Permanent)" /> Withdrawal (Temporary or Permanent)</label><br /><label><input name="h7WHQe4pVP" type="radio" required="required" value="Other" /> Other</label><br /></div></dd><dt><label class="required" for="lmp6gPaHJE">Details of Enquiry</label></dt><dd><div class="description">Please write a description of your enquiry, giving as much information as possible to help us answer your questions</div><textarea name="lmp6gPaHJE" id="lmp6gPaHJE" required="required" style="width:98%;height:10em;" class="elementTextarea"></textarea></dd><dt><label class="required">My Information may be shared with other departments if necessary</label></dt><dd><div class="description">All information given to the Student Life Centre will be dealt with confidentially and in line with the Data Protection Act 2018. <br /> <br /> In order to best answer your questions, we may need to share the information contained herewith with other teams at the University. Please tick the necessary box below to confirm whether or not you are happy for this information to be shared with the relevant colleagues.</div><div class="elementGroupContainer elementRadio"><label><input name="0SJNfq9ygL" type="radio" required="required" value="I agree" /> I agree</label><br /><label><input name="0SJNfq9ygL" type="radio" required="required" value="I do not agree" /> I do not agree</label><br /></div></dd><dt><label class="required">Please enter the value shown</label></dt><dd><script src='https://www.google.com/recaptcha/api.js'></script> <div class="g-recaptcha" data-sitekey="6LdjfVMUAAAAANaA5p9irDkHt1R1yzmiSZxFSvqF"></div></dd></dl></fieldset> <input class="button" type="submit" value="Submit" /> </form> <script type="text/javascript"> $(function(){ function bytesToSize(bytes) { var sizes = [' bytes', 'KB', 'MB', 'GB', 'TB']; if (bytes == 0) return 'n/a'; var i = parseInt(Math.floor(Math.log(bytes) / Math.log(1024))); return Math.round(bytes / Math.pow(1024, i), 2) + sizes[i]; }; function wordCount(str, charlist) { var len = str.length, cl = charlist && charlist.length, chr = '', tmpStr = '', i = 0, c = '', wC = 0, reg = '', match = false; var _preg_quote = function(str) { return (str + '').replace(/([\\\.\+\*\?\[\^\]\$\(\)\{\}\=\!<>\|\:])/g, '\\$1'); } var _getWholeChar = function(str, i) { var code = str.charCodeAt(i); if (code < 0xD800 || code > 0xDFFF) { return str.charAt(i); } if (0xD800 <= code && code <= 0xDBFF) { if (str.length <= (i + 1)) { throw 'High surrogate without following low surrogate'; } var next = str.charCodeAt(i + 1); if (0xDC00 > next || next > 0xDFFF) { throw 'High surrogate without following low surrogate'; } return str.charAt(i) + str.charAt(i + 1); } if (i === 0) { throw 'Low surrogate without preceding high surrogate'; } var prev = str.charCodeAt(i - 1); if (0xD800 > prev || prev > 0xDBFF) { throw 'Low surrogate without preceding high surrogate'; } return false; } if (cl) { reg = '^(' + _preg_quote(_getWholeChar(charlist, 0)) for (i = 1; i < cl; i++) { if ((chr = _getWholeChar(charlist, i)) === false) { continue; } reg += '|' + _preg_quote(chr); } reg += ')$'; reg = new RegExp(reg); } for (i = 0; i < len; i++) { if ((c = _getWholeChar(str, i)) === false) { continue; } match = (c.search(/^[A-Za-z]+$/g) !== -1) || (reg && c.search(reg) !== -1) || ((i !== 0 && i !== len - 1) && c === '-') || (i !== 0 && c === "'"); if (match) { tmpStr = tmpStr + c; } if (i === len - 1 || !match && tmpStr !== '') { tmpStr = ''; wC++; } } return wC; } var debounce = function(func, wait, immediate) { var timeout; wait = wait || 250; return function() { var context = this, args = arguments; var later = function() { timeout = null; if (!immediate) { func.apply(context, args); } }; var callNow = immediate && !timeout; clearTimeout(timeout); timeout = setTimeout(later, wait); if (callNow) { func.apply(context, args); } }; }; var useUI = (function(){ var i = document.createElement('input'); i.setAttribute('type', 'date'); return (i.type == 'text'); })(); $(document).on('focusin', 'input[data-ui=date]', function(){ if (useUI) { var opts = { changeMonth: true, changeYear: true, dateFormat: 'yy-mm-dd', yearRange: '1900:+20' }; if ($(this).attr('min')) { opts.minDate = new Date($(this).attr('min')); } if ($(this).attr('max')) { opts.maxDate = new Date($(this).attr('max')); } $(this).datepicker(opts); } }); $('#f78FD77DE-70EB-B03C-88B5-73DDD753BC97 input[type=submit]').click(function(event){ var invalid = []; try { invalid = $('#f78FD77DE-70EB-B03C-88B5-73DDD753BC97 :invalid'); } catch (e) { invalid = $('#f78FD77DE-70EB-B03C-88B5-73DDD753BC97 [invalid]'); } if (invalid.length) { $('#f78FD77DE-70EB-B03C-88B5-73DDD753BC97').addClass('dirty'); } $('#f78FD77DE-70EB-B03C-88B5-73DDD753BC97').trigger('wcmFormPreSubmit', [event]); if (!invalid.length) { if ($(this).data('submitted') === true) { event.preventDefault(); } else { $(this).data('submitted', true); } } }); $('#f78FD77DE-70EB-B03C-88B5-73DDD753BC97 input.includeother').focus(function(){ $('input:radio', $(this).closest('dd')).prop('checked', false); $('input:radio', $(this).closest('label')).prop('checked', true); $('input:checkbox', $(this).closest('label')).prop('checked', true); }); $('input:radio', $('#f78FD77DE-70EB-B03C-88B5-73DDD753BC97 input.includeother').closest('dd')).change(function(){ if ($(this).val() != $(this).attr('name')+'_other') { $('#f78FD77DE-70EB-B03C-88B5-73DDD753BC97 input[name='+$(this).attr('name')+'_other]').val(''); } }); $('input:checkbox', $('#f78FD77DE-70EB-B03C-88B5-73DDD753BC97 input.includeother').closest('label')).click(function(){ if (!$(this).is(':checked')) { $('input[name='+$(this).val()+']').val(''); } }); $(document).on('keyup', '#f78FD77DE-70EB-B03C-88B5-73DDD753BC97 input[type="text"][maxlength]', debounce( function(event){ var input = event.target; var span = $(input).next('i.suffix').find('span'); var length = parseInt($(input).val().length); span.text(length + ' out of ' + $(input).prop('maxlength') + ' used'); if (length > parseInt($(input).prop('maxlength'))) { span.addClass('overload'); } else { span.removeClass('overload'); } }, 150 )); $(document).on('keyup', '#f78FD77DE-70EB-B03C-88B5-73DDD753BC97 textarea[data-max-length]', debounce( function(event){ var input = event.target; var length = 0; if ($(input).data('maxType') == 'character') { length = parseInt($(input).val().length); } else { length = wordCount($(input).val()); } var span = $(input).next('i.suffix').find('span'); span.text(length + ' out of ' + $(input).data('maxLength') + ' used'); if (length > parseInt($(input).data('maxLength'))) { span.addClass('overload'); } else { span.removeClass('overload'); } }, 150 )); $(document).on('keypress change', '#f78FD77DE-70EB-B03C-88B5-73DDD753BC97 span[data-multiple]:last-of-type > input', function(){ var newspan = $(this).parent().clone(); var total = $('span[data-multiple]', $(this).closest('dd')).length; $('input', newspan).each(function(){ $(this) .attr('name', $(this).attr('name').replace(/\[\d+]/, '['+total+']')) .val('') .removeClass('hasDatepicker') .removeAttr('id required'); 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