www.beckershospitalreview.com
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67.227.242.177
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Submitted URL: https://beckershealthcare-news.com/portal/wts/ucmcnkmcsw2baBrrcw-wDcgfFy7Oc*7Cg3jegf4neHl
Effective URL: https://www.beckershospitalreview.com/upcoming-webinars/ondemand-webinars.html?oly_enc_id=908w6380
Submission: On October 09 via api from US — Scanned from DE
Effective URL: https://www.beckershospitalreview.com/upcoming-webinars/ondemand-webinars.html?oly_enc_id=908w6380
Submission: On October 09 via api from US — Scanned from DE
Form analysis
6 forms found in the DOMPOST /upcoming-webinars/ondemand-webinars.html
<form action="/upcoming-webinars/ondemand-webinars.html" method="post" class="top-search" autocomplete="off">
<div class="search-section">
<input name="searchword" id="mod-search-searchword" maxlength="200" class="inputbox search-query" type="text" size="20" placeholder="Search..."> <button type="submit">Search</button>
<input type="hidden" name="task" value="search">
<input type="hidden" name="option" value="com_search">
<input type="hidden" name="Itemid" value="720">
</div>
<div class="search-section">
<div id="search-results"></div>
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</form>
POST /upcoming-webinars/ondemand-webinars.html
<form action="/upcoming-webinars/ondemand-webinars.html" method="post" class="mobile-search" autocomplete="off">
<div class="search-section">
<input name="searchword" id="mod-search-searchword-mobile" maxlength="200" class="inputbox search-query" type="text" size="40" placeholder="Search..."> <button type="submit">Search</button>
<input type="hidden" name="task" value="search">
<input type="hidden" name="option" value="com_search">
<input type="hidden" name="Itemid" value="720">
</div>
<div class="search-section">
<div id="search-results-mobile"></div>
</div>
</form>
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<form novalidate="" accept-charset="UTF-8" action="https://forms.hsforms.com/submissions/v3/public/submit/formsnext/multipart/498900/11860844-9b41-4b15-baac-4cae7c423c37" enctype="multipart/form-data" id="hsForm_11860844-9b41-4b15-baac-4cae7c423c37"
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<div class="hs_firstname hs-firstname hs-fieldtype-text field hs-form-field" data-reactid=".hbspt-forms-0.1:$0.1:$firstname"><label id="label-firstname-11860844-9b41-4b15-baac-4cae7c423c37" class="" placeholder="Enter your First name"
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<legend class="hs-field-desc" style="display:none;" data-reactid=".hbspt-forms-0.1:$0.1:$firstname.1"></legend>
<div class="input" data-reactid=".hbspt-forms-0.1:$0.1:$firstname.$firstname"><input id="firstname-11860844-9b41-4b15-baac-4cae7c423c37" class="hs-input" type="text" name="firstname" required="" value="" placeholder="" autocomplete="given-name"
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</div>
<div class="hs_lastname hs-lastname hs-fieldtype-text field hs-form-field" data-reactid=".hbspt-forms-0.1:$0.1:$lastname"><label id="label-lastname-11860844-9b41-4b15-baac-4cae7c423c37" class="" placeholder="Enter your Last name"
for="lastname-11860844-9b41-4b15-baac-4cae7c423c37" data-reactid=".hbspt-forms-0.1:$0.1:$lastname.0"><span data-reactid=".hbspt-forms-0.1:$0.1:$lastname.0.0">Last name</span><span class="hs-form-required"
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<legend class="hs-field-desc" style="display:none;" data-reactid=".hbspt-forms-0.1:$0.1:$lastname.1"></legend>
<div class="input" data-reactid=".hbspt-forms-0.1:$0.1:$lastname.$lastname"><input id="lastname-11860844-9b41-4b15-baac-4cae7c423c37" class="hs-input" type="text" name="lastname" required="" value="" placeholder="" autocomplete="family-name"
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</div>
</fieldset>
<fieldset class="form-columns-1" data-reactid=".hbspt-forms-0.1:$1">
<div class="hs_email hs-email hs-fieldtype-text field hs-form-field" data-reactid=".hbspt-forms-0.1:$1.1:$email"><label id="label-email-11860844-9b41-4b15-baac-4cae7c423c37" class="" placeholder="Enter your Email Address"
for="email-11860844-9b41-4b15-baac-4cae7c423c37" data-reactid=".hbspt-forms-0.1:$1.1:$email.0"><span data-reactid=".hbspt-forms-0.1:$1.1:$email.0.0">Email Address</span><span class="hs-form-required"
data-reactid=".hbspt-forms-0.1:$1.1:$email.0.1">*</span></label>
<legend class="hs-field-desc" style="display:none;" data-reactid=".hbspt-forms-0.1:$1.1:$email.1"></legend>
<div class="input" data-reactid=".hbspt-forms-0.1:$1.1:$email.$email"><input id="email-11860844-9b41-4b15-baac-4cae7c423c37" class="hs-input" type="email" name="email" required="" placeholder="" value="" autocomplete="email"
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</div>
</fieldset>
<fieldset class="form-columns-1" data-reactid=".hbspt-forms-0.1:$2">
<div class="hs_jobtitle hs-jobtitle hs-fieldtype-text field hs-form-field" data-reactid=".hbspt-forms-0.1:$2.1:$jobtitle"><label id="label-jobtitle-11860844-9b41-4b15-baac-4cae7c423c37" class="" placeholder="Enter your Job Title"
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<legend class="hs-field-desc" style="display:none;" data-reactid=".hbspt-forms-0.1:$2.1:$jobtitle.1"></legend>
<div class="input" data-reactid=".hbspt-forms-0.1:$2.1:$jobtitle.$jobtitle"><input id="jobtitle-11860844-9b41-4b15-baac-4cae7c423c37" class="hs-input" type="text" name="jobtitle" required="" value="" placeholder=""
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<fieldset class="form-columns-1" data-reactid=".hbspt-forms-0.1:$3">
<div class="hs_company hs-company hs-fieldtype-text field hs-form-field" data-reactid=".hbspt-forms-0.1:$3.1:$company"><label id="label-company-11860844-9b41-4b15-baac-4cae7c423c37" class="" placeholder="Enter your Company name"
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<legend class="hs-field-desc" style="display:none;" data-reactid=".hbspt-forms-0.1:$3.1:$company.1"></legend>
<div class="input" data-reactid=".hbspt-forms-0.1:$3.1:$company.$company"><input id="company-11860844-9b41-4b15-baac-4cae7c423c37" class="hs-input" type="text" name="company" required="" value="" placeholder="" autocomplete="organization"
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<fieldset class="form-columns-1" data-reactid=".hbspt-forms-0.1:$4">
<div class="hs_state_dropdown_abreviated hs-state_dropdown_abreviated hs-fieldtype-select field hs-form-field" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated"><label
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data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.0"><span data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.0.0">State</span><span class="hs-form-required"
data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.0.1">*</span></label>
<legend class="hs-field-desc" style="display:none;" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.1"></legend>
<div class="input" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated"><select id="state_dropdown_abreviated-11860844-9b41-4b15-baac-4cae7c423c37" required="" class="hs-input is-placeholder"
name="state_dropdown_abreviated" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0">
<option value="" disabled="" selected="" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.0">Please Select</option>
<option value="AK" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$AK">AK</option>
<option value="AL" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$AL">AL</option>
<option value="AR" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$AR">AR</option>
<option value="AZ" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$AZ">AZ</option>
<option value="CA" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$CA">CA</option>
<option value="CO" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$CO">CO</option>
<option value="CT" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$CT">CT</option>
<option value="DC" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$DC">DC</option>
<option value="DE" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$DE">DE</option>
<option value="FL" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$FL">FL</option>
<option value="GA" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$GA">GA</option>
<option value="HI" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$HI">HI</option>
<option value="IA" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$IA">IA</option>
<option value="ID" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$ID">ID</option>
<option value="IL" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$IL">IL</option>
<option value="IN" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$IN">IN</option>
<option value="KS" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$KS">KS</option>
<option value="KY" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$KY">KY</option>
<option value="LA" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$LA">LA</option>
<option value="MA" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$MA">MA</option>
<option value="MD" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$MD">MD</option>
<option value="ME" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$ME">ME</option>
<option value="MI" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$MI">MI</option>
<option value="MN" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$MN">MN</option>
<option value="MS" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$MS">MS</option>
<option value="MO" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$MO">MO</option>
<option value="MT" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$MT">MT</option>
<option value="NC" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$NC">NC</option>
<option value="ND" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$ND">ND</option>
<option value="NE" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$NE">NE</option>
<option value="NH" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$NH">NH</option>
<option value="NJ" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$NJ">NJ</option>
<option value="NM" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$NM">NM</option>
<option value="NV" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$NV">NV</option>
<option value="NY" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$NY">NY</option>
<option value="OH" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$OH">OH</option>
<option value="OK" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$OK">OK</option>
<option value="OR" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$OR">OR</option>
<option value="PA" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$PA">PA</option>
<option value="RI" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$RI">RI</option>
<option value="SC" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$SC">SC</option>
<option value="SD" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$SD">SD</option>
<option value="TN" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$TN">TN</option>
<option value="TX" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$TX">TX</option>
<option value="UT" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$UT">UT</option>
<option value="VA" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$VA">VA</option>
<option value="VT" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$VT">VT</option>
<option value="WA" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$WA">WA</option>
<option value="WI" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$WI">WI</option>
<option value="WV" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$WV">WV</option>
<option value="WY" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$WY">WY</option>
<option value="AS" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$AS">AS</option>
<option value="GU" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$GU">GU</option>
<option value="MP" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$MP">MP</option>
<option value="PR" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$PR">PR</option>
<option value="VI" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$VI">VI</option>
<option value="N/A" data-reactid=".hbspt-forms-0.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$N/A">N/A</option>
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<div class="hs_what_type_of_institution_are_you_employed_by_new_ hs-what_type_of_institution_are_you_employed_by_new_ hs-fieldtype-select field hs-form-field"
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data-reactid=".hbspt-forms-0.1:$5.1:$what_type_of_institution_are_you_employed_by_new_.0"><span data-reactid=".hbspt-forms-0.1:$5.1:$what_type_of_institution_are_you_employed_by_new_.0.0">What type of institution are you employed
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<legend class="hs-field-desc" style="display:none;" data-reactid=".hbspt-forms-0.1:$5.1:$what_type_of_institution_are_you_employed_by_new_.1"></legend>
<div class="input" data-reactid=".hbspt-forms-0.1:$5.1:$what_type_of_institution_are_you_employed_by_new_.$what_type_of_institution_are_you_employed_by_new_"><select
id="what_type_of_institution_are_you_employed_by_new_-11860844-9b41-4b15-baac-4cae7c423c37" required="" class="hs-input is-placeholder" name="what_type_of_institution_are_you_employed_by_new_"
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<option value="" disabled="" selected="" data-reactid=".hbspt-forms-0.1:$5.1:$what_type_of_institution_are_you_employed_by_new_.$what_type_of_institution_are_you_employed_by_new_.0.0">Please Select</option>
<option value="Hospital / Health System" data-reactid=".hbspt-forms-0.1:$5.1:$what_type_of_institution_are_you_employed_by_new_.$what_type_of_institution_are_you_employed_by_new_.0.1:$Hospital / Health System">Hospital / Health System
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<option value="Post-Acute / Nursing Home / Hospice" data-reactid=".hbspt-forms-0.1:$5.1:$what_type_of_institution_are_you_employed_by_new_.$what_type_of_institution_are_you_employed_by_new_.0.1:$Post-Acute / Nursing Home / Hospice">
Post-Acute / Nursing Home / Hospice</option>
<option value="Medical Group / Ambulatory Surgery Center"
data-reactid=".hbspt-forms-0.1:$5.1:$what_type_of_institution_are_you_employed_by_new_.$what_type_of_institution_are_you_employed_by_new_.0.1:$Medical Group / Ambulatory Surgery Center">Medical Group / Ambulatory Surgery Center</option>
<option value="Payer / Health Plan" data-reactid=".hbspt-forms-0.1:$5.1:$what_type_of_institution_are_you_employed_by_new_.$what_type_of_institution_are_you_employed_by_new_.0.1:$Payer / Health Plan">Payer / Health Plan</option>
<option value="Dental service organization / management group"
data-reactid=".hbspt-forms-0.1:$5.1:$what_type_of_institution_are_you_employed_by_new_.$what_type_of_institution_are_you_employed_by_new_.0.1:$Dental service organization / management group">Dental Office / DSO</option>
<option value="Dental Group" data-reactid=".hbspt-forms-0.1:$5.1:$what_type_of_institution_are_you_employed_by_new_.$what_type_of_institution_are_you_employed_by_new_.0.1:$Dental Group">Dental Group</option>
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<option value="OK" data-reactid=".hbspt-forms-2.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$OK">OK</option>
<option value="OR" data-reactid=".hbspt-forms-2.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$OR">OR</option>
<option value="PA" data-reactid=".hbspt-forms-2.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$PA">PA</option>
<option value="RI" data-reactid=".hbspt-forms-2.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$RI">RI</option>
<option value="SC" data-reactid=".hbspt-forms-2.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$SC">SC</option>
<option value="SD" data-reactid=".hbspt-forms-2.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$SD">SD</option>
<option value="TN" data-reactid=".hbspt-forms-2.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$TN">TN</option>
<option value="TX" data-reactid=".hbspt-forms-2.1:$4.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$TX">TX</option>
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Post-Acute / Nursing Home / Hospice</option>
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I am not employed by a medical provider</option>
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data-reactid=".hbspt-forms-2.1:$6.1:$sign_me_up_for_becker_s_hospital_review_e_weekly.$sign_me_up_for_becker_s_hospital_review_e_weekly.0.0.0.1">Sign me up for Becker's Hospital Review E-Weekly. Read by over 450,000 healthcare
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<div class="hs_firstname hs-firstname hs-fieldtype-text field hs-form-field" data-reactid=".hbspt-forms-1.1:$0.1:$firstname"><label id="label-firstname-b0f92927-8203-470d-9ef7-0734516113b0" class="" placeholder="Enter your First Name"
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<div class="hs_what_is_your_job_level_ hs-what_is_your_job_level_ hs-fieldtype-select field hs-form-field" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_level_"><label
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data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_level_.0"><span data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_level_.0.0">What is your job level?</span></label>
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<option value="Administration - General" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Administration - General">Administration - General</option>
<option value="Administration - Nursing" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Administration - Nursing">Administration - Nursing</option>
<option value="Administration - Physician" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Administration - Physician">Administration - Physician</option>
<option value="Application Development, Services or Support" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Application Development, Services or Support">Application Development, Services or
Support</option>
<option value="Audit" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Audit">Audit</option>
<option value="Biomedical Engineering" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Biomedical Engineering">Biomedical Engineering</option>
<option value="Business Development or Management" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Business Development or Management">Business Development or Management</option>
<option value="Clinical Unit" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Clinical Unit">Clinical Unit</option>
<option value="Clinician Identity and Access Management" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Clinician Identity and Access Management">Clinician Identity and Access Management
</option>
<option value="Communications" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Communications">Communications</option>
<option value="Compliance" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Compliance">Compliance</option>
<option value="Credentialing" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Credentialing">Credentialing</option>
<option value="Finance" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Finance">Finance</option>
<option value="HIM, Medical Records" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$HIM, Medical Records">HIM, Medical Records</option>
<option value="Information Management or Information Systems" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Information Management or Information Systems">Information Management or
Information Systems</option>
<option value="Information Security or Risk Management" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Information Security or Risk Management">Information Security or Risk Management
</option>
<option value="Information Technology" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Information Technology">Information Technology</option>
<option value="Medical Affairs" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Medical Affairs">Medical Affairs</option>
<option value="Medical Information Operations or Management" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Medical Information Operations or Management">Medical Information Operations or
Management</option>
<option value="Medication Safety" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Medication Safety">Medication Safety</option>
<option value="Nursing Information Operations or Management" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Nursing Information Operations or Management">Nursing Information Operations or
Management</option>
<option value="Operations" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Operations">Operations</option>
<option value="Patient Admissions" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Patient Admissions">Patient Admissions</option>
<option value="Patient Experience or Engagement" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Patient Experience or Engagement">Patient Experience or Engagement</option>
<option value="Patient Financial Services" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Patient Financial Services">Patient Financial Services</option>
<option value="Patient Identity and Access Management" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Patient Identity and Access Management">Patient Identity and Access Management</option>
<option value="Patient Registration" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Patient Registration">Patient Registration</option>
<option value="Pharmacy" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Pharmacy">Pharmacy</option>
<option value="Procurement/Purchasing" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Procurement/Purchasing">Procurement/Purchasing</option>
<option value="Quality" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Quality">Quality</option>
<option value="Revenue Cycle" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Revenue Cycle">Revenue Cycle</option>
<option value="Security" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Security">Security</option>
<option value="Other" data-reactid=".hbspt-forms-1.1:$2.1:$what_is_your_job_function_.$what_is_your_job_function_.0.1:$Other">Other</option>
</select></div>
</div>
</fieldset>
<fieldset class="form-columns-2" data-reactid=".hbspt-forms-1.1:$3">
<div class="hs_email hs-email hs-fieldtype-text field hs-form-field" data-reactid=".hbspt-forms-1.1:$3.1:$email"><label id="label-email-b0f92927-8203-470d-9ef7-0734516113b0" class="" placeholder="Enter your Email"
for="email-b0f92927-8203-470d-9ef7-0734516113b0" data-reactid=".hbspt-forms-1.1:$3.1:$email.0"><span data-reactid=".hbspt-forms-1.1:$3.1:$email.0.0">Email</span><span class="hs-form-required"
data-reactid=".hbspt-forms-1.1:$3.1:$email.0.1">*</span></label>
<legend class="hs-field-desc" style="display:none;" data-reactid=".hbspt-forms-1.1:$3.1:$email.1"></legend>
<div class="input" data-reactid=".hbspt-forms-1.1:$3.1:$email.$email"><input id="email-b0f92927-8203-470d-9ef7-0734516113b0" class="hs-input" type="email" name="email" required="" placeholder="" value="" autocomplete="email"
data-reactid=".hbspt-forms-1.1:$3.1:$email.$email.0" inputmode="email"></div>
</div>
<div class="hs_phone hs-phone hs-fieldtype-text field hs-form-field" data-reactid=".hbspt-forms-1.1:$3.1:$phone"><label id="label-phone-b0f92927-8203-470d-9ef7-0734516113b0" class="" placeholder="Enter your Phone number"
for="phone-b0f92927-8203-470d-9ef7-0734516113b0" data-reactid=".hbspt-forms-1.1:$3.1:$phone.0"><span data-reactid=".hbspt-forms-1.1:$3.1:$phone.0.0">Phone number</span><span class="hs-form-required"
data-reactid=".hbspt-forms-1.1:$3.1:$phone.0.1">*</span></label>
<legend class="hs-field-desc" style="display:none;" data-reactid=".hbspt-forms-1.1:$3.1:$phone.1"></legend>
<div class="input" data-reactid=".hbspt-forms-1.1:$3.1:$phone.$phone"><input id="phone-b0f92927-8203-470d-9ef7-0734516113b0" class="hs-input" type="tel" name="phone" required="" value="" placeholder="" autocomplete="tel"
data-reactid=".hbspt-forms-1.1:$3.1:$phone.$phone.0" inputmode="tel"></div>
</div>
</fieldset>
<fieldset class="form-columns-1" data-reactid=".hbspt-forms-1.1:$4">
<div class="hs_company hs-company hs-fieldtype-text field hs-form-field" data-reactid=".hbspt-forms-1.1:$4.1:$company"><label id="label-company-b0f92927-8203-470d-9ef7-0734516113b0" class="" placeholder="Enter your Company Name"
for="company-b0f92927-8203-470d-9ef7-0734516113b0" data-reactid=".hbspt-forms-1.1:$4.1:$company.0"><span data-reactid=".hbspt-forms-1.1:$4.1:$company.0.0">Company Name</span><span class="hs-form-required"
data-reactid=".hbspt-forms-1.1:$4.1:$company.0.1">*</span></label>
<legend class="hs-field-desc" style="display:none;" data-reactid=".hbspt-forms-1.1:$4.1:$company.1"></legend>
<div class="input" data-reactid=".hbspt-forms-1.1:$4.1:$company.$company"><input id="company-b0f92927-8203-470d-9ef7-0734516113b0" class="hs-input" type="text" name="company" required="" value="" placeholder="" autocomplete="organization"
data-reactid=".hbspt-forms-1.1:$4.1:$company.$company.0" inputmode="text"></div>
</div>
</fieldset>
<fieldset class="form-columns-2" data-reactid=".hbspt-forms-1.1:$5">
<div class="hs_state_dropdown_abreviated hs-state_dropdown_abreviated hs-fieldtype-select field hs-form-field" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated"><label
id="label-state_dropdown_abreviated-b0f92927-8203-470d-9ef7-0734516113b0" class="" placeholder="Enter your State" for="state_dropdown_abreviated-b0f92927-8203-470d-9ef7-0734516113b0"
data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.0"><span data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.0.0">State</span><span class="hs-form-required"
data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.0.1">*</span></label>
<legend class="hs-field-desc" style="display:none;" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.1"></legend>
<div class="input" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated"><select id="state_dropdown_abreviated-b0f92927-8203-470d-9ef7-0734516113b0" required="" class="hs-input is-placeholder"
name="state_dropdown_abreviated" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0">
<option value="" disabled="" selected="" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.0">Please Select</option>
<option value="AK" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$AK">AK</option>
<option value="AL" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$AL">AL</option>
<option value="AR" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$AR">AR</option>
<option value="AZ" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$AZ">AZ</option>
<option value="CA" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$CA">CA</option>
<option value="CO" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$CO">CO</option>
<option value="CT" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$CT">CT</option>
<option value="DC" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$DC">DC</option>
<option value="DE" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$DE">DE</option>
<option value="FL" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$FL">FL</option>
<option value="GA" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$GA">GA</option>
<option value="HI" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$HI">HI</option>
<option value="IA" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$IA">IA</option>
<option value="ID" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$ID">ID</option>
<option value="IL" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$IL">IL</option>
<option value="IN" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$IN">IN</option>
<option value="KS" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$KS">KS</option>
<option value="KY" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$KY">KY</option>
<option value="LA" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$LA">LA</option>
<option value="MA" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$MA">MA</option>
<option value="MD" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$MD">MD</option>
<option value="ME" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$ME">ME</option>
<option value="MI" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$MI">MI</option>
<option value="MN" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$MN">MN</option>
<option value="MS" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$MS">MS</option>
<option value="MO" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$MO">MO</option>
<option value="MT" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$MT">MT</option>
<option value="NC" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$NC">NC</option>
<option value="ND" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$ND">ND</option>
<option value="NE" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$NE">NE</option>
<option value="NH" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$NH">NH</option>
<option value="NJ" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$NJ">NJ</option>
<option value="NM" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$NM">NM</option>
<option value="NV" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$NV">NV</option>
<option value="NY" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$NY">NY</option>
<option value="OH" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$OH">OH</option>
<option value="OK" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$OK">OK</option>
<option value="OR" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$OR">OR</option>
<option value="PA" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$PA">PA</option>
<option value="RI" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$RI">RI</option>
<option value="SC" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$SC">SC</option>
<option value="SD" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$SD">SD</option>
<option value="TN" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$TN">TN</option>
<option value="TX" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$TX">TX</option>
<option value="UT" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$UT">UT</option>
<option value="VA" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$VA">VA</option>
<option value="VT" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$VT">VT</option>
<option value="WA" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$WA">WA</option>
<option value="WI" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$WI">WI</option>
<option value="WV" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$WV">WV</option>
<option value="WY" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$WY">WY</option>
<option value="AS" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$AS">AS</option>
<option value="GU" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$GU">GU</option>
<option value="MP" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$MP">MP</option>
<option value="PR" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$PR">PR</option>
<option value="VI" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$VI">VI</option>
<option value="N/A" data-reactid=".hbspt-forms-1.1:$5.1:$state_dropdown_abreviated.$state_dropdown_abreviated.0.1:$N/A">N/A</option>
</select></div>
</div>
<div class="hs_country_full_dropdown hs-country_full_dropdown hs-fieldtype-select field hs-form-field" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown"><label id="label-country_full_dropdown-b0f92927-8203-470d-9ef7-0734516113b0"
class="" placeholder="Enter your Country" for="country_full_dropdown-b0f92927-8203-470d-9ef7-0734516113b0" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.0"><span
data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.0.0">Country</span><span class="hs-form-required" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.0.1">*</span></label>
<legend class="hs-field-desc" style="display:none;" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.1"></legend>
<div class="input" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown"><select id="country_full_dropdown-b0f92927-8203-470d-9ef7-0734516113b0" required="" class="hs-input is-placeholder"
name="country_full_dropdown" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0">
<option value="" disabled="" selected="" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.0">Please Select</option>
<option value="Afghanistan" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Afghanistan">Afghanistan</option>
<option value="Albania" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Albania">Albania</option>
<option value="Algeria" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Algeria">Algeria</option>
<option value="Andorra" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Andorra">Andorra</option>
<option value="Angola" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Angola">Angola</option>
<option value="Antigua & Deps" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Antigua & Deps">Antigua & Deps</option>
<option value="Argentina" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Argentina">Argentina</option>
<option value="Armenia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Armenia">Armenia</option>
<option value="Australia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Australia">Australia</option>
<option value="Austria" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Austria">Austria</option>
<option value="Azerbaijan" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Azerbaijan">Azerbaijan</option>
<option value="Bahamas" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Bahamas">Bahamas</option>
<option value="Bahrain" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Bahrain">Bahrain</option>
<option value="Bangladesh" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Bangladesh">Bangladesh</option>
<option value="Barbados" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Barbados">Barbados</option>
<option value="Belarus" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Belarus">Belarus</option>
<option value="Belgium" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Belgium">Belgium</option>
<option value="Belize" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Belize">Belize</option>
<option value="Benin" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Benin">Benin</option>
<option value="Bhutan" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Bhutan">Bhutan</option>
<option value="Bolivia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Bolivia">Bolivia</option>
<option value="Bosnia Herzegovina" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Bosnia Herzegovina">Bosnia Herzegovina</option>
<option value="Botswana" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Botswana">Botswana</option>
<option value="Brazil" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Brazil">Brazil</option>
<option value="Brunei" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Brunei">Brunei</option>
<option value="Bulgaria" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Bulgaria">Bulgaria</option>
<option value="Burkina" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Burkina">Burkina</option>
<option value="Burundi" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Burundi">Burundi</option>
<option value="Cambodia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Cambodia">Cambodia</option>
<option value="Cameroon" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Cameroon">Cameroon</option>
<option value="Canada" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Canada">Canada</option>
<option value="Cape Verde" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Cape Verde">Cape Verde</option>
<option value="Central African Rep" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Central African Rep">Central African Rep</option>
<option value="Chad" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Chad">Chad</option>
<option value="Chile" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Chile">Chile</option>
<option value="China" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$China">China</option>
<option value="Colombia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Colombia">Colombia</option>
<option value="Comoros" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Comoros">Comoros</option>
<option value="Congo" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Congo">Congo</option>
<option value="Congo {Democratic Rep}" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Congo {Democratic Rep}">Congo {Democratic Rep}</option>
<option value="Costa Rica" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Costa Rica">Costa Rica</option>
<option value="Croatia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Croatia">Croatia</option>
<option value="Cuba" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Cuba">Cuba</option>
<option value="Cyprus" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Cyprus">Cyprus</option>
<option value="Czech Republic" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Czech Republic">Czech Republic</option>
<option value="Denmark" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Denmark">Denmark</option>
<option value="Djibouti" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Djibouti">Djibouti</option>
<option value="Dominica" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Dominica">Dominica</option>
<option value="Dominican Republic" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Dominican Republic">Dominican Republic</option>
<option value="East Timor" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$East Timor">East Timor</option>
<option value="Ecuador" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Ecuador">Ecuador</option>
<option value="Egypt" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Egypt">Egypt</option>
<option value="El Salvador" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$El Salvador">El Salvador</option>
<option value="Equatorial Guinea" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Eritrea">Eritrea</option>
<option value="Estonia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Estonia">Estonia</option>
<option value="Ethiopia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Ethiopia">Ethiopia</option>
<option value="Fiji" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Fiji">Fiji</option>
<option value="Finland" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Finland">Finland</option>
<option value="France" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$France">France</option>
<option value="Gabon" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Gabon">Gabon</option>
<option value="Gambia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Gambia">Gambia</option>
<option value="Georgia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Georgia">Georgia</option>
<option value="Germany" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Germany">Germany</option>
<option value="Ghana" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Ghana">Ghana</option>
<option value="Greece" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Greece">Greece</option>
<option value="Grenada" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Grenada">Grenada</option>
<option value="Guatemala" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Guatemala">Guatemala</option>
<option value="Guinea" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Guinea">Guinea</option>
<option value="Guinea-Bissau" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Guyana">Guyana</option>
<option value="Haiti" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Haiti">Haiti</option>
<option value="Honduras" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Honduras">Honduras</option>
<option value="Hungary" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Hungary">Hungary</option>
<option value="Iceland" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Iceland">Iceland</option>
<option value="India" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$India">India</option>
<option value="Indonesia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Indonesia">Indonesia</option>
<option value="Iran" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Iran">Iran</option>
<option value="Iraq" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Iraq">Iraq</option>
<option value="Ireland {Republic}" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Ireland {Republic}">Ireland {Republic}</option>
<option value="Israel" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Israel">Israel</option>
<option value="Italy" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Italy">Italy</option>
<option value="Ivory Coast" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Ivory Coast">Ivory Coast</option>
<option value="Jamaica" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Jamaica">Jamaica</option>
<option value="Japan" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Japan">Japan</option>
<option value="Jordan" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Jordan">Jordan</option>
<option value="Kazakhstan" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Kazakhstan">Kazakhstan</option>
<option value="Kenya" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Kenya">Kenya</option>
<option value="Kiribati" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Kiribati">Kiribati</option>
<option value="Korea South" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Korea South">Korea South</option>
<option value="Kosovo" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Kosovo">Kosovo</option>
<option value="Kuwait" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Kuwait">Kuwait</option>
<option value="Kyrgyzstan" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Laos">Laos</option>
<option value="Latvia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Latvia">Latvia</option>
<option value="Lebanon" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Lebanon">Lebanon</option>
<option value="Lesotho" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Lesotho">Lesotho</option>
<option value="Liberia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Liberia">Liberia</option>
<option value="Libya" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Libya">Libya</option>
<option value="Liechtenstein" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Liechtenstein">Liechtenstein</option>
<option value="Lithuania" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Lithuania">Lithuania</option>
<option value="Luxembourg" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Luxembourg">Luxembourg</option>
<option value="Macedonia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Macedonia">Macedonia</option>
<option value="Madagascar" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Madagascar">Madagascar</option>
<option value="Malawi" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Malawi">Malawi</option>
<option value="Malaysia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Malaysia">Malaysia</option>
<option value="Maldives" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Maldives">Maldives</option>
<option value="Mali" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Mali">Mali</option>
<option value="Malta" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Malta">Malta</option>
<option value="Marshall Islands" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Marshall Islands">Marshall Islands</option>
<option value="Mauritania" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Mauritania">Mauritania</option>
<option value="Mauritius" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Mauritius">Mauritius</option>
<option value="Mexico" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Mexico">Mexico</option>
<option value="Micronesia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Micronesia">Micronesia</option>
<option value="Moldova" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Moldova">Moldova</option>
<option value="Monaco" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Monaco">Monaco</option>
<option value="Mongolia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Mongolia">Mongolia</option>
<option value="Montenegro" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Montenegro">Montenegro</option>
<option value="Morocco" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Morocco">Morocco</option>
<option value="Mozambique" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Mozambique">Mozambique</option>
<option value="Myanmar, (Burma)" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Myanmar, (Burma)">Myanmar, (Burma)</option>
<option value="Namibia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Namibia">Namibia</option>
<option value="Nauru" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Nauru">Nauru</option>
<option value="Nepal" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Nepal">Nepal</option>
<option value="Netherlands" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Netherlands">Netherlands</option>
<option value="New Zealand" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$New Zealand">New Zealand</option>
<option value="Nicaragua" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Nicaragua">Nicaragua</option>
<option value="Niger" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Niger">Niger</option>
<option value="Nigeria" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Nigeria">Nigeria</option>
<option value="Norway" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Norway">Norway</option>
<option value="Oman" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Oman">Oman</option>
<option value="Pakistan" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Pakistan">Pakistan</option>
<option value="Palau" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Palau">Palau</option>
<option value="Panama" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Panama">Panama</option>
<option value="Papua New Guinea" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Paraguay">Paraguay</option>
<option value="Peru" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Peru">Peru</option>
<option value="Philippines" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Philippines">Philippines</option>
<option value="Poland" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Poland">Poland</option>
<option value="Portugal" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Portugal">Portugal</option>
<option value="Qatar" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Qatar">Qatar</option>
<option value="Romania" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Romania">Romania</option>
<option value="Russian Federation" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Russian Federation">Russian Federation</option>
<option value="Rwanda" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Rwanda">Rwanda</option>
<option value="St Kitts & Nevis" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$St Kitts & Nevis">St Kitts & Nevis</option>
<option value="St Lucia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$St Lucia">St Lucia</option>
<option value="Saint Vincent & the Grenadines" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Saint Vincent & the Grenadines">Saint Vincent & the Grenadines</option>
<option value="Samoa" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Samoa">Samoa</option>
<option value="San Marino" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$San Marino">San Marino</option>
<option value="Sao Tome & Principe" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Sao Tome & Principe">Sao Tome & Principe</option>
<option value="Saudi Arabia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Saudi Arabia">Saudi Arabia</option>
<option value="Senegal" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Senegal">Senegal</option>
<option value="Serbia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Serbia">Serbia</option>
<option value="Seychelles" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Seychelles">Seychelles</option>
<option value="Sierra Leone" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Sierra Leone">Sierra Leone</option>
<option value="Singapore" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Singapore">Singapore</option>
<option value="Slovakia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Slovakia">Slovakia</option>
<option value="Slovenia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Slovenia">Slovenia</option>
<option value="Solomon Islands" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Solomon Islands">Solomon Islands</option>
<option value="Somalia" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$Somalia">Somalia</option>
<option value="South Africa" data-reactid=".hbspt-forms-1.1:$5.1:$country_full_dropdown.$country_full_dropdown.0.1:$South Africa">South Africa</option>
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I am not employed by a medical provider</option>
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Read by over 450,000 healthcare professionals. * Sign me up for Becker's Health IT & CIO Report E-Weekly Lessons in workforce management: How hospitals can optimize staffing models for cost and quality Presenters Andrea Nelson, Chief Operation Officer, VISTA Staffing Solutions Adam Rousey, Senior Vice President, VISTA Staffing Solutions Watch Now First name* Last name* Email* Job title* Company name* State* Please SelectAKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMSMOMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYASGUMPPRVIN/A What type of institution are you employed by?* Please SelectHospital / Health SystemPost-Acute / Nursing Home / HospiceMedical Group / Ambulatory Surgery CenterPayer / Health PlanDental Office / DSODental GroupDental LabIndividual PracticeAcademic Medical CenterPharmaceutical / Biotech / Medical DeviceOtherI am not employed by a medical provider * Sign me up for Becker's Hospital Review E-Weekly. Read by over 450,000 healthcare professionals. How to keep networks safe in the era of remote access — Insights from Northeast Georgia Health System Presenters Dr. Pranav Jain, CMIO, Northeast Georgia Health System Katrina Walter, PMP, IT Project Manager Watch Now First Name* Last Name* Job Title* What is your job level? Please SelectAdministratorClinicianCoordinatorCXODirectorManagerPresidentVPOther What is your job function? 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Read by over 450,000 healthcare professionals. * Sign me up for Becker's Health IT & CIO Report E-Weekly How to create an effective cost reduction strategy and achieve non-labor cost savings in the age of COVID-19 Presenters Lisa Miller, MHA, Healthcare Financial Consultant, Founder/CEO, VIE Healthcare Consulting Richard Dormer, MHA, Healthcare Margin Improvement Expert, COO, VIE Healthcare Consulting Watch Now First name* Last name* Email* Job title* Company name* What type of institution are you employed by?* Please SelectHospital / Health SystemPost-Acute / Nursing Home / HospiceMedical Group / Ambulatory Surgery CenterPayer / Health PlanDental Office / DSODental GroupDental LabIndividual PracticeAcademic Medical CenterPharmaceutical / Biotech / Medical DeviceOtherI am not employed by a medical provider * Sign me up for Becker's Hospital Review E-Weekly. 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