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Submitted URL: http://links.lsc-upmc.mkt4914.com/els/v2/wdLRQz9pLxHN/OVF5UXJaTUlLWTdhSkxRVUl2b1dBamNBcHpnY21nSTB5V3U0Wmh4WUpZbXlGRGd5NndGOE10N0VS...
Effective URL: https://workpartners.com/landing/doors/?&utm_medium=email&utm_source=wca&utm_campaign=Workpartners%20High%20Intent%20Nurt...
Submission: On September 24 via api from US — Scanned from DE
Effective URL: https://workpartners.com/landing/doors/?&utm_medium=email&utm_source=wca&utm_campaign=Workpartners%20High%20Intent%20Nurt...
Submission: On September 24 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST /landing/doors/?&utm_medium=email&utm_source=wca&utm_campaign=Workpartners%20High%20Intent%20Nurture-DoorsACQN-ACQWP-HIGHINTENTDOORS&cid=EM-641FD1A30CC1BD4FF91A2D4951DE9434&etid=23877442&utm_content=WAVE01-A-Southeast%20Region-Tier%202&utm_term=20WP1504071&LINK_NAME=W1_BUTTON&spMailingID=25587134&spUserID=Nzk0MTI1MjQ2NzA3S0&spJobID=2063365882&spReportId=MjA2MzM2NTg4MgS2
<form
action="/landing/doors/?&utm_medium=email&utm_source=wca&utm_campaign=Workpartners%20High%20Intent%20Nurture-DoorsACQN-ACQWP-HIGHINTENTDOORS&cid=EM-641FD1A30CC1BD4FF91A2D4951DE9434&etid=23877442&utm_content=WAVE01-A-Southeast%20Region-Tier%202&utm_term=20WP1504071&LINK_NAME=W1_BUTTON&spMailingID=25587134&spUserID=Nzk0MTI1MjQ2NzA3S0&spJobID=2063365882&spReportId=MjA2MzM2NTg4MgS2"
class="umbraco-forms-form umbraco-forms-wp-paid-media paid-media-form-form" enctype="multipart/form-data" id="umbraco_form_d96d968be6e14abd94a3321d6b33f1fc" method="post" novalidate="novalidate"><input name="__RequestVerificationToken"
type="hidden" value="ozkuGi_-0ewZgKqPN2YI8KSPZ6uX8RlJYXv9Py7ORsCfxK0d4ojhLm60PkNw0-dzRn--ZscKQhQevSbXnEsGdpCOuX9wShpYw1vvGuIZowY1"><input name="Theme" type="hidden" value="wp-paid-media"><input data-val="true"
data-val-required="The FormId field is required." name="FormId" type="hidden" value="d96d968b-e6e1-4abd-94a3-321d6b33f1fc"><input name="FormName" type="hidden" value="Paid Media"><input data-val="true"
data-val-required="The RecordId field is required." name="RecordId" type="hidden" value="00000000-0000-0000-0000-000000000000"><input name="PreviousClicked" type="hidden" value=""><input data-val="true"
data-val-number="The field FormStep must be a number." data-val-required="The FormStep field is required." name="FormStep" type="hidden" value="0"><input name="RecordState" type="hidden"
value="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"><input
name="d96d968be6e14abd94a3321d6b33f1fc" type="hidden" value="">
<label class="paid-media-form-label" id="ef6c562e-c7b4-46b5-fc15-a66a55c0d174_label" for="ef6c562e-c7b4-46b5-fc15-a66a55c0d174">
<span> First Name <span aria-label="(required)">*</span>
</span>
<input type="text" class="paid-media-form-input" id="ef6c562e-c7b4-46b5-fc15-a66a55c0d174" name="ef6c562e-c7b4-46b5-fc15-a66a55c0d174" value="" placeholder="First Name" maxlength="40" aria-labelledby="ef6c562e-c7b4-46b5-fc15-a66a55c0d174_label"
data-val="true" data-val-required="Please provide a value">
<span class="paid-media-form-validation">
<span class="field-validation-valid" data-valmsg-for="ef6c562e-c7b4-46b5-fc15-a66a55c0d174" data-valmsg-replace="true"></span>
</span>
</label>
<label class="paid-media-form-label" id="c3a9fa93-2bd7-4be4-d25e-a32a00376e33_label" for="c3a9fa93-2bd7-4be4-d25e-a32a00376e33">
<span> Last Name <span aria-label="(required)">*</span>
</span>
<input type="text" class="paid-media-form-input" id="c3a9fa93-2bd7-4be4-d25e-a32a00376e33" name="c3a9fa93-2bd7-4be4-d25e-a32a00376e33" value="" placeholder="Last Name" maxlength="80" aria-labelledby="c3a9fa93-2bd7-4be4-d25e-a32a00376e33_label"
data-val="true" data-val-required="Please provide a value">
<span class="paid-media-form-validation">
<span class="field-validation-valid" data-valmsg-for="c3a9fa93-2bd7-4be4-d25e-a32a00376e33" data-valmsg-replace="true"></span>
</span>
</label>
<label class="paid-media-form-label" id="b3188b8f-d155-41a2-e693-bbd1df822e6b_label" for="b3188b8f-d155-41a2-e693-bbd1df822e6b">
<span> Work Email <span aria-label="(required)">*</span>
</span>
<input type="text" class="paid-media-form-input" id="b3188b8f-d155-41a2-e693-bbd1df822e6b" name="b3188b8f-d155-41a2-e693-bbd1df822e6b" value="" placeholder="Work Email" maxlength="80" aria-labelledby="b3188b8f-d155-41a2-e693-bbd1df822e6b_label"
data-val="true" data-val-required="Please provide a value" data-regex="^[a-zA-Z0-9.!#$%&'*+\/=?^_`{|}~-]+@[a-zA-Z0-9](?:[a-zA-Z0-9-]{0,61}[a-zA-Z0-9])?(?:\.[a-zA-Z0-9](?:[a-zA-Z0-9-]{0,61}[a-zA-Z0-9])?)+$"
data-val-regex="Please provide a valid value">
<span class="paid-media-form-validation">
<span class="field-validation-valid" data-valmsg-for="b3188b8f-d155-41a2-e693-bbd1df822e6b" data-valmsg-replace="true"></span>
</span>
</label>
<label class="paid-media-form-label" id="4ac0f643-c854-4c66-a474-4b8da12872c5_label" for="4ac0f643-c854-4c66-a474-4b8da12872c5">
<span> Phone Number <span aria-label="(required)">*</span>
</span>
<input type="text" class="paid-media-form-input" id="4ac0f643-c854-4c66-a474-4b8da12872c5" name="4ac0f643-c854-4c66-a474-4b8da12872c5" value="" placeholder="Phone Number (format: xxx-xxx-xxxx)" maxlength="12"
aria-labelledby="4ac0f643-c854-4c66-a474-4b8da12872c5_label" data-val="true" data-val-required="Please provide a value" data-regex="^[0-9]{3}-?[0-9]{3}-?[0-9]{4}$" data-val-regex="Please provide a valid value (format: xxx-xxx-xxxx)">
<span class="paid-media-form-validation">
<span class="field-validation-valid" data-valmsg-for="4ac0f643-c854-4c66-a474-4b8da12872c5" data-valmsg-replace="true"></span>
</span>
</label>
<label class="paid-media-form-label" id="6fc147af-4ba1-4702-af48-295217a7dbfb_label" for="6fc147af-4ba1-4702-af48-295217a7dbfb">
<span> Company Name <span aria-label="(required)">*</span>
</span>
<input type="text" class="paid-media-form-input" id="6fc147af-4ba1-4702-af48-295217a7dbfb" name="6fc147af-4ba1-4702-af48-295217a7dbfb" value="" placeholder="Company Name" maxlength="40" aria-labelledby="6fc147af-4ba1-4702-af48-295217a7dbfb_label"
data-val="true" data-val-required="Please provide a value">
<span class="paid-media-form-validation">
<span class="field-validation-valid" data-valmsg-for="6fc147af-4ba1-4702-af48-295217a7dbfb" data-valmsg-replace="true"></span>
</span>
</label>
<label class="paid-media-form-label" id="fac6f98a-ffc1-48ec-e22a-e72f31c2ab25_label" for="fac6f98a-ffc1-48ec-e22a-e72f31c2ab25">
<span> Company Size <span aria-label="(required)">*</span>
</span>
<select id="fac6f98a-ffc1-48ec-e22a-e72f31c2ab25" name="fac6f98a-ffc1-48ec-e22a-e72f31c2ab25" class="paid-media-form-select" aria-labelledby="fac6f98a-ffc1-48ec-e22a-e72f31c2ab25_label" data-alias="companySize" data-val="true"
data-val-required="Please provide a value">
<option value="" selected="selected" disabled="disabled">Company Size</option>
<option value="Less than 500">Less than 500</option>
<option value="500 - 1,000">500 - 1,000</option>
<option value="1,000 - 10,000">1,000 - 10,000</option>
<option value="10,000+">10,000+</option>
</select>
<span class="paid-media-form-validation">
<span class="field-validation-valid" data-valmsg-for="fac6f98a-ffc1-48ec-e22a-e72f31c2ab25" data-valmsg-replace="true"></span>
</span>
</label>
<div class="paid-media-form-checkbox full">
<div>
<label class="paid-media-form-checkbox-label" id="28c6f84f-00f5-4c4d-f2e4-c3cd8c9e28a0_label" for="28c6f84f-00f5-4c4d-f2e4-c3cd8c9e28a0">
<input type="checkbox" class="paid-media-form-checkbox-input" id="28c6f84f-00f5-4c4d-f2e4-c3cd8c9e28a0" name="28c6f84f-00f5-4c4d-f2e4-c3cd8c9e28a0" value="true" checked="checked"
aria-describedby="28c6f84f-00f5-4c4d-f2e4-c3cd8c9e28a0_label 28c6f84f-00f5-4c4d-f2e4-c3cd8c9e28a0_label_000">
<input type="hidden" name="28c6f84f-00f5-4c4d-f2e4-c3cd8c9e28a0" value="false">
<span> Opt in to receive electronic communications </span>
</label>
<p class="paid-media-form-checkbox-input-label">
<label id="28c6f84f-00f5-4c4d-f2e4-c3cd8c9e28a0_label_000" for="28c6f84f-00f5-4c4d-f2e4-c3cd8c9e28a0">By checking this box, you agree to receive electronic marketing communications from Workpartners and its business units or affiliates. If
you do not wish to receive these communications, you may opt out by using the unsubscribe feature in the email after you receive it.</label>
</p>
<span class="paid-media-form-validation">
<span class="field-validation-valid" data-valmsg-for="28c6f84f-00f5-4c4d-f2e4-c3cd8c9e28a0" data-valmsg-replace="true"></span>
</span>
</div>
</div>
<div class="paid-media-form-recaptcha">
<div>
<div class="g-recaptcha" id="057ed6bb-6ef7-40eb-da72-755b5f4f7a9d" data-sitekey="6LcIPMgUAAAAAHz2Uy-97s277BazLSahvfwPEM1i" data-theme="clean" data-size="normal" data-callback="recaptchaCallback"
data-validation="Please check the "I'm not a robot" box to continue">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LcIPMgUAAAAAHz2Uy-97s277BazLSahvfwPEM1i&co=aHR0cHM6Ly93b3JrcGFydG5lcnMuY29tOjQ0Mw..&hl=de&v=tftmXwdbgCvrXiHxr5HGbIaL&theme=clean&size=normal&cb=6n4ffxccfxv0"
width="304" height="78" role="presentation" name="a-ycc3bmuhbtqm" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div><iframe style="display: none;"></iframe>
</div>
<span class="paid-media-form-validation">
<span class="field-validation-valid" data-valmsg-for="057ed6bb-6ef7-40eb-da72-755b5f4f7a9d" data-valmsg-replace="true"></span>
</span>
</div>
</div>
<input type="hidden" id="874d5e27-4f62-4d26-bce3-3883140453f2" name="874d5e27-4f62-4d26-bce3-3883140453f2" value="" data-alias="productInterests"> <input type="submit" class="btn primary paid-media-form-button" value="Submit" name="__next">
<input name="ufprt" type="hidden"
value="5D94E35E6F698A0CE4383801A2B2058644B72B041946EAEDD9BEE0800A4EF4E2E81EB2F9D0406A20C971B920187C52844029C85DC099A3ACADF7666C45824BF66DBB2A083A81BD45A60EA2E751D9CC7EE9F19B646FA13361624CAA8ED17002435FF0AECDD78E7AE7B6DD140EF56498B158D25317CD8C4EBD97CB30319BFF49670ED626DD8FFCBD2AD6EE35B8F487C1FC">
</form>Text Content
Request a Quote WHATEVER YOUR EMPLOYEES ARE GOING THROUGH, SEE THEM THROUGH. CREATE A WORKFORCE STRATEGY WITH INTEGRATED BENEFIT SOLUTIONS TO BOOST EMPLOYEE ENGAGEMENT AND OPTIMIZE YOUR HUMAN CAPITAL. READ OUR STORIES OF INTEGRATED SUCCESS Your employees engage in benefits in different ways, for different reasons, at different times. Benefits are often siloed within an organization, making it difficult to make connections that could optimize and activate your employees’ outcomes…we call that People Activation. Read about how our integrated programs, with proven results, can help to activate the full potential of your employees and drive average ROI of 7:1. Read Mitch's story > MITCH. ACTIVATED. An avid runner suffers a serious injury. He’s forced to make difficult life changes while on short-term disability. Explore Mitch's Story NONPROFIT. ACTIVATED. A change to a federal law put this company in an unstable financial situation. Our analytics, combined with targeted intervention, helped it to financially thrive. Explore Christian & Missionary Alliance's Story JANE. ACTIVATED. An at-risk employee is struggling with poor health habits. She needs help to make lasting health and lifestyle changes. Explore Jane's Story JOHN. ACTIVATED. A successful business owner faces the challenges of his company’s rapid growth. Explore John's Story ANGIE. ACTIVATED. A single mother with diabetes faces an unexpected change with her sister’s sudden death. Explore Angie's Story OUR INTEGRATED, PERSON-CENTRIC DATA HELPS YOU UNDERSTAND THE CHALLENGES OF YOUR PEOPLE AND CONNECT THEM TO PROVEN CLINICAL PROGRAMS. IN FACT, IT’S OUR SPECIALTY. Contact Us Close ENGAGE YOUR EMPLOYEES AND LOWER COSTS TODAY! Let our expert team help you take the next step in helping your employees flourish and your business prosper. First Name * Last Name * Work Email * Phone Number * Company Name * Company Size * Company Size Less than 500 500 - 1,000 1,000 - 10,000 10,000+ Opt in to receive electronic communications By checking this box, you agree to receive electronic marketing communications from Workpartners and its business units or affiliates. If you do not wish to receive these communications, you may opt out by using the unsubscribe feature in the email after you receive it. This website describes general services available from Workpartners, and is not intended to provide employee benefits, tax, or legal advice. If you have questions regarding any of the integrated health and productivity solutions described on this site, Workpartners recommends that you consult with your benefits, tax, and/or legal advisors. © 2021 Workpartners.