- Scan ID:
- 66cb50fd-6403-415d-89dc-f1ee890d82eaFinished
- Submitted URL:
- https://certification.bcsp.org/bcspssa/censsacustmast.insert_page
- Report Finished:
Links · 7 found
The outgoing links identified from the page
| Link | Text |
|---|---|
| http://www.bcsp.org/ | |
| http://www.bcsp.org/Terms | Terms Of Use |
| http://www.bcsp.org/Privacy-Policy | Privacy Policy |
| https://www.facebook.com/pages/BCSP/134960406575047 | |
| http://www.linkedin.com/company/board-of-certified-safety-professionals | |
| http://twitter.com/BCSP | |
| https://www.youtube.com/user/BCSPTube |
JavaScript Variables · 155 found
Global JavaScript variables loaded on the window object of a page, are variables declared outside of functions and accessible from anywhere in the code within the current scope
| Name | Type |
|---|---|
| 0 | object |
| 1 | object |
| 2 | object |
| onbeforetoggle | object |
| documentPictureInPicture | object |
| onscrollend | object |
| $ | function |
| jQuery | function |
| $jscomp | object |
| $jscomp$lookupPolyfilledValue | function |
Console log messages · 6 found
Messages logged to the web console
| Type | Category | Log |
|---|---|---|
| verbose | dom |
|
| verbose | dom |
|
| error | network |
|
| log | other |
|
| log | other |
|
| log | other |
|
HTML
The raw HTML body of the page
<!DOCTYPE html><html class="js flexbox no-touch rgba multiplebgs backgroundsize borderimage borderradius boxshadow textshadow opacity cssanimations csscolumns cssgradients csstransitions fontface generatedcontent wf-ronnia-n4-active wf-ronnia-i7-active wf-ronnia-n7-active wf-ronnia-i4-active wf-active"><head><meta http-equiv="origin-trial" content="3NNj0GXVktLOmVKwWUDendk4Vq2qgMVDBDX+Sni48ATJl9JBj+zF+9W2HGB3pvt6qowOihTbQgTeBm9SKbdTwYAAABfeyJvcmlnaW4iOiJodHRwczovL3JlY2FwdGNoYS5uZXQ6NDQzIiwiZmVhdHVyZSI6IlRwY2QiLCJleHBpcnkiOjE3MzUzNDM5OTksImlzVGhpcmRQYXJ0eSI6dHJ1ZX0="><meta http-equiv="origin-trial" content="A7uxtj3+hJmOcZFooFT0Ps276PuOqGnM1jfoPbFvxWp73VC60LnYGzayHVvcFeEiF0qrwy7fQAL+gGVXU+f9IQcAAACTeyJvcmlnaW4iOiJodHRwczovL3JlY2FwdGNoYS5uZXQ6NDQzIiwiZmVhdHVyZSI6IkRpc2FibGVUaGlyZFBhcnR5U3RvcmFnZVBhcnRpdGlvbmluZzIiLCJleHBpcnkiOjE3NDIzNDIzOTksImlzU3ViZG9tYWluIjp0cnVlLCJpc1RoaXJkUGFydHkiOnRydWV9">
<title>Self Service</title>
<link type="text/css" rel="stylesheet" media="screen" href="https://cdn.acgisoftware.com/vsn/9.1.1/prod/css/global.css">
<link rel="stylesheet" type="text/css" href="/iprd/libraries/jquery-ui/1.12.1/jquery-ui.css">
<script type="text/javascript" async="" charset="utf-8" src="https://www.gstatic.com/recaptcha/releases/xds0rzGrktR88uEZ2JUvdgOY/recaptcha__en.js" crossorigin="anonymous" integrity="sha384-LsgFz6D3IXKi1Rzqj4uhSQDNZOj1dcZCWxIrJG5IYGWvpJ304xZdrK8AxV/LlQPB"></script><script type="text/javascript" async="" src="https://www.google-analytics.com/plugins/ua/ecommerce.js"></script><script type="text/javascript" async="" src="https://www.google-analytics.com/analytics.js"></script><script type="text/javascript" async="" src="https://www.googletagmanager.com/gtag/js?id=G-HWQC252KHM&l=dataLayer&cx=c"></script><script async="" src="https://www.googletagmanager.com/gtm.js?id=GTM-N6RJ5P3"></script><script type="text/javascript" src="https://ajax.googleapis.com/ajax/libs/jquery/3.5.1/jquery.min.js?v=20.2.0.00.20"></script>
<script type="text/javascript" src="//code.jquery.com/ui/1.12.1/jquery-ui.min.js"></script>
<script type="text/javascript" src="//cdn.datatables.net/1.10.22/js/jquery.dataTables.min.js"></script>
<script type="text/javascript" src="/javascript/fancybox/jquery.fancybox-2.1.5/source/jquery.fancybox.pack.js"></script>
<!--[if (gte IE 6)&(lte IE 8)]>
<script defer src="/javascript/selectivizr/1.0.2/selectivizr-min.js"></script>
<![endif]-->
<script type="text/javascript" src="/javascript/shared.js.4"></script>
<link type="text/css" rel="stylesheet" media="screen" href="/javascript/fancybox/jquery.fancybox-2.1.5/source/jquery.fancybox.css">
<link rel="stylesheet" href="https://fonts.googleapis.com/icon?family=Material+Icons">
<link type="text/css" rel="stylesheet" href="/skins/8.1.0/AAcss/censsacustmast.css">
<!-- PACKAGE=censsacustmast --><script type="text/javascript" src="/javascript/respond.min.js"></script>
<script type="text/javascript" src="/javascript/modernizr.custom.56542minified.js"></script>
<!-- START OF CUSTOM APPLICATION CSS -->
<!-- END OF CUSTOM APPLICATION CSS -->
<!-- START OF CUSTOM APPLICATION JS -->
<!-- Template serial number 100 -->
<script type="text/javascript">
// before you push the pageview, you might want to make some changes to the DOM, like
// setting a friendlier page title. For example:
var thisPageTitle = "Self Service";
var thisURL = window.location.href.toLowerCase();
switch (true) {
case (thisURL.indexOf('ssaauthmain.forget_password') > -1):
thisPageTitle='SSA: Recover Password';
break;
case (thisURL.indexOf('ssaauthmain.login_page') > -1):
thisPageTitle='SSA: Login Page';
break;
// create additional case statements as needed
}
document.title = thisPageTitle;
</script>
<!-- Google Tag Manager -->
<script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':
new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],
j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src=
'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);
})(window,document,'script','dataLayer','GTM-N6RJ5P3');</script>
<!-- End Google Tag Manager -->
<!-- Global site tag (gtag.js) - Google Analytics -->
<script async="" src="https://www.googletagmanager.com/gtag/js?id=UA-23720041-1"></script>
<script>
window.dataLayer = window.dataLayer || [];
function gtag(){dataLayer.push(arguments);}
gtag('js', new Date());
gtag('config', 'UA-23720041-1');
</script>
<!-- Google Analytics -->
<script>
window.ga=window.ga||function(){(ga.q=ga.q||[]).push(arguments)};ga.l=+new Date;
ga('require', 'ecommerce', 'ecommerce.js');
ga('send', 'pageview');
ga('require', 'ecommerce');
</script>
<script async="" src="https://www.google-analytics.com/analytics.js"></script>
<!-- End Google Analytics -->
<script type="text/javascript" src="//use.typekit.net/umn7rsq.js"></script>
<style type="text/css">.tk-ronnia{font-family:"ronnia",sans-serif;}</style><style type="text/css">@font-face{font-family:ronnia;src:url(https://use.typekit.net/af/10fd19/000000000000000000011f36/27/l?subset_id=2&fvd=n4&v=3) format("woff2"),url(https://use.typekit.net/af/10fd19/000000000000000000011f36/27/d?subset_id=2&fvd=n4&v=3) format("woff"),url(https://use.typekit.net/af/10fd19/000000000000000000011f36/27/a?subset_id=2&fvd=n4&v=3) format("opentype");font-weight:400;font-style:normal;font-stretch:normal;font-display:auto;}@font-face{font-family:ronnia;src:url(https://use.typekit.net/af/c4d011/000000000000000000011f37/27/l?subset_id=2&fvd=i4&v=3) format("woff2"),url(https://use.typekit.net/af/c4d011/000000000000000000011f37/27/d?subset_id=2&fvd=i4&v=3) format("woff"),url(https://use.typekit.net/af/c4d011/000000000000000000011f37/27/a?subset_id=2&fvd=i4&v=3) format("opentype");font-weight:400;font-style:italic;font-stretch:normal;font-display:auto;}@font-face{font-family:ronnia;src:url(https://use.typekit.net/af/83efcf/000000000000000000011f38/27/l?subset_id=2&fvd=n7&v=3) format("woff2"),url(https://use.typekit.net/af/83efcf/000000000000000000011f38/27/d?subset_id=2&fvd=n7&v=3) format("woff"),url(https://use.typekit.net/af/83efcf/000000000000000000011f38/27/a?subset_id=2&fvd=n7&v=3) format("opentype");font-weight:700;font-style:normal;font-stretch:normal;font-display:auto;}@font-face{font-family:ronnia;src:url(https://use.typekit.net/af/ed3562/000000000000000000011f39/27/l?subset_id=2&fvd=i7&v=3) format("woff2"),url(https://use.typekit.net/af/ed3562/000000000000000000011f39/27/d?subset_id=2&fvd=i7&v=3) format("woff"),url(https://use.typekit.net/af/ed3562/000000000000000000011f39/27/a?subset_id=2&fvd=i7&v=3) format("opentype");font-weight:700;font-style:italic;font-stretch:normal;font-display:auto;}</style><script type="text/javascript">try{Typekit.load();}catch(e){}</script>
<script type="text/javascript">
/* Template serial number 100 */
$( document ).ready(function() {
if (/show_top_menu/.test(window.location.href)) {
$( "#aaEC_Shop_Topbar" ).show();
}
});
$( document ).ready(function() {
if (/show_top_menu/.test(window.location.href)) {
$( "#aaWelcomeMe" ).show();
}
});
</script>
<script type="text/javascript" src="https://cdn.acgisoftware.com/vsn/9.1.1/prod/js/ssa-template.js"></script>
<!-- END OF CUSTOM APPLICATION JS -->
<!-- Template serial number 100 -->
<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.4.1/css/bootstrap.min.css" rel="stylesheet">
<style type="text/css">
/* Template serial number 100 */
/* SKIN*/
/*sticky footer using flexbox */
body {
display: -webkit-box;
display: -webkit-flex;
display: -moz-box;
display: -ms-flexbox;
display: flex;
-webkit-box-orient: vertical;
-webkit-box-direction: normal;
-webkit-flex-direction: column;
-moz-box-orient: vertical;
-moz-box-direction: normal;
-ms-flex-direction: column;
flex-direction: column;
max-width: none !important;
min-height: 100vh;
background:white;
}
img { max-width: 100%; }
.container-fluid { max-width: 1500px; }
/* ANCHOR STYLE */
header a, header a:visited, footer a, footer a:visited { color: #263d83; font-weight: bold; }
header a:hover, footer a:hover { text-decoration: none; }
/* HEADER STYLES */
header {
border-top: 10px solid #8ac642;
background: #fff url(https://certification.bcsp.org/images/My_Images/CMS_Templates/cms-login_w1500.jpg) no-repeat center center;
width: 100%;
-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding-bottom: 20px;margin-bottom: 25px;
}
.header-main-nav-row { border-bottom: 1px solid #fff; padding-bottom: 15px; padding-top: 15px; }
/* navigation */
.navbar-default { border:none; background: transparent; }
/* my profile */
.button-right {
float: right;position: relative;min-height: 1px;padding-right: 15px;padding-left: 15px;margin-top: 0;
}
a.signin-button {
background: #8ac642;color: white !important;padding: 10px 20px;border-radius: 10px;font: 20px/24px "ronnia", sans-serif;text-align: center;transition: background .15s linear;display: inline-block;
}
a.signin-button:hover { background: #54742E; }
/* FOOTER STYLES */
footer {
margin: 50px 0 0;padding: 20px 0;background: #263d83;font: 14px/20px "ronnia", sans-serif;color: #fff;
}
footer p, footer address { margin: 0; font-size: 13px; line-height: 20px; }
footer a, footer a:visited { color: #fff; }
p.social-links { margin-top: 10px; }
/* PORTAL*/
@media (max-width: 992px) {
span.phone-nums, span.terms-privacy { display:block }
}
@media (max-width: 767px) {
footer .text-right { text-align:center }
a.signin-button { float: right; }
}
@media (max-width: 600px) {
a.signin-button { display: block; float: none; width: 140px; margin-top: 10px }
}
/*OVERRIDES */
#aaWelcomeMe, #aaSuperResponsiveContainer, #aaSuperResponsiveContainer * {
font-family: Arial, "Helvetica Neue", Helvetica, sans-serif !important;
}
#aaSuperResponsiveContainer .fa {
font-family: FontAwesome!important;
}
#aaSuperResponsiveContainer a.aaButton, #aaSuperResponsiveContainer input#aaCenssaCustLogUDSB, #aaSuperResponsiveContainer input#aaSecretReqressub, #aaSuperResponsiveContainer input#aaCustReqressub, #aaSuperResponsiveContainer #forgotPWBox input.aaSubmitButton, #aaSuperResponsiveContainer #aaLoginBox input.aaSubmitButton{
-webkit-box-sizing: border-box; -moz-box-sizing: border-box; box-sizing: border-box;
}
.aaRsSuperContainer.aaRsFullWidth, #wwvFlowForm { max-width: 1114px; margin: 0 auto auto; }
p#aaWelcomeMe { width: 960px; margin: 0 auto; }
p.return-to-menu { margin: 20px 0 -30px; text-align: center; }
/*UPGRADE DESIGN 8.4.3 */
form#wwvFlowForm { min-height: 100%; margin: 30px auto 60px auto;background:white;}
.t-Report-wrap {margin-bottom:40px; float:none;}
.t-Body {background:white;}
p.return-to-menu {margin-bottom:30px;}
div.row {margin-right: 15px; margin-left: 15px;}
.fa-check {color: #2A9804;}
.fa-times {color: #BE2D2F;}
@media screen and (max-width: 1200px){
.web-browsers {
padding: 0px 20px;
}
#aaWelcomeMe {
padding: 0px 20px;
}
.aaRsSuperContainer.aaRsFullWidth, #wwvFlowForm, #aaWelcomeMe {
padding: 0px 20px;
}
}
@media screen and (min-width: 1200px){
p.web-browsers {margin-top: 110px;}
body #aaSuperResponsiveContainer {
max-width: 960px;}
#aaECClearCartButton,.aaSBMWrapperInner {display:none;}
.aaSBMHeaderInner {line-height: 1;}
/* BCSP-1689*/.aaValidationTxt {line-height: 16px;}
/* BCSP-1853 */
#aaSuperResponsiveContainer .material-icons {
font-family: 'Material Icons' !important;
}
/*Recert worksheet "Add New" button is displaying as white (invisible),fixed 10/27/2023 */
body .t-Button {
color:#0572CE;
}
/*Blue buttons on direct event linking popup,fixed 10/31/2023 */
#aaEVTLoginButton, #B236536235781323041 {
background-color:transparent;
}
/* Changing Badge name text on events */
#R294210171810078731_heading {
visibility: hidden;
position: relative;
}
#R294210171810078731_heading:after {
visibility: visible;
position: absolute;
top: 0;
left: 0;
content: "Contact Information";
}
}
#P4010_BADGE_NAME_LABEL {
visibility: hidden;
position: relative;
}
#P4010_BADGE_NAME_LABEL:after {
visibility: visible;
position: absolute;
top: 0;
left: 0;
content: "Preferred Name";
}
/* ENG-37586 begin */
.t-Login-container .container {
width: 100%;
padding-left: 0;
padding-right: 0;
}
.t-Login-container #SSA_AUTH_METHOD_3 .row {
margin-left: 0;
margin-right: 0;
}
.t-Login-container #SSA_AUTH_METHOD_3 .t-Form-inputContainer {
padding-left: 0;
padding-right: 0;
}
/* ENG-37586 end */
/*PURCHASE ORDER HIDING*/
#P15010_BEHAVIOR_CD_SL option[value="PAY_BY_ORDER"] {display: none;}
input[type=radio][value="PAY_BY_ORDER"]{
display:none;
}
</style><style type="text/css">.fancybox-margin{margin-right:10px;}</style><script type="text/javascript" id="poptin_jQuery" src="https://cdnjs.cloudflare.com/ajax/libs/jquery/3.5.0/jquery.min.js" async="true"></script><link rel="preconnect" id="poptin_cloudflare" href="https://cdnjs.cloudflare.com"><link rel="preconnect" id="poptin_css_link" href="https://display.popt.in"></head>
<body #onload#="">
<!-- START OF CUSTOM HEADER HTML -->
<div id="ACGITemplateManagerSSA_HeaderHTML"><!-- Template serial number 100 -->
<!-- Google Tag Manager (noscript) -->
<noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-N6RJ5P3"
height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript>
<!-- End Google Tag Manager (noscript) -->
<header class="header clearfix" role="banner">
<div class="navbar navbar-default" role="navigation">
<div class="container-fluid">
<div class="row header-main-nav-row hidden-xs">
<div class="button-right">
<a class="signin-button" href="ssalogout">Log Out</a></div>
<div class="navbar-header col-md-3">
<a class="navbar-logo" href="http://www.bcsp.org/"><img src="https://certification.bcsp.org/images/My_Images/CMS_Templates/bcsp-logo_w372.png"></a></div>
</div>
<div class="row header-main-nav-row mobile-header hidden-sm hidden-md hidden-lg">
<div class="navbar-header col-md-3">
<a class="navbar-logo" href="http://www.bcsp.org/"><img src="https://certification.bcsp.org/images/My_Images/CMS_Templates/bcsp-logo_w372.png"></a> <a class="signin-button" href="ssalogout">Log Out</a></div>
</div>
</div>
</div>
<style>
#aaSuperResponsiveContainer #aaSSAMenu {width: 100%;}
#aaSuperResponsiveContainer ul li {list-style-type: inherit;}
/*recertPRO button */
#aaSSAMenu .aaBodyNav li#aaSSAMenu80 a {background:#6fae05 !important;}
#aaSSAMenu .aaBodyNav li#aaSSAMenu80 a:hover {background:white !important; font-weight:bold; background-image:none;}
#aaSSAMenu .aaBodyNav li#aaSSAMenu80 a:hover font {color:#6fae05; background-image:none;}
/*Menu Background */
#aaSuperResponsiveContainer #aaSSAMenu .aaBodyNav h4 a {
color: white;
text-shadow: none;
margin:1px;
font-weight: bold;
background-image: none;
background: #769DBA;
}
/* Remove Pay by Check/Continue Shopping for LMS Checkout*/
input[type=radio][value="0O"] {display:none;}
label[for="rdo0O"] {display:none !important;}
#aaEcContinueShoppingURL {visibility:hidden;}
.aaEcCartEditItemLink {display:none;}
#ecshoppingcart_checkout_bycheck {display:none;}
/* Remove Suggestive Selling */
#aaECSuggestiveSell {display:none;}
</style>
</header>
</div>
<!-- END OF CUSTOM HEADER HTML -->
<span style="display:none;"> </span>
<div class="aaSSAPluginContainer aaRsSuperContainer aaRsFullWidth" id="aaSuperResponsiveContainer"> <!-- AA Super Container -->
<div class="aaRsContainer"> <!-- AA Container -->
<div class="aaRsSixteen aaRsColumns"> <!-- AA 16 Col for content -->
<script src="https://www.recaptcha.net/recaptcha/api.js?onload=recaptchaLoader&render=explicit" async="" defer=""></script>
<script>
$(document).ready(function() {
$("#btnSave").hide();
//console.log("Button Hidden");
});
var UserSubmitted = {
setupRecaptcha: function (key) {
UserSubmitted.recaptcha = grecaptcha.render("aaReCaptchaDiv", {
"sitekey": key,
"callback": UserSubmitted.verifyCallback
});
},
verifyCallback: function (response) {
if (response) {
// Rename automated g-recaptcha-response to p_captcha_token
$("[name='g-recaptcha-response']").attr('name', 'p_captcha_token');
//console.log("Token2:" + $("[name='p_captcha_token']").val());
if(response.length==0){
alert("Invalid Captcha Response");
}else{
//console.log("Showing button");
$("#btnSave").show();
// alert("Recaptcha Response Received");
}
//alert("recaptcha java response:" + response);
}else{ // (response)
alert("no response"); // no recaptcha response
}
}
};
var recaptchaLoader = function () {
UserSubmitted.setupRecaptcha("6Lepcp0bAAAAANZe32K0iuJ3bBvP-TfNg5GfQeEo");
};
//console.log("Recaptcha Loaded");
</script>
<!-- stddocmappinglib.viewdoc( CENSSACUSTMAST, INSERT_PAGE, TOP, CEN ) begin stored docs -->
<!-- No Stored Documents were mapped -->
<!-- stddocmappinglib.viewdoc( CENSSACUSTMAST, INSERT_PAGE, TOP, CEN ) end stored docs -->
<div class="aaNewCustomerPage" id="aaCenssacustmastInsertPage"><form action="censsacustmast.confirm_save" method="POST" name="mastInsert" id="aaCenssacustmastForm">
<div class="aaStyleOuter"><div class="aaStyleInner"><input type="hidden" name="p_context" value="CEN">
<input type="hidden" name="p_vc" value="">
<input type="hidden" name="p_cust_ty" value="I">
<input type="hidden" name="p_return_page" value="">
<input type="hidden" name="p_domain" value="">
<input type="hidden" name="p_success_url" value="">
<input type="hidden" name="p_turnoff_autologin" value="">
<input type="hidden" name="p_suppress_email_fl" value="">
<input type="hidden" name="p_force_emp" value="N">
<input type="hidden" name="p_input" value="">
<ul class="aaFormFields">
<li id="aaProfilePrefixNm"><label for="aaProfilePrefixNmLOV">Prefix<font color="RED">*</font></label><div class="aaProfileDataWrapper"><p><select name="p_prefix_nm" size="1" id="aaProfilePrefixNmLOV"><option value="%null%">Select One</option><option value="Mr.">Mr.</option><option value="Ms.">Ms.</option><option value="Mx.">Mx.</option></select></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li id="aaProfilePrefixNm" -->
<li id="aaProfileFirstNm"><label for="aaFirstNmTxt">First/Given - legal name on ID<font color="RED">*</font></label><div class="aaProfileDataWrapper"><p><input type="text" name="p_first_nm" size="20" maxlength="30" id="aaFirstNmTxt" aria-label="First/Given - legal name on ID"></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li id="aaProfileFirstNm" -->
<li id="aaProfileMiddleNm"><label for="aaMiddleNmTxt">Middle Name - legal name on ID</label><div class="aaProfileDataWrapper"><p><input type="text" name="p_middle_nm" size="20" maxlength="30" id="aaMiddleNmTxt" aria-label="Middle Name - legal name on ID"></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li id="aaProfileMiddleNm" -->
<li id="aaProfileLastNm"><label for="aaLastNmTxt">Last/Family - legal name on ID<font color="RED">*</font></label><div class="aaProfileDataWrapper"><p><input type="text" name="p_last_nm" size="25" maxlength="30" id="aaLastNmTxt" aria-label="Last/Family - legal name on ID"></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li id="aaProfileLastNm" -->
<li id="aaProfileSuffixNm"><label for="aaProfileSuffixLOV">Suffix - legal name on ID</label><div class="aaProfileDataWrapper"><p><select name="p_suffix_nm" size="1"><option value="%null%">Select One</option><option value="II">II</option><option value="III">III</option><option value="V">V</option><option value="Jr.">Junior</option><option value="Sr.">Senior</option><option value="IV">IV</option></select></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li id="aaProfileSuffixNm" -->
<li id="aaProfileAliasValue"><label for="aaProfileAliasValue-22">Former Legal Last Name</label><div class="aaProfileDataWrapper"><p><input type="text" name="p_alias_value" size="30" maxlength="30" id="aaProfileAliasValue-22" aria-label="Former Legal Last Name"></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li id="aaProfileAliasValue" -->
<input type="hidden" name="p_cyber_ty" value="">
<li class="aaProfileCyberTxt" id="aaProfileCyberTxt-11"><label for="aaProfileCyberTxtField-11">Preferred Email Address<font color="RED">*</font></label><div class="aaProfileDataWrapper"><p><input type="text" name="p_cyber_txt" size="50" maxlength="2000" id="aaProfileCyberTxtField-11" aria-label="Preferred Email Address"></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaProfileCyberTxt" id="aaProfileCyberTxt-11" -->
<input type="hidden" name="p_cyber_txt_confirm" value="">
<input type="hidden" name="p_cyber_ty" value="">
<li class="aaProfileCyberTxt" id="aaProfileCyberTxt-23"><label for="aaProfileCyberTxtField-23">Alternate Email Address</label><div class="aaProfileDataWrapper"><p><input type="text" name="p_cyber_txt" size="50" maxlength="2000" id="aaProfileCyberTxtField-23" aria-label="Alternate Email Address"></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaProfileCyberTxt" id="aaProfileCyberTxt-23" -->
<input type="hidden" name="p_cyber_txt_confirm" value="">
<li class="aaProfileAddrTy" id="aaProfileAddrTy-1"><label for="aaProfileAddrTyField-1">Address Type<font color="RED">*</font></label><div class="aaProfileDataWrapper"><p><select name="p_addr_ty" size="1" id="aaProfileAddrTyField-1"><option value="%null%">Select an Address Type</option><option value="HOME">Home</option><option value="WORK">Work</option></select></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaProfileAddrTy" id="aaProfileAddrTy-1" -->
<li class="aaProfileStreet1" id="aaProfileStreet1-7"><label for="aaProfileStreet1Field-7">Street Address Line 1<font color="RED">*</font></label><div class="aaProfileDataWrapper"><p><input type="text" name="p_street1" size="30" maxlength="60" id="aaProfileStreet1Field-7" aria-label="Street Address Line 1"></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaProfileStreet1" id="aaProfileStreet1-7" -->
<li class="aaProfileStreet2" id="aaProfileStreet2-13"><label for="aaProfileStreet2Field-13">Street Address Line 2</label><div class="aaProfileDataWrapper"><p><input type="text" name="p_street2" size="30" maxlength="60" id="aaProfileStreet2Field-13" aria-label="Street Address Line 2"></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaProfileStreet2" id="aaProfileStreet2-13" -->
<li class="aaProfileCityNm" id="aaProfileCityNm-3"><label for="aaProfileCityNmField-3">City<font color="RED">*</font></label><div class="aaProfileDataWrapper"><p><input type="text" name="p_city_nm" size="20" maxlength="20" id="aaProfileCityNmField-3" aria-label="City"></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaProfileCityNm" id="aaProfileCityNm-3" -->
<li class="aaProfileStateCd" id="aaProfileStateCd-8"><label for="aaProfileStateCdField-8">State/Province</label><div class="aaProfileDataWrapper"><p><select name="p_state_cd" size="1" id="aaProfileStateCdField-8"><option value="%null%">Select a State or Province</option><option value="AL">Alabama</option><option value="AK">Alaska</option><option value="AB">Alberta</option><option value="AS">American Samoa</option><option value="AZ">Arizona</option><option value="AR">Arkansas</option><option value="AE">Armed Forces</option><option value="AA">Armed Forces Americas</option><option value="AP">Armed Forces Pacific</option><option value="ACT">Australian Capital Territory</option><option value="BAJ">Baja California Providence</option><option value="BC">British Columbia</option><option value="CA">California</option><option value="CO">Colorado</option><option value="CT">Connecticut</option><option value="DE">Delaware</option><option value="DC">District of Columbia</option><option value="FDM">Federal District of Mexico</option><option value="FM">Federated States of Micronesia</option><option value="FL">Florida</option><option value="GA">Georgia</option><option value="GU">Guam</option><option value="HI">Hawaii</option><option value="ID">Idaho</option><option value="IL">Illinois</option><option value="IN">Indiana</option><option value="IA">Iowa</option><option value="KS">Kansas</option><option value="KA">Karnataka</option><option value="KY">Kentucky</option><option value="LA">Louisiana</option><option value="ME">Maine</option><option value="MB">Manitoba</option><option value="MH">Marshall Islands</option><option value="MD">Maryland</option><option value="MA">Massachusetts</option><option value="MI">Michigan</option><option value="MN">Minnesota</option><option value="MS">Mississippi</option><option value="MO">Missouri</option><option value="MT">Montana</option><option value="NE">Nebraska</option><option value="NV">Nevada</option><option value="NB">New Brunswick</option><option value="NH">New Hampshire</option><option value="NJ">New Jersey</option><option value="NM">New Mexico</option><option value="NSW">New South Wales</option><option value="NY">New York</option><option value="NL">Newfoundland and Labrador</option><option value="NC">North Carolina</option><option value="ND">North Dakota</option><option value="NT">Northern Territory</option><option value="NT">Northwest Territories</option><option value="NS">Nova Scotia</option><option value="NU">Nunavut</option><option value="OH">Ohio</option><option value="OK">Oklahoma</option><option value="ON">Ontario</option><option value="OR">Oregon</option><option value="PI">Pacific Islands</option><option value="PW">Palau</option><option value="PA">Pennsylvania</option><option value="PE">Prince Edward Island</option><option value="QLD">Queensland</option><option value="QC">Québec</option><option value="RI">Rhode Island</option><option value="SK">Saskatchewan</option><option value="SE">Seoul</option><option value="SN">Sinaloa</option><option value="SA">South Australia</option><option value="SC">South Carolina</option><option value="SD">South Dakota</option><option value="TAS">Tasmania</option><option value="TN">Tennessee</option><option value="TX">Texas</option><option value="UT">Utah</option><option value="VT">Vermont</option><option value="VIC">Victoria</option><option value="VI">Virgin Islands</option><option value="VA">Virginia</option><option value="WA">Washington</option><option value="WV">West Virginia</option><option value="WAU">Western Australia</option><option value="WI">Wisconsin</option><option value="WY">Wyoming</option><option value="YUC">Yucatan</option><option value="YT">Yukon</option></select></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaProfileStateCd" id="aaProfileStateCd-8" -->
<li class="aaProfileProvinceNm" id="aaProfileProvinceNm-30"><label for="aaProfileProvinceNmField-30">Province (if not listed above)</label><div class="aaProfileDataWrapper"><p><input type="text" name="p_province_nm" size="30" maxlength="30" id="aaProfileProvinceNmField-30" aria-label="Province (if not listed above)"></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaProfileProvinceNm" id="aaProfileProvinceNm-30" -->
<li class="aaProfilePostalCd" id="aaProfilePostalCd-4"><label for="aaProfilePostalCdField-4">Zip/Postal Code</label><div class="aaProfileDataWrapper"><p><input type="text" name="p_postal_cd" size="20" maxlength="10" id="aaProfilePostalCdField-4" aria-label="Zip/Postal Code"></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaProfilePostalCd" id="aaProfilePostalCd-4" -->
<li class="aaProfileCountryCd" id="aaProfileCountryCd-9"><label for="aaProfileCountryCdField-9">Country<font color="RED">*</font></label><div class="aaProfileDataWrapper"><p><select name="p_country_cd" size="1" id="aaProfileCountryCdField-9"><option selected="selected" value="USA">United States</option><option value="CAN">Canada</option><option value="AFG">Afghanistan</option><option value="ALA">Aland Islands</option><option value="ALB">Albania</option><option value="DZA">Algeria</option><option value="ASM">American Samoa</option><option value="AND">Andorra</option><option value="AGO">Angola</option><option value="AIA">Anguilla</option><option value="ATA">Antarctica</option><option value="ATG">Antigua and Barbuda</option><option value="ARG">Argentina</option><option value="ARM">Armenia</option><option value="ABW">Aruba</option><option value="AUS">Australia</option><option value="AUT">Austria</option><option value="AZE">Azerbaijan</option><option value="BHS">Bahamas</option><option value="BHR">Bahrain</option><option value="BGD">Bangladesh</option><option value="BRB">Barbados</option><option value="BLR">Belarus</option><option value="BEL">Belgium</option><option value="BLZ">Belize</option><option value="BEN">Benin</option><option value="BMU">Bermuda</option><option value="BTN">Bhutan</option><option value="BOL">Bolivia</option><option value="BES">Bonaire</option><option value="BIH">Bosnia and Herzegovina</option><option value="BWA">Botswana</option><option value="BRA">Brazil</option><option value="IOT">British Indian Ocean Territory</option><option value="VGB">British Virgin Islands</option><option value="BRN">Brunei Darussalam</option><option value="BGR">Bulgaria</option><option value="BFA">Burkina Faso</option><option value="BDI">Burundi</option><option value="KHM">Cambodia</option><option value="CMR">Cameroon</option><option value="CPV">Cape Verde</option><option value="CYM">Cayman Islands</option><option value="CAF">Central African Republic</option><option value="TCD">Chad</option><option value="CHL">Chile</option><option value="CHN">China</option><option value="CXR">Christmas Island</option><option value="CCK">Cocos (Keeling) Islands</option><option value="COL">Colombia</option><option value="COM">Comoros</option><option value="COG">Congo, Republic of the</option><option value="COK">Cook Islands</option><option value="CRI">Costa Rica</option><option value="CIV">Cote D'Ivoire</option><option value="HRV">Croatia</option><option value="CUB">Cuba</option><option value="CUW">Curacao</option><option value="CYP">Cyprus</option><option value="CZE">Czech Republic</option><option value="COD">Democratic Republic of Congo</option><option value="DNK">Denmark</option><option value="DJI">Djibouti</option><option value="DMA">Dominica</option><option value="DOM">Dominican Republic</option><option value="TLS">East Timor</option><option value="ECU">Ecuador</option><option value="EGY">Egypt</option><option value="SLV">El Salvador</option><option value="GNQ">Equatorial Guinea</option><option value="ERI">Eritrea</option><option value="EST">Estonia</option><option value="ETH">Ethiopia</option><option value="FLK">Falkland Islands (Malvinas)</option><option value="FRO">Faroe Islands</option><option value="FJI">Fiji</option><option value="FIN">Finland</option><option value="FRA">France</option><option value="FXX">France, Metropolitan</option><option value="GUF">French Guiana</option><option value="PYF">French Polynesia</option><option value="ATF">French Southern Territories</option><option value="GAB">Gabon</option><option value="GMB">Gambia</option><option value="GEO">Georgia</option><option value="DEU">Germany</option><option value="GHA">Ghana</option><option value="GIB">Gibraltar</option><option value="GRC">Greece</option><option value="GRL">Greenland</option><option value="GRD">Grenada</option><option value="GLP">Guadeloupe</option><option value="GUM">Guam</option><option value="GTM">Guatemala</option><option value="GIN">Guinea</option><option value="GNB">Guinea-Bissau</option><option value="GUY">Guyana</option><option value="HTI">Haiti</option><option value="HMD">Heard and McDonald Islands</option><option value="VAT">Holy See (Vatican City)</option><option value="HND">Honduras</option><option value="HKG">Hong Kong</option><option value="HUN">Hungary</option><option value="ISL">Iceland</option><option value="IND">India</option><option value="IDN">Indonesia</option><option value="IRN">Iran (Islamic Republic of)</option><option value="IRQ">Iraq</option><option value="IRL">Ireland</option><option value="ISR">Israel</option><option value="ITA">Italy</option><option value="JAM">Jamaica</option><option value="JPN">Japan</option><option value="JOR">Jordan</option><option value="KAZ">Kazakhstan</option><option value="KEN">Kenya</option><option value="KIR">Kiribati</option><option value="KWT">Kuwait</option><option value="KGZ">Kyrgyzstan</option><option value="LAO">Lao People's Democratic Rep</option><option value="LVA">Latvia</option><option value="LBN">Lebanon</option><option value="LSO">Lesotho</option><option value="LBR">Liberia</option><option value="LBY">Libya</option><option value="LIE">Liechtenstein</option><option value="LTU">Lithuania</option><option value="LUX">Luxembourg</option><option value="MAC">Macau</option><option value="MKD">Macedonia</option><option value="MGR">Malagasay Republic</option><option value="MWI">Malawi</option><option value="MYS">Malaysia</option><option value="MDV">Maldives</option><option value="MLI">Mali</option><option value="MLT">Malta</option><option value="MHL">Marshall Islands</option><option value="MTQ">Martinique</option><option value="MRT">Mauritania</option><option value="MUS">Mauritius</option><option value="MYT">Mayotte</option><option value="MEX">Mexico</option><option value="FSM">Micronesia, Federated States</option><option value="MDA">Moldova, Republic of</option><option value="MCO">Monaco</option><option value="MNG">Mongolia</option><option value="MNE">Montenegro</option><option value="MSR">Montserrat</option><option value="MAR">Morocco</option><option value="MOZ">Mozambique</option><option value="MMR">Myanmar</option><option value="NAM">Namibia</option><option value="NRU">Nauru</option><option value="NPL">Nepal</option><option value="NLD">Netherlands</option><option value="ANT">Netherlands Antilles</option><option value="NCL">New Caledonia</option><option value="NZL">New Zealand</option><option value="NIC">Nicaragua</option><option value="NER">Niger</option><option value="NGA">Nigeria</option><option value="NIU">Niue</option><option value="NFK">Norfolk Island</option><option value="MNP">Northern Mariana Islands</option><option value="NOR">Norway</option><option value="PSE">Occupied Palestinian Territory</option><option value="OMN">Oman</option><option value="PAK">Pakistan</option><option value="PLW">Palau</option><option value="PAN">Panama</option><option value="PNG">Papua New Guinea</option><option value="PRY">Paraguay</option><option value="PER">Peru</option><option value="PHL">Philippines</option><option value="PCN">Pitcairn Island</option><option value="POL">Poland</option><option value="PRT">Portugal</option><option value="PRI">Puerto Rico</option><option value="QAT">Qatar</option><option value="KOR">Republic of Korea</option><option value="REU">Reunion</option><option value="ROU">Romania</option><option value="RUS">Russian Federation</option><option value="RWA">Rwanda</option><option value="KNA">Saint Kitts and Nevis</option><option value="LCA">Saint Lucia</option><option value="WSM">Samoa</option><option value="SMR">San Marino</option><option value="STP">Sao Tome and Principe</option><option value="SAU">Saudi Arabia</option><option value="SEN">Senegal</option><option value="SRB">Serbia</option><option value="SCG">Serbia and Montenegro</option><option value="SYC">Seychelles</option><option value="SLE">Sierra Leone</option><option value="SGP">Singapore</option><option value="SVK">Slovakia</option><option value="SVN">Slovenia</option><option value="SLB">Solomon Islands</option><option value="SOM">Somalia</option><option value="ZAF">South Africa</option><option value="SGS">South Georgia/Sandwich Islands</option><option value="SSD">South Sudan</option><option value="ESP">Spain</option><option value="LKA">Sri Lanka</option><option value="VCT">St Vincent and The Grenadines</option><option value="SHN">St. Helena</option><option value="SPM">St. Pierre and Miquelon</option><option value="SDN">Sudan</option><option value="SUR">Suriname</option><option value="SJM">Svalbard and Jan Mayen Isl.</option><option value="SWZ">Swaziland</option><option value="SWE">Sweden</option><option value="CHE">Switzerland</option><option value="SYR">Syrian Arab Republic</option><option value="TWN">Taiwan</option><option value="TJK">Tajikistan</option><option value="THA">Thailand</option><option value="TGO">Togo</option><option value="TKL">Tokelau</option><option value="TON">Tonga</option><option value="TTO">Trinidad and Tobago</option><option value="TUN">Tunisia</option><option value="TUR">Turkey</option><option value="TKM">Turkmenistan</option><option value="TCA">Turks and Caicos Islands</option><option value="TUV">Tuvalu</option><option value="UMI">US Minor Outlying Islands</option><option value="UGA">Uganda</option><option value="UKR">Ukraine</option><option value="ARE">United Arab Emirates</option><option value="GBR">United Kingdom</option><option value="TZA">United Republic of Tanzania</option><option value="URY">Uruguay</option><option value="UZB">Uzbekistan</option><option value="VUT">Vanuatu</option><option value="VEN">Venezuela</option><option value="VNM">Vietnam</option><option value="VIR">Virgin Islands (U.S.)</option><option value="WLF">Wallis and Futuna Islands</option><option value="ESH">Western Sahara</option><option value="WWI">Windward Islands</option><option value="YEM">Yemen</option><option value="ZAR">Zaire</option><option value="ZMB">Zambia</option><option value="ZWE">Zimbabwe</option><option value="ROM">None</option><option value="FIJ">None</option></select></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaProfileCountryCd" id="aaProfileCountryCd-9" -->
<li class="aaProfilePhoneTy" id="aaProfilePhoneTy-5"><label for="aaProfilePhoneTyField-5">Phone Type<font color="RED">*</font></label><div class="aaProfileDataWrapper"><p><select name="p_phone_ty" size="1" id="aaProfilePhoneTyField-5"><option value="%null%">Select a Phone Type</option><option value="HOME">Home</option><option value="MOBILE">Mobile</option><option value="WORK">Work</option></select></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaProfilePhoneTy" id="aaProfilePhoneTy-5" -->
<li class="aaProfilePhone" id="aaProfilePhone-15"><label for="aaProfilePhoneField-15">Phone Number<font color="RED">*</font></label><div class="aaProfileDataWrapper"><p><input type="text" name="p_phone" size="20" maxlength="30" id="aaProfilePhoneField-15" aria-label="Phone Number"></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaProfilePhone" id="aaProfilePhone-15" -->
<li class="aaProfilePhoneTy" id="aaProfilePhoneTy-27"><label for="aaProfilePhoneTyField-27">Alternate Phone Type</label><div class="aaProfileDataWrapper"><p><select name="p_phone_ty" size="1" id="aaProfilePhoneTyField-27"><option value="%null%">Select a Phone Type</option><option value="HOME">Home</option><option value="MOBILE">Mobile</option><option value="WORK">Work</option></select></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaProfilePhoneTy" id="aaProfilePhoneTy-27" -->
<li class="aaProfilePhone" id="aaProfilePhone-28"><label for="aaProfilePhoneField-28">Alternate Phone</label><div class="aaProfileDataWrapper"><p><input type="text" name="p_phone" size="20" maxlength="30" id="aaProfilePhoneField-28" aria-label="Alternate Phone"></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaProfilePhone" id="aaProfilePhone-28" -->
<li class="aaProfilePhoneTy" id="aaProfilePhoneTy-25"><label for="aaProfilePhoneTyField-25">Alternate Phone 2 Type</label><div class="aaProfileDataWrapper"><p><select name="p_phone_ty" size="1" id="aaProfilePhoneTyField-25"><option value="%null%">Select a Phone Type</option><option value="HOME">Home</option><option value="MOBILE">Mobile</option><option value="WORK">Work</option></select></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaProfilePhoneTy" id="aaProfilePhoneTy-25" -->
<li class="aaProfilePhone" id="aaProfilePhone-26"><label for="aaProfilePhoneField-26">Alternate Phone 2</label><div class="aaProfileDataWrapper"><p><input type="text" name="p_phone" size="20" maxlength="30" id="aaProfilePhoneField-26" aria-label="Alternate Phone 2"></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaProfilePhone" id="aaProfilePhone-26" -->
<li class="aaProfileDoc">
<!-- stddoclib.get_doc_clob(USR_NM_INSTRUCT) begin stored doc -->
<p> </p>
<p><font size="3">Enter lowercase username. Email is suggested.</font></p>
<!-- stddoclib.get_doc_clob(USR_NM_INSTRUCT) end stored doc -->
<div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li>
<li id="aaProfileLoginId"><label for="pLoginId">User Name<font color="RED">*</font></label><div class="aaProfileDataWrapper"><p><input type="text" name="p_login_id" size="50" maxlength="200" id="pLoginId" aria-label="User Name"></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li id="aaProfileLoginId" -->
<li id="aaProfilePassword"><label for="aaProfilePassword-6">Password<font color="RED">*</font></label><div class="aaProfileDataWrapper"><p><input type="password" name="p_passwd" size="20" maxlength="30" id="aaProfilePassword-6" aria-label="Password"></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li id="aaProfilePassword" -->
<li id="aaProfilePasswordRepeat"><label for="aaProfilePasswordConfirmField-6">Repeat Password<font color="RED">*</font></label><div class="aaProfileDataWrapper"><p><input type="password" name="p_passwd_verify" size="20" maxlength="30" id="aaProfilePasswordConfirmField-6" aria-label="Repeat Password"></p></div><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li id="aaProfilePasswordRepeat" -->
</ul><!-- close ul class="aaFormFields" -->
<!-- stddocmappinglib.viewdoc( CENSSACUSTMAST, INSERT_PAGE, ATTR, CEN ) begin stored docs -->
<!-- No Stored Documents were mapped -->
<!-- stddocmappinglib.viewdoc( CENSSACUSTMAST, INSERT_PAGE, ATTR, CEN ) end stored docs -->
<script type="text/javascript">
function hideOtherInputField( parentElement ) {
$(parentElement).children( "input[type='text'], textarea" ).hide();
}
function showOtherInputField( parentElement ) {
$(parentElement).children( "input[type='text'], textarea" ).show();
}
function otherCodeListener() {
var selectedCodes;
if (this.type && this.type==="radio"){
selectedCodes = $(this.parentElement).children( "input[data-other-attrcode='OTHER']" ).filter( ":checked" );
if (selectedCodes.length) {
showOtherInputField( this.parentElement );
} else {
// this was triggered on a non-other radio button
// so we have to navigate through the DOM to the other buttons text field
$(this.parentElement.parentElement).find("input[data-other-attrcode='OTHER']").each( function() {
hideOtherInputField( this.parentElement ); } );
}
} else if (this.type&&this.type==="checkbox"){
if (this.checked) {
showOtherInputField( this.parentElement );
} else {
hideOtherInputField( this.parentElement );
}
} else {
selectedCodes = $(this).children( "option[data-other-attrcode='OTHER']" ).filter( ":selected" );
if (selectedCodes.length) {
showOtherInputField( this.parentElement );
} else {
hideOtherInputField( this.parentElement );
}
}
}
// read value and hide or show based on the value
function initializeLOVOther() {
// LOVs and multiselects
// other text input is child (INPUT TYPE="text") of parent (LI)
if (!this.selected) {
hideOtherInputField( this.parentElement.parentElement );
}
$(this.parentElement).on( "change", otherCodeListener );
}
function initializeCheckboxOther() {
// other text input is child (INPUT TYPE="text") of parent (LI)
if (!this.checked) {
hideOtherInputField( this.parentElement );
}
$(this).on( "change", otherCodeListener );
}
// initialize on ready
$(function() {
$( "option[data-other-attrcode='OTHER']" ).each( initializeLOVOther );
// checkbox and radio buttons are input
// **** but radio buttons require different listeners ****
// ** and also has different html layout **
$( "input[data-other-attrcode='OTHER'][type='radio']" ).each( function() {$(this.parentElement.parentElement).find("[type='radio']").each( initializeCheckboxOther )} );
$( "input[data-other-attrcode='OTHER'][type='checkbox']" ).each( initializeCheckboxOther );
})
</script>
<!-- Start stdattrlib-generated form -->
<!-- Attribute Page Name: New Customer Attributes - SSA -->
<!-- Attribute Page Serno: 2003 -->
<input type="hidden" name="p_table_name" value="CEN_SSA_TEMP_ATTRDTL" id="upd_attrpage_table_nm">
<input type="hidden" name="p_attrpage_serno" value="2003">
<input type="hidden" name="p_key_col_nm_arr" value="SESSION_ID">
<input type="hidden" name="p_key_col_val_arr" value="1099592">
<div class="aaSectionBlock aaAttributeContainer " id="aaSectionBlock_2003_ADDITIONAL"><h3>Personal Information</h3>
<ul class="aaFormFields">
<script>function aaSetMultiSelectSelected(PId,PVal){var aaSelectedOptions =PVal.split(":");for(var i in aaSelectedOptions){var optionVal=aaSelectedOptions[i];$("#"+PId).children("option[value='"+optionVal+"']").prop("selected", "selected");}}</script>
<input type="hidden" name="p_attribute_ty" value="BIRTHDATE">
<input type="hidden" name="p_attribute_cd" value="STARTARRAY!BIRTHDATE">
<input type="hidden" name="p_attribute_cd" value="BIRTHDATE">
<input type="hidden" name="p_dvar" value="STARTARRAY!BIRTHDATE">
<li class="aaIdx180 aaAttrty" id="aaAttrty_BIRTHDATE"><label for="aaAttrty_BIRTHDATE_type">Birthdate (MM/DD/YYYY):<font color="RED">*</font></label><input type="text" name="p_dvar" maxlength="30" id="aaAttrty_BIRTHDATE_type" class="aaDatePickerInput hasDatepicker"><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaIdx180 aaAttrty" id="aaAttrty_BIRTHDATE" -->
<input type="hidden" name="p_dvar" value="ENDARRAY!BIRTHDATE">
<input type="hidden" name="p_attribute_cd" value="ENDARRAY!BIRTHDATE">
<script>function aaSetMultiSelectSelected(PId,PVal){var aaSelectedOptions =PVal.split(":");for(var i in aaSelectedOptions){var optionVal=aaSelectedOptions[i];$("#"+PId).children("option[value='"+optionVal+"']").prop("selected", "selected");}}</script>
<input type="hidden" name="p_attribute_ty" value="INDUSTRY_NAICS">
<input type="hidden" name="p_attribute_cd" value="STARTARRAY!INDUSTRY_NAICS">
<li class="aaIdx100 aaAttrty aaAttrComboSelectLabel" id="aaAttrty_INDUSTRYNAICS"><label for="aaAttrty_INDUSTRYNAICS">Industry [NAICS]</label>
<select name="p_attribute_cd" id="aaAttrTy_INDUSTRYNAICS_LOV">
<option value="%null%" id="aaAttrTySelect_INDUSTRYNAICS_Null">Select One</option>
<option value="NAICS_72" id="aaAttrTySelect_INDUSTRYNAICS_NAICS72">Accommodation and Food Services [72]</option>
<option value="NAICS_56" id="aaAttrTySelect_INDUSTRYNAICS_NAICS56">Administrative and Support and Waste Management and Remediation Services [56]</option>
<option value="NAICS_11" id="aaAttrTySelect_INDUSTRYNAICS_NAICS11">Agriculture, Forestry, Fishing and Hunting [11]</option>
<option value="NAICS_71" id="aaAttrTySelect_INDUSTRYNAICS_NAICS71">Arts, Entertainment, and Recreation [71]</option>
<option value="NAICS_23" id="aaAttrTySelect_INDUSTRYNAICS_NAICS23">Construction [23]</option>
<option value="NAICS_61" id="aaAttrTySelect_INDUSTRYNAICS_NAICS61">Educational Services [61]</option>
<option value="NAICS_52" id="aaAttrTySelect_INDUSTRYNAICS_NAICS52">Finance and Insurance [52]</option>
<option value="NAICS_62" id="aaAttrTySelect_INDUSTRYNAICS_NAICS62">Health Care and Social Assistance [62]</option>
<option value="NAICS_51" id="aaAttrTySelect_INDUSTRYNAICS_NAICS51">Information [51]</option>
<option value="NAICS_55" id="aaAttrTySelect_INDUSTRYNAICS_NAICS55">Management of Companies and Enterprises [55]</option>
<option value="NAICS_31-33" id="aaAttrTySelect_INDUSTRYNAICS_NAICS3133">Manufacturing [31-33]</option>
<option value="NAICS_21" id="aaAttrTySelect_INDUSTRYNAICS_NAICS21">Mining, Quarrying, and Oil and Gas Extraction [21]</option>
<option value="NAICS_81" id="aaAttrTySelect_INDUSTRYNAICS_NAICS81">Other Services (except Public Administration) [81]</option>
<option value="NAICS_54" id="aaAttrTySelect_INDUSTRYNAICS_NAICS54">Professional, Scientific, and Technical Services [54]</option>
<option value="NAICS_92" id="aaAttrTySelect_INDUSTRYNAICS_NAICS92">Public Administration [92]</option>
<option value="NAICS_53" id="aaAttrTySelect_INDUSTRYNAICS_NAICS53">Real Estate and Rental and Leasing [53]</option>
<option value="NAICS_44-45" id="aaAttrTySelect_INDUSTRYNAICS_NAICS4445">Retail Trade [44-45]</option>
<option value="NAICS_48-49" id="aaAttrTySelect_INDUSTRYNAICS_NAICS4849">Transportation and Warehousing [48-49]</option>
<option value="NAICS_22" id="aaAttrTySelect_INDUSTRYNAICS_NAICS22">Utilities [22]</option>
<option value="NAICS_42" id="aaAttrTySelect_INDUSTRYNAICS_NAICS42">Wholesale Trade [42]</option>
</select>
<div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaIdx110 aaAttrty aaAttrComboSelectLabel" id="aaAttrty_INDUSTRYNAICS" -->
<input type="hidden" name="p_attribute_cd" value="ENDARRAY!INDUSTRY_NAICS">
<script>function aaSetMultiSelectSelected(PId,PVal){var aaSelectedOptions =PVal.split(":");for(var i in aaSelectedOptions){var optionVal=aaSelectedOptions[i];$("#"+PId).children("option[value='"+optionVal+"']").prop("selected", "selected");}}</script>
<input type="hidden" name="p_attribute_ty" value="EMPLOYED_BY">
<input type="hidden" name="p_attribute_cd" value="STARTARRAY!EMPLOYED_BY">
<input type="hidden" name="p_attribute_cd" value="EMPLOYED_BY">
<input type="hidden" name="p_cvar" value="STARTARRAY!EMPLOYED_BY">
<li class="aaIdx130 aaAttrty" id="aaAttrty_EMPLOYEDBY"><label for="aaAttrty_EMPLOYEDBY_input" "="">Who are you employed by?<font color="RED">*</font></label>
<input type="text" name="p_cvar" size="75" maxlength="50" id="aaAttrty_EMPLOYEDBY_input" aria-label="">
<div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li>
<input type="hidden" name="p_cvar" value="ENDARRAY!EMPLOYED_BY">
<input type="hidden" name="p_attribute_cd" value="ENDARRAY!EMPLOYED_BY">
<script>function aaSetMultiSelectSelected(PId,PVal){var aaSelectedOptions =PVal.split(":");for(var i in aaSelectedOptions){var optionVal=aaSelectedOptions[i];$("#"+PId).children("option[value='"+optionVal+"']").prop("selected", "selected");}}</script>
<input type="hidden" name="p_attribute_ty" value="JOB_TITLE">
<input type="hidden" name="p_attribute_cd" value="STARTARRAY!JOB_TITLE">
<input type="hidden" name="p_attribute_cd" value="JOB_TITLE">
<input type="hidden" name="p_cvar" value="STARTARRAY!JOB_TITLE">
<li class="aaIdx130 aaAttrty" id="aaAttrty_JOBTITLE"><label for="aaAttrty_JOBTITLE_input" "="">Job Title</label>
<input type="text" name="p_cvar" size="75" maxlength="50" id="aaAttrty_JOBTITLE_input" aria-label="">
<div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li>
<input type="hidden" name="p_cvar" value="ENDARRAY!JOB_TITLE">
<input type="hidden" name="p_attribute_cd" value="ENDARRAY!JOB_TITLE">
<script>function aaSetMultiSelectSelected(PId,PVal){var aaSelectedOptions =PVal.split(":");for(var i in aaSelectedOptions){var optionVal=aaSelectedOptions[i];$("#"+PId).children("option[value='"+optionVal+"']").prop("selected", "selected");}}</script>
<input type="hidden" name="p_attribute_ty" value="MIL_SERVICE">
<input type="hidden" name="p_attribute_cd" value="STARTARRAY!MIL_SERVICE">
<li class="aaIdx100 aaAttrty aaAttrComboSelectLabel" id="aaAttrty_MILSERVICE"><label for="aaAttrty_MILSERVICE">Are you a veteran or active military?<font color="RED">*</font></label>
<select name="p_attribute_cd" id="aaAttrTy_MILSERVICE_LOV">
<option value="%null%" id="aaAttrTySelect_MILSERVICE_Null">Select One</option>
<option value="AIR_FORCE" id="aaAttrTySelect_MILSERVICE_AIRFORCE">Air Force</option>
<option value="ARMY" id="aaAttrTySelect_MILSERVICE_ARMY">Army</option>
<option value="COAST_GUARD" id="aaAttrTySelect_MILSERVICE_COASTGUARD">Coast Guard</option>
<option value="MARINE_CORPS" id="aaAttrTySelect_MILSERVICE_MARINECORPS">Marine Corps</option>
<option value="NAVY" id="aaAttrTySelect_MILSERVICE_NAVY">Navy</option>
<option value="NOAA" id="aaAttrTySelect_MILSERVICE_NOAA">NOAA Commissioned Officer Corps</option>
<option value="PUBLIC_HEALTH_SERVICE" id="aaAttrTySelect_MILSERVICE_PUBLICHEALTHSERVICE">Public Health Service Commissioned Corps</option>
<option value="VETERAN" id="aaAttrTySelect_MILSERVICE_VETERAN">Veteran</option>
<option value="MIL-NA" id="aaAttrTySelect_MILSERVICE_MILNA">Not Applicable</option>
</select>
<div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaIdx110 aaAttrty aaAttrComboSelectLabel" id="aaAttrty_MILSERVICE" -->
<input type="hidden" name="p_attribute_cd" value="ENDARRAY!MIL_SERVICE">
<script>function aaSetMultiSelectSelected(PId,PVal){var aaSelectedOptions =PVal.split(":");for(var i in aaSelectedOptions){var optionVal=aaSelectedOptions[i];$("#"+PId).children("option[value='"+optionVal+"']").prop("selected", "selected");}}</script>
<input type="hidden" name="p_attribute_ty" value="EDUC_HIGHEST">
<input type="hidden" name="p_attribute_cd" value="STARTARRAY!EDUC_HIGHEST">
<li class="aaIdx100 aaAttrty aaAttrComboSelectLabel" id="aaAttrty_EDUCHIGHEST"><label for="aaAttrty_EDUCHIGHEST">Highest level of education</label>
<select name="p_attribute_cd" id="aaAttrTy_EDUCHIGHEST_LOV">
<option value="%null%" id="aaAttrTySelect_EDUCHIGHEST_Null">Select One</option>
<option value="PHD_SAFETY_EDUC_HIGHEST" id="aaAttrTySelect_EDUCHIGHEST_PHDSAFETYEDUCHIGHEST">PhD: safety-related</option>
<option value="PHD_NONSAFETY_EDUC_HIGHEST" id="aaAttrTySelect_EDUCHIGHEST_PHDNONSAFETYEDUCHIGHEST">PhD: non-safety</option>
<option value="MS_SAFETY_EDUC_HIGHEST" id="aaAttrTySelect_EDUCHIGHEST_MSSAFETYEDUCHIGHEST">Masters: safety-related</option>
<option value="MS_NONSAFETY_EDUC_HIGHEST" id="aaAttrTySelect_EDUCHIGHEST_MSNONSAFETYEDUCHIGHEST">Masters: non-safety</option>
<option value="BS_SAFETY_EDUC_HIGHEST" id="aaAttrTySelect_EDUCHIGHEST_BSSAFETYEDUCHIGHEST">Bachelors: safety-related</option>
<option value="BS_NONSAFETY_EDUC_HIGHEST" id="aaAttrTySelect_EDUCHIGHEST_BSNONSAFETYEDUCHIGHEST">Bachelors: non-safety</option>
<option value="AAS_SAFETY_EDUC_HIGHEST" id="aaAttrTySelect_EDUCHIGHEST_AASSAFETYEDUCHIGHEST">Associates: safety-related</option>
<option value="AAS_NONSAFETY_EDUC_HIGHEST" id="aaAttrTySelect_EDUCHIGHEST_AASNONSAFETYEDUCHIGHEST">Associates: non-safety </option>
<option value="HS_EDUC_HIGHEST" id="aaAttrTySelect_EDUCHIGHEST_HSEDUCHIGHEST">High School diploma</option>
<option value="GED_EDUC_HIGHEST" id="aaAttrTySelect_EDUCHIGHEST_GEDEDUCHIGHEST">GED certificate</option>
<option value="NONE_EDUC_HIGHEST" id="aaAttrTySelect_EDUCHIGHEST_NONEEDUCHIGHEST">None</option>
</select>
<div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaIdx110 aaAttrty aaAttrComboSelectLabel" id="aaAttrty_EDUCHIGHEST" -->
<input type="hidden" name="p_attribute_cd" value="ENDARRAY!EDUC_HIGHEST">
<script>function aaSetMultiSelectSelected(PId,PVal){var aaSelectedOptions =PVal.split(":");for(var i in aaSelectedOptions){var optionVal=aaSelectedOptions[i];$("#"+PId).children("option[value='"+optionVal+"']").prop("selected", "selected");}}</script>
<input type="hidden" name="p_attribute_ty" value="WHERE_HEAR">
<input type="hidden" name="p_attribute_cd" value="STARTARRAY!WHERE_HEAR">
<input type="hidden" name="p_cvar" value="STARTARRAY!WHERE_HEAR">
<li class="aaIdx20 aaAttrty aaAttrComboSelectLabel" id="aaAttrty_WHEREHEAR"><label for="aaAttrty_WHEREHEAR">Where did you hear about BCSP?</label>
<div class="aaAttrGroupError"><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></div><select name="p_attribute_cd" id="aaAttrTy_WHEREHEAR_LOV">
<option value="%null%" id="aaAttrTySelect_WHEREHEAR_Null">Select One</option>
<option value="WH_ADVERTISEMENT" id="aaAttrTySelect_WHEREHEAR_WHADVERTISEMENT">Advertisement</option>
<option value="WH_COLLEAGUE" id="aaAttrTySelect_WHEREHEAR_WHCOLLEAGUE">Colleague
</option>
<option value="WH_CONFERENCE" id="aaAttrTySelect_WHEREHEAR_WHCONFERENCE">Conference
</option>
<option value="WH_ENEWS" id="aaAttrTySelect_WHEREHEAR_WHENEWS">BCSP eNewsletter</option>
<option value="WH_SOCIALMEDIA" id="aaAttrTySelect_WHEREHEAR_WHSOCIALMEDIA">Social Media</option>
<option value="WH_PRINT" id="aaAttrTySelect_WHEREHEAR_WHPRINT">Print Publication</option>
<option value="WH_BCSPWEBSITE" id="aaAttrTySelect_WHEREHEAR_WHBCSPWEBSITE">BCSP Website</option>
<option value="WH_OTHERWEB" id="aaAttrTySelect_WHEREHEAR_WHOTHERWEB">Other Website</option>
<option value="WH_OTHER" id="aaAttrTySelect_WHEREHEAR_WHOTHER" data-other-attrcode="OTHER">Other</option>
</select>
<span class="aaCvarOrOtherLbl"></span>
<input type="text" name="p_cvar" maxlength="4000" placeholder="Please explain" aria-label="" style="display: none;">
<span class="aaCvarOrOtherError"><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></span>
<div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaIdx30 aaAttrty" id="aaAttrty_WHEREHEAR" -->
<input type="hidden" name="p_cvar" value="ENDARRAY!WHERE_HEAR">
<input type="hidden" name="p_attribute_cd" value="ENDARRAY!WHERE_HEAR">
<script>function aaSetMultiSelectSelected(PId,PVal){var aaSelectedOptions =PVal.split(":");for(var i in aaSelectedOptions){var optionVal=aaSelectedOptions[i];$("#"+PId).children("option[value='"+optionVal+"']").prop("selected", "selected");}}</script>
<input type="hidden" name="p_attribute_ty" value="INTEREST_CERT">
<input type="hidden" name="p_attribute_cd" value="STARTARRAY!INTEREST_CERT">
<li class="aaIdx80 aaAttrty aaAttrMultiSelectLabel" id="aaAttrty_INTERESTCERT"><label for="aaAttrty_INTERESTCERT"><b>Which credential(s) are you pursuing (or researching)? (press and hold Ctrl to select multiple)</b></label>
<select name="p_attribute_cd" size="5" multiple="" id="aaAttrTy_INTERESTCERT_LOV">
<option value="INTEREST_ASP" id="aaAttrTySelect_INTERESTCERT_INTERESTASP">Associate Safety Professional (ASP) certification</option>
<option value="INTEREST_CHST" id="aaAttrTySelect_INTERESTCERT_INTERESTCHST">Construction Health and Safety Technician (CHST) certification</option>
<option value="INTEREST_CIT" id="aaAttrTySelect_INTERESTCERT_INTERESTCIT">Certified Instructional Trainer (CIT) certification</option>
<option value="INTEREST_CSP" id="aaAttrTySelect_INTERESTCERT_INTERESTCSP">Certified Safety Professional (CSP) certification</option>
<option value="INTEREST_GSP" id="aaAttrTySelect_INTERESTCERT_INTERESTGSP">Graduate Safety Practitioner (GSP) designation</option>
<option value="INTEREST_OHST" id="aaAttrTySelect_INTERESTCERT_INTERESTOHST">Occupational Hygiene and Safety Technician (OHST) certification</option>
<option value="INTEREST_SMS" id="aaAttrTySelect_INTERESTCERT_INTERESTSMS">Safety Management Specialist (SMS) certification</option>
<option value="INTEREST_STSC" id="aaAttrTySelect_INTERESTCERT_INTERESTSTSC">Safety Trained Supervisor Construction (STSC) certification</option>
<option value="INTEREST_STS" id="aaAttrTySelect_INTERESTCERT_INTERESTSTS">Safety Trained Supervisor (STS) certification</option>
<option value="INTEREST_TSP" id="aaAttrTySelect_INTERESTCERT_INTERESTTSP">Transitional Safety Practitioner (TSP) designation</option>
<option value="INTEREST_UNKNOWN" id="aaAttrTySelect_INTERESTCERT_INTERESTUNKNOWN">I am not sure yet</option>
</select>
<div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></li><!-- close li class="aaIdx90 aaAttrty aaAttrMultiSelectLabel" id="aaAttrty_INTERESTCERT" -->
<input type="hidden" name="p_attribute_cd" value="ENDARRAY!INTEREST_CERT">
<input type="hidden" name="p_attribute_cd" value="ENDARRAY!INTEREST_CERT">
<script>function aaSetMultiSelectSelected(PId,PVal){var aaSelectedOptions =PVal.split(":");for(var i in aaSelectedOptions){var optionVal=aaSelectedOptions[i];$("#"+PId).children("option[value='"+optionVal+"']").prop("selected", "selected");}}</script>
<div class="aaAttrInstruct aaAttrInstructTop" id="aaAttrInstruct_ETHNICITY"><br>
<sup>+</sup> This information will be used for outreach purposes. BCSP follows a strict non-discrimination policy that reads:
"BCSP evaluates all candidates seeking BCSP certifications without regard to race, color, national origin, sex, age, religion, pregnancy, disability, military or veteran status, genetic predisposition, gender identity, sexual orientation, or other characteristics protected by the law (“Protected Characteristics”).<br><br></div><input type="hidden" name="p_attribute_ty" value="ETHNICITY">
<input type="hidden" name="p_attribute_cd" value="STARTARRAY!ETHNICITY">
<li class="aaAttrty" id="aaAttrty_ETHNICITY">
<span class="aaLabel"><div class="aaAttrGroupError"><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></div>Please specify your ethnicity(s) <sup>+</sup></span>
<span class="aaGroupError"><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></span>
<ul class="aaCheckboxGroup">
<li>
<input type="checkbox" name="p_attribute_cd" value="CAUCASIAN" id="aaAttrTyETHNICITY1">
<label for="aaAttrTyETHNICITY1">Caucasian (non-Hispanic)</label>
</li>
<li>
<input type="checkbox" name="p_attribute_cd" value="AF_AF-CARIB_AF-AM" id="aaAttrTyETHNICITY2">
<label for="aaAttrTyETHNICITY2">African, Afro-Caribbean, or African American</label>
</li>
<li>
<input type="checkbox" name="p_attribute_cd" value="HISP_LATINO" id="aaAttrTyETHNICITY3">
<label for="aaAttrTyETHNICITY3">Hispanic or Latino</label>
</li>
<li>
<input type="checkbox" name="p_attribute_cd" value="HAWAIIAN_PAC-ISLANDER" id="aaAttrTyETHNICITY4">
<label for="aaAttrTyETHNICITY4">Hawaiian/Pacific Islander</label>
</li>
<li>
<input type="checkbox" name="p_attribute_cd" value="EAST-SOUTHEAST_ASIAN" id="aaAttrTyETHNICITY5">
<label for="aaAttrTyETHNICITY5">East/Southeast Asian (Chinese, Korean, Vietnamese, etc.)</label>
</li>
<li>
<input type="checkbox" name="p_attribute_cd" value="SOUTH-CENTRAL_ASIAN" id="aaAttrTyETHNICITY6">
<label for="aaAttrTyETHNICITY6">South or Central Asian (Indian, Pakistani, Afghan, Uzbeck, etc.)</label>
</li>
<li>
<input type="checkbox" name="p_attribute_cd" value="MIDEAST_ARAB" id="aaAttrTyETHNICITY7">
<label for="aaAttrTyETHNICITY7">Middle Eastern or Arab</label>
</li>
<li>
<input type="checkbox" name="p_attribute_cd" value="NATIVE-AM_AM-INDIAN" id="aaAttrTyETHNICITY8">
<label for="aaAttrTyETHNICITY8">Native American/American Indian</label>
</li>
<li>
<input type="checkbox" name="p_attribute_cd" value="OTHER_ETHNICITY" id="aaAttrTyETHNICITY9" data-other-attrcode="OTHER">
<label class="aaLblNonInputTxt" for="aaAttrTyETHNICITY9">Other: </label>
<input type="hidden" name="p_cvar" value="STARTARRAY!ETHNICITY"><input type="text" name="p_cvar" maxlength="4000" placeholder="Please explain" aria-label="" style="display: none;"><input type="hidden" name="p_cvar" value="ENDARRAY!ETHNICITY"><span class="aaCvarOrOtherError"><div class="aaInlineValidationWrapper"><div class="aaValidationWrapper-Inner"><span class="aaInlineValidationIcon"></span><span class="aaValidationTxt"></span></div></div></span>
</li>
</ul><!-- close ul class="aaCheckboxGroup" -->
</li><!-- close li class="aaAttrty" id="aaAttrty_ETHNICITY" -->
<input type="hidden" name="p_attribute_cd" value="ENDARRAY!ETHNICITY">
</ul><!-- close ul class="aaFormFields" -->
</div><!-- close div class="aaSectionBlock" -->
<!-- End stdattrlib-generated form -->
<div class="aaClearNoFloat"></div><input type="hidden" name="p_table_name" value="CEN_SSA_TEMP_ATTRDTL">
<input type="hidden" name="p_session_id" value="1099592">
<br>
<!-- stddocmappinglib.viewdoc( CENSSACUSTMAST, INSERT_PAGE, SUBMIT, CEN ) begin stored docs -->
<!-- stddoclib.get_doc_clob(CENSSACUSTMASTINSERT_PAGESUB) begin stored doc -->
By completing this form, you will be creating a profile with BCSP that includes a set of Communication Preferences. To manage your profile and preferences, select “Manage Profile & Preferences” from this system’s main menu.
<p></p>
<!-- stddoclib.get_doc_clob(CENSSACUSTMASTINSERT_PAGESUB) end stored doc -->
<!-- stddocmappinglib.viewdoc( CENSSACUSTMAST, INSERT_PAGE, SUBMIT, CEN ) end stored docs -->
</div><!-- close div class="aaStyleInner" --><div id="aaReCaptchaDiv" class="g-recaptcha" data-sitekey="6Lepcp0bAAAAANZe32K0iuJ3bBvP-TfNg5GfQeEo"><div style="width: 304px; height: 78px;"><div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-trot4fwk3bd6" frameborder="0" scrolling="no" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox" src="https://www.recaptcha.net/recaptcha/api2/anchor?ar=1&k=6Lepcp0bAAAAANZe32K0iuJ3bBvP-TfNg5GfQeEo&co=aHR0cHM6Ly9jZXJ0aWZpY2F0aW9uLmJjc3Aub3JnOjQ0Mw..&hl=en&v=xds0rzGrktR88uEZ2JUvdgOY&size=normal&cb=tbhq3b5ich04"></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>
<ul class="aaSubmission"><li><label></label><input type="submit" value="Submit" class="aaSubmitButton" name="SubmitButton" id="btnSave" style="display: none;"><input type="reset" value="Reset" class="aaResetButton"></li></ul>
</div><!-- close div class="aaStyleOuter" --><script type="text/javascript">
function wordCount( str ) {
// parms
// the text thing
// max word count
if (str) {
return str.trim().split(/\s+/).length;
} else {
return 0;
}
} // wordCount()
function populateWordCountString( index, wordCountOuterDiv ) {
// pass in the thing (outer div) AS A DOM OBJECT, NOT A JQUERY ONE
// what is that thing -- how is it attached to a text input or textinput input field?????
var inputText = $(wordCountOuterDiv).children( " input[type=text]" );
var inputTextArea = $(wordCountOuterDiv).children( " textarea" );
var innerDivSpan = $(wordCountOuterDiv).children( ".aaWordCountSpan" );
if (innerDivSpan) {
innerDivSpan.text( "tbd..." );
}
} // populateWordCountString
function wordCountEventHandler( inputField ) {
if (inputField) {
var wordCountOuterDiv = inputField.parent();
var wordCountVar = wordCount( inputField.val() );
}
if (wordCountOuterDiv) {
wordCountOuterDiv.find( ".aaWordCountSpan" ).text( wordCountVar.toString() );
}
} // wordCountEventHandler
$( function () {
// do stuff to each word thingy
$.each( $( ".aaTextWordCount" ), populateWordCountString );
$( ".aaTextWordCount textarea" ).keyup( function(event) { wordCountEventHandler( $(this)) } );
$( ".aaTextWordCount input[type=text]" ).keyup( function(event) { wordCountEventHandler( $(this)) } );
} );
function aaMoreWordsThan( value, limit ) {
return wordCount(value) > limit;
}
// global validation variables
var hasErrors1661;
var myForm1661 = document.getElementById("aaCenssacustmastForm");
function aaValidateForm1661_sub1(fullFormValidation) {
var errorDest1661 = $("#aaProfilePrefixNm"); // 3
if (aaIsNullJQuery($("[name='p_prefix_nm']")))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"Prefix\" is required.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub2(fullFormValidation) {
var errorDest1661 = $("#aaProfileFirstNm"); // 3
if (aaIsNullJQuery($("[name='p_first_nm']")))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"First/Given - legal name on ID\" is required.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub3(fullFormValidation) {
var errorDest1661 = $("#aaProfileLastNm"); // 3
if (aaIsNullJQuery($("[name='p_last_nm']")))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"Last/Family - legal name on ID\" is required.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub4(fullFormValidation) {
var errorDest1661 = $("#aaProfileCyberTxt-11"); // 3
if (aaIsNullJQuery($("#aaProfileCyberTxtField-11")))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"Preferred Email Address\" is required.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else if (!aaIsType("EMAIL",$("#aaProfileCyberTxtField-11").val()))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"Preferred Email Address\" must be an email address.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub5(fullFormValidation) {
var errorDest1661 = $("#aaProfileCyberTxt-23"); // 3
if (!aaIsType("EMAIL",$("#aaProfileCyberTxtField-23").val()))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"Alternate Email Address\" must be an email address.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub6(fullFormValidation) {
var errorDest1661 = $("#aaProfileAddrTy-1"); // 3
if (aaIsNullJQuery($("#aaProfileAddrTyField-1")))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"Address Type\" is required.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub7(fullFormValidation) {
var errorDest1661 = $("#aaProfileStreet1-7"); // 3
if (aaIsNullJQuery($("#aaProfileStreet1Field-7")))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"Street Address Line 1\" is required.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub8(fullFormValidation) {
var errorDest1661 = $("#aaProfileCityNm-3"); // 3
if (aaIsNullJQuery($("#aaProfileCityNmField-3")))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"City\" is required.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub9(fullFormValidation) {
var errorDest1661 = $("#aaProfileCountryCd-9"); // 3
if (aaIsNullJQuery($("#aaProfileCountryCdField-9")))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"Country\" is required.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub10(fullFormValidation) {
var errorDest1661 = $("#aaProfilePhoneTy-5"); // 3
if (aaIsNullJQuery($("#aaProfilePhoneTyField-5")))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"Phone Type\" is required.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub11(fullFormValidation) {
var errorDest1661 = $("#aaProfilePhone-15"); // 3
if (aaIsNullJQuery($("#aaProfilePhoneField-15")))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"Phone Number\" is required.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub12(fullFormValidation) {
var errorDest1661 = $("#aaProfileLoginId"); // 3
if (aaIsNullJQuery($("[name='p_login_id']")))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"User Name\" is required.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub13(fullFormValidation) {
var errorDest1661 = $("#aaProfilePassword"); // 3
if (aaIsNullJQuery($("[name='p_passwd']")))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("Password is required and the Repeat Password field must match.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else if ($("[name='p_passwd']").val() != $("#aaProfilePasswordConfirmField-6").val())
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("Password is required and the Repeat Password field must match.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub14(fullFormValidation) {
var errorDest1661 = $("#aaAttrty_BIRTHDATE"); // 3
if (aaIsNullJQuery($("#aaAttrty_BIRTHDATE_type")))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"Birthdate (MM/DD/YYYY):\" is required.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub15(fullFormValidation) {
var errorDest1661 = $("#aaAttrty_EMPLOYEDBY"); // 3
if (aaIsNullJQuery($("#aaAttrty_EMPLOYEDBY input[type=text]:not(.chzn-search input)")))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"Who are you employed by?\" is required.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else if (aaLongerThan($("#aaAttrty_EMPLOYEDBY input[type=text]:not(.chzn-search input)").val(),50))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"Who are you employed by?\" must be at most 50 characters.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub16(fullFormValidation) {
var errorDest1661 = $("#aaAttrty_JOBTITLE"); // 3
if (aaLongerThan($("#aaAttrty_JOBTITLE input[type=text]:not(.chzn-search input)").val(),50))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"Job Title\" must be at most 50 characters.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub17(fullFormValidation) {
var errorDest1661 = $("#aaAttrty_MILSERVICE"); // 3
if (aaIsNullJQuery($("#aaAttrty_MILSERVICE select")))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"Are you a veteran or active military?\" is required.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub18(fullFormValidation) {
var errorDest1661 = $("#aaAttrty_WHEREHEAR .aaCvarOrOtherError"); // 2
if (!aaIsNullJQuery($("#aaAttrty_WHEREHEAR select option[value='WH_OTHER']")))
{
errorDest1661 = $("#aaAttrty_WHEREHEAR .aaCvarOrOtherError"); // 4
if (aaIsNullJQuery($("#aaAttrty_WHEREHEAR input[type=text]:not(.chzn-search input)")))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"please provide additional details\" is required.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else if (aaLongerThan($("#aaAttrty_WHEREHEAR input[type=text]:not(.chzn-search input)").val(),4000))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"please provide additional details\" must be at most 4000 characters.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661_sub20(fullFormValidation) {
var errorDest1661 = $("#aaAttrty_ETHNICITY .aaCvarOrOtherError"); // 2
if (!aaIsNullJQuery($("#aaAttrTyETHNICITY9")))
{
errorDest1661 = $("#aaAttrty_ETHNICITY .aaCvarOrOtherError"); // 4
if (aaIsNullJQuery($("#aaAttrty_ETHNICITY input[type=text]:not(.chzn-search input)")))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"please provide additional details\" is required.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else if (aaLongerThan($("#aaAttrty_ETHNICITY input[type=text]:not(.chzn-search input)").val(),4000))
{
hasErrors1661 = true;
errorDest1661.find(".aaValidationTxt").html("\"please provide additional details\" must be at most 4000 characters.");
if (typeof topErrorEl1661 === "undefined" || errorDest1661.position().top < topErrorPos1661)
{
window.topErrorEl1661 = errorDest1661;
window.topErrorPos1661 = errorDest1661.position().top;
}
errorDest1661.addClass("aaInlineValidationShow");
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
else // no error on this field
{
errorDest1661.removeClass("aaInlineValidationShow");
if (!errorDest1661.hasClass("aaInlineNonstandardValidationShow"))
errorDest1661.find(".aaValidationTxt").html("");
}
if (fullFormValidation == "Y") {
// do nothing
}
}
function aaValidateForm1661() {
// reset variables to start from scratch
hasErrors1661 = false;
delete window.topErrorEl1661;
delete window.topErrorPos1661;
window.topErrorEl1661;
window.topErrorPos1661;
aaValidateForm1661_sub1("Y");
aaValidateForm1661_sub2("Y");
aaValidateForm1661_sub3("Y");
aaValidateForm1661_sub4("Y");
aaValidateForm1661_sub5("Y");
aaValidateForm1661_sub6("Y");
aaValidateForm1661_sub7("Y");
aaValidateForm1661_sub8("Y");
aaValidateForm1661_sub9("Y");
aaValidateForm1661_sub10("Y");
aaValidateForm1661_sub11("Y");
aaValidateForm1661_sub12("Y");
aaValidateForm1661_sub13("Y");
aaValidateForm1661_sub14("Y");
aaValidateForm1661_sub15("Y");
aaValidateForm1661_sub16("Y");
aaValidateForm1661_sub17("Y");
aaValidateForm1661_sub18("Y");
aaValidateForm1661_sub20("Y");
var validateCustom_passed = true;
try
{ // alert("Calling validateCustom in try ..");
validateCustom_passed = validateCustom("1661");
}
catch(e)
{
//console.log ( "Custom function validateCustom does not exist.");
}
if ( validateCustom_passed == false ) {hasErrors1661 = true }
// do nothing
if (hasErrors1661 == true)
{
if (typeof window.topErrorPos1661 !== "undefined" && topErrorPos1661 !== "")
{
$("html, body").animate({
scrollTop: topErrorEl1661.offset().top
}, 500);
}
try
{
callIfValidationFails();
}
catch(e)
{
}
return false;
}
else
{
return true;
}
}
$("[name='p_prefix_nm']").bind("blur change",function() {aaValidateForm1661_sub1("N")});
$("[name='p_first_nm']").bind("blur change",function() {aaValidateForm1661_sub2("N")});
$("[name='p_last_nm']").bind("blur change",function() {aaValidateForm1661_sub3("N")});
$("#aaProfileCyberTxtField-11").bind("blur change",function() {aaValidateForm1661_sub4("N")});
$("#aaProfileCyberTxtField-23").bind("blur change",function() {aaValidateForm1661_sub5("N")});
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