events.nextgov.com
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13.107.213.44
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Submitted URL: https://link.nextgov.com/click/33444212.253461/aHR0cHM6Ly9ldmVudHMubmV4dGdvdi5jb20vYXNzdW1lLWEtY29uc3RhbnQtc3RhdGUtb2YtYn...
Effective URL: https://events.nextgov.com/assume-a-constant-state-of-breach/registration/?p=em1&utm_source=Sailthru&utm_medium=email&utm_c...
Submission: On November 21 via manual from US — Scanned from DE
Effective URL: https://events.nextgov.com/assume-a-constant-state-of-breach/registration/?p=em1&utm_source=Sailthru&utm_medium=email&utm_c...
Submission: On November 21 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST ./?p=em1&utm_source=Sailthru&utm_medium=email&utm_campaign=EDIT_Nextgov%2FFCW_ZeroTrust_113023_Email12&utm_term=Events_BT_GE360_SAP_10172023_JobFunctions_Cybersecurity
<form id="assume-a-constant-state-of-breach-registration" class="form" method="post" enctype="multipart/form-data"
action="./?p=em1&utm_source=Sailthru&utm_medium=email&utm_campaign=EDIT_Nextgov%2FFCW_ZeroTrust_113023_Email12&utm_term=Events_BT_GE360_SAP_10172023_JobFunctions_Cybersecurity">
<div class="forms-field-container">
<input class="asyncCSRF" type="hidden" name="csrfmiddlewaretoken" value="aeVgO50rSu3v9wbMxxS06Gh5kFeZLRHv8PpSD4eSBeBADwY2za7Z2nCNenJAdw7V">
<div class="forms-field field-wrapper form-group textinput
">
<label class="forms-field-label" for="id_first_name"> First Name <span class="forms-required-label">*</span>
</label>
<input type="text" name="first_name" data-id="16540" data-required="true" autocomplete="on" required="" id="id_first_name">
</div>
<div class="forms-field field-wrapper form-group textinput
">
<label class="forms-field-label" for="id_last_name"> Last Name <span class="forms-required-label">*</span>
</label>
<input type="text" name="last_name" data-id="16541" data-required="true" autocomplete="on" required="" id="id_last_name">
</div>
<div class="forms-field field-wrapper form-group textinput
">
<label class="forms-field-label" for="id_email"> Email <span class="forms-required-label">*</span>
</label>
<input type="text" name="email" data-id="16542" data-required="true" autocomplete="email" required="" id="id_email">
</div>
<div class="forms-field field-wrapper form-group select
">
<label class="forms-field-label" for="id_employer"> Employer <span class="forms-required-label">*</span>
</label>
<select name="employer" data-id="16543" data-required="true" required="" id="id_employer">
<option value="" selected="">(Choose One)</option>
<option value="1">Department of Defense (Civilian)</option>
<option value="2">Department of Defense (Military)</option>
<option value="3">Federal Government</option>
<option value="4">State/Local Government</option>
<option value="5">Government Contractor</option>
<option value="6">Academia</option>
<option value="7">Media</option>
<option value="8">Non Profit</option>
<option value="9">Private Sector</option>
<option value="10">Retired</option>
</select>
</div>
<div class="forms-field field-wrapper form-group select
">
<label class="forms-field-label" for="id_department_0"> Agency/Department <span class="forms-required-label">*</span>
</label>
<input type="hidden" name="department_0" data-initial="null" data-required="true" required="" id="id_department_0" value=""><select name="department_1" data-group-id="null" data-id="16544" data-required="true" required="" id="id_department_1">
<option value="" selected="">(Choose One)</option>
<option value="11">Department of Agriculture</option>
<option value="12">Department of Commerce</option>
<option value="13">Department of Education</option>
<option value="14">Department of Energy</option>
<option value="15">Department of Defense </option>
<option value="16">Department of HHS</option>
<option value="17">Department of Homeland Security</option>
<option value="18">Department of HUD</option>
<option value="19">Department of Interior</option>
<option value="20">Department of Justice</option>
<option value="21">Department of Labor</option>
<option value="22">Department of State</option>
<option value="23">Department of Transportation</option>
<option value="24">Department of Treasury</option>
<option value="25">Department of Veterans Affairs</option>
<option value="26">EPA</option>
<option value="27">Executive Office of the President/Vice President</option>
<option value="28">Federal Bureau of Investigation</option>
<option value="29">Federal Communications Commission</option>
<option value="30">Federal Trade Commission</option>
<option value="31">GSA</option>
<option value="32">Judiciary Branch</option>
<option value="33">Legislative Branch</option>
<option value="34">NASA</option>
<option value="35">National Institutes of Health</option>
<option value="36">OMB</option>
<option value="37">OPM</option>
<option value="38">SSA</option>
<option value="39">USPS</option>
<option value="40">County</option>
<option value="41">Government Association</option>
<option value="42">Municipal</option>
<option value="43">Special District</option>
<option value="44">State</option>
<option value="45">Army</option>
<option value="46">Air Force</option>
<option value="47">Coast Guard</option>
<option value="48">Marines</option>
<option value="49">Navy</option>
<option value="50">Department of the Air Force</option>
<option value="51">Department of the Army</option>
<option value="52">Department of the Navy</option>
<option value="53">Joint Chiefs of Staff</option>
<option value="54">Defense Intelligence Agency</option>
<option value="55">Office of the Secretary of Defense</option>
<option value="56">Other Defense Agency</option>
<option value="57">Other Agency</option>
<option value="58">Higher Education</option>
<option value="59">K-12 Education</option>
<option value="60">Space Force</option>
<option value="61">Department of Space Force</option>
</select><select name="department_2" data-group-id="1" data-id="16544" data-required="true" id="id_department_2" style="display: none;">
<option value="" selected="">(Choose One)</option>
<option value="11">Department of Agriculture</option>
<option value="12">Department of Commerce</option>
<option value="13">Department of Education</option>
<option value="14">Department of Energy</option>
<option value="16">Department of HHS</option>
<option value="17">Department of Homeland Security</option>
<option value="18">Department of HUD</option>
<option value="19">Department of Interior</option>
<option value="20">Department of Justice</option>
<option value="21">Department of Labor</option>
<option value="22">Department of State</option>
<option value="23">Department of Transportation</option>
<option value="24">Department of Treasury</option>
<option value="25">Department of Veterans Affairs</option>
<option value="26">EPA</option>
<option value="27">Executive Office of the President/Vice President</option>
<option value="28">Federal Bureau of Investigation</option>
<option value="29">Federal Communications Commission</option>
<option value="30">Federal Trade Commission</option>
<option value="31">GSA</option>
<option value="32">Judiciary Branch</option>
<option value="33">Legislative Branch</option>
<option value="34">NASA</option>
<option value="35">National Institutes of Health</option>
<option value="36">OMB</option>
<option value="37">OPM</option>
<option value="38">SSA</option>
<option value="39">USPS</option>
<option value="57">Other Agency</option>
</select><select name="department_3" data-group-id="2" data-id="16544" data-required="true" id="id_department_3" style="display: none;">
<option value="" selected="">(Choose One)</option>
<option value="45">Army</option>
<option value="46">Air Force</option>
<option value="47">Coast Guard</option>
<option value="48">Marines</option>
<option value="49">Navy</option>
<option value="60">Space Force</option>
</select><select name="department_4" data-group-id="3" data-id="16544" data-required="true" id="id_department_4" style="display: none;">
<option value="" selected="">(Choose One)</option>
<option value="50">Department of the Air Force</option>
<option value="51">Department of the Army</option>
<option value="52">Department of the Navy</option>
<option value="53">Joint Chiefs of Staff</option>
<option value="54">Defense Intelligence Agency</option>
<option value="55">Office of the Secretary of Defense</option>
<option value="56">Other Defense Agency</option>
<option value="61">Department of Space Force</option>
</select><select name="department_5" data-group-id="4" data-id="16544" data-required="true" id="id_department_5" style="display: none;">
<option value="" selected="">(Choose One)</option>
<option value="40">County</option>
<option value="41">Government Association</option>
<option value="42">Municipal</option>
<option value="43">Special District</option>
<option value="44">State</option>
<option value="58">Higher Education</option>
<option value="59">K-12 Education</option>
</select><select name="department_6" data-group-id="5" data-id="16544" data-required="true" id="id_department_6" style="display: none;">
<option value="" selected="">(Choose One)</option>
<option value="11">Department of Agriculture</option>
<option value="12">Department of Commerce</option>
<option value="13">Department of Education</option>
<option value="14">Department of Energy</option>
<option value="16">Department of HHS</option>
<option value="17">Department of Homeland Security</option>
<option value="18">Department of HUD</option>
<option value="20">Department of Justice</option>
<option value="21">Department of Labor</option>
<option value="23">Department of Transportation</option>
<option value="24">Department of Treasury</option>
<option value="25">Department of Veterans Affairs</option>
<option value="26">EPA</option>
<option value="32">Judiciary Branch</option>
<option value="33">Legislative Branch</option>
<option value="57">Other Agency</option>
</select><select name="department_7" data-group-id="6" data-id="16544" data-required="true" id="id_department_7" style="display: none;">
<option value="" selected="">(Choose One)</option>
<option value="11">Department of Agriculture</option>
<option value="12">Department of Commerce</option>
<option value="13">Department of Education</option>
<option value="14">Department of Energy</option>
<option value="15">Department of Defense </option>
<option value="16">Department of HHS</option>
<option value="17">Department of Homeland Security</option>
<option value="18">Department of HUD</option>
<option value="19">Department of Interior</option>
<option value="20">Department of Justice</option>
<option value="21">Department of Labor</option>
<option value="22">Department of State</option>
<option value="23">Department of Transportation</option>
<option value="24">Department of Treasury</option>
<option value="25">Department of Veterans Affairs</option>
<option value="26">EPA</option>
<option value="31">GSA</option>
<option value="32">Judiciary Branch</option>
<option value="33">Legislative Branch</option>
<option value="34">NASA</option>
<option value="36">OMB</option>
<option value="37">OPM</option>
<option value="38">SSA</option>
<option value="39">USPS</option>
<option value="55">Office of the Secretary of Defense</option>
<option value="57">Other Agency</option>
</select>
</div>
<div class="forms-field field-wrapper form-group textinput
">
<label class="forms-field-label" for="id_organization"> Organization <span class="forms-required-label">*</span>
</label>
<input type="text" name="organization" data-id="16545" data-required="true" autocomplete="on" required="" id="id_organization">
</div>
<div class="forms-field field-wrapper form-group select
">
<label class="forms-field-label" for="id_organization_function_0"> Organization Function <span class="forms-required-label">*</span>
</label>
<input type="hidden" name="organization_function_0" data-initial="null" data-required="true" required="" id="id_organization_function_0" value=""><select name="organization_function_1" data-group-id="null" data-id="16546" data-required="true"
required="" id="id_organization_function_1">
<option value="" selected="">(Choose One)</option>
<option value="248">Elected Official/Legislative/Executive Office</option>
<option value="249">Environment/Energy</option>
<option value="250">Finance/Budget</option>
<option value="251">Health & Human Services</option>
<option value="252">Public Safety/Emergency Services/Law Enforcement</option>
<option value="253">Technology</option>
<option value="254">Transportation/Utilities/Infrastructure</option>
<option value="256">Other</option>
</select><select name="organization_function_2" data-group-id="11" data-id="16546" data-required="true" id="id_organization_function_2" style="display: none;">
<option value="" selected="">(Choose One)</option>
<option value="248">Elected Official/Legislative/Executive Office</option>
<option value="249">Environment/Energy</option>
<option value="250">Finance/Budget</option>
<option value="251">Health & Human Services</option>
<option value="252">Public Safety/Emergency Services/Law Enforcement</option>
<option value="253">Technology</option>
<option value="254">Transportation/Utilities/Infrastructure</option>
<option value="256">Other</option>
</select>
</div>
<div class="forms-field field-wrapper form-group textinput
">
<label class="forms-field-label" for="id_job_title"> Job Title <span class="forms-required-label">*</span>
</label>
<input type="text" name="job_title" data-id="16547" data-required="true" autocomplete="on" required="" id="id_job_title">
</div>
<div class="forms-field field-wrapper form-group phoneinput
">
<label class="forms-field-label" for="id_phone"> Phone Number <span class="forms-required-label">*</span>
</label>
<div class="iti iti--allow-dropdown">
<div class="iti__flag-container">
<div class="iti__selected-flag" role="combobox" aria-controls="iti-0__country-listbox" aria-owns="iti-0__country-listbox" aria-expanded="false" tabindex="0" title="United States: +1" aria-activedescendant="iti-0__item-us-preferred">
<div class="iti__flag iti__us"></div>
<div class="iti__arrow"></div>
</div>
<ul class="iti__country-list iti__hide" id="iti-0__country-listbox" role="listbox" aria-label="List of countries">
<li class="iti__country iti__preferred iti__active" tabindex="-1" id="iti-0__item-us-preferred" role="option" data-dial-code="1" data-country-code="us" aria-selected="true">
<div class="iti__flag-box">
<div class="iti__flag iti__us"></div>
</div><span class="iti__country-name">United States</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__divider" role="separator" aria-disabled="true"></li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-af" role="option" data-dial-code="93" data-country-code="af" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__af"></div>
</div><span class="iti__country-name">Afghanistan (افغانستان)</span><span class="iti__dial-code">+93</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-al" role="option" data-dial-code="355" data-country-code="al" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__al"></div>
</div><span class="iti__country-name">Albania (Shqipëri)</span><span class="iti__dial-code">+355</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-dz" role="option" data-dial-code="213" data-country-code="dz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__dz"></div>
</div><span class="iti__country-name">Algeria (الجزائر)</span><span class="iti__dial-code">+213</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-as" role="option" data-dial-code="1" data-country-code="as" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__as"></div>
</div><span class="iti__country-name">American Samoa</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ad" role="option" data-dial-code="376" data-country-code="ad" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ad"></div>
</div><span class="iti__country-name">Andorra</span><span class="iti__dial-code">+376</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ao" role="option" data-dial-code="244" data-country-code="ao" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ao"></div>
</div><span class="iti__country-name">Angola</span><span class="iti__dial-code">+244</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ai" role="option" data-dial-code="1" data-country-code="ai" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ai"></div>
</div><span class="iti__country-name">Anguilla</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ag" role="option" data-dial-code="1" data-country-code="ag" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ag"></div>
</div><span class="iti__country-name">Antigua and Barbuda</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ar" role="option" data-dial-code="54" data-country-code="ar" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ar"></div>
</div><span class="iti__country-name">Argentina</span><span class="iti__dial-code">+54</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-am" role="option" data-dial-code="374" data-country-code="am" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__am"></div>
</div><span class="iti__country-name">Armenia (Հայաստան)</span><span class="iti__dial-code">+374</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-aw" role="option" data-dial-code="297" data-country-code="aw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__aw"></div>
</div><span class="iti__country-name">Aruba</span><span class="iti__dial-code">+297</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-au" role="option" data-dial-code="61" data-country-code="au" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__au"></div>
</div><span class="iti__country-name">Australia</span><span class="iti__dial-code">+61</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-at" role="option" data-dial-code="43" data-country-code="at" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__at"></div>
</div><span class="iti__country-name">Austria (Österreich)</span><span class="iti__dial-code">+43</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-az" role="option" data-dial-code="994" data-country-code="az" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__az"></div>
</div><span class="iti__country-name">Azerbaijan (Azərbaycan)</span><span class="iti__dial-code">+994</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bs" role="option" data-dial-code="1" data-country-code="bs" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bs"></div>
</div><span class="iti__country-name">Bahamas</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bh" role="option" data-dial-code="973" data-country-code="bh" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bh"></div>
</div><span class="iti__country-name">Bahrain (البحرين)</span><span class="iti__dial-code">+973</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bd" role="option" data-dial-code="880" data-country-code="bd" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bd"></div>
</div><span class="iti__country-name">Bangladesh (বাংলাদেশ)</span><span class="iti__dial-code">+880</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bb" role="option" data-dial-code="1" data-country-code="bb" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bb"></div>
</div><span class="iti__country-name">Barbados</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-by" role="option" data-dial-code="375" data-country-code="by" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__by"></div>
</div><span class="iti__country-name">Belarus (Беларусь)</span><span class="iti__dial-code">+375</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-be" role="option" data-dial-code="32" data-country-code="be" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__be"></div>
</div><span class="iti__country-name">Belgium (België)</span><span class="iti__dial-code">+32</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bz" role="option" data-dial-code="501" data-country-code="bz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bz"></div>
</div><span class="iti__country-name">Belize</span><span class="iti__dial-code">+501</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bj" role="option" data-dial-code="229" data-country-code="bj" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bj"></div>
</div><span class="iti__country-name">Benin (Bénin)</span><span class="iti__dial-code">+229</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bm" role="option" data-dial-code="1" data-country-code="bm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bm"></div>
</div><span class="iti__country-name">Bermuda</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bt" role="option" data-dial-code="975" data-country-code="bt" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bt"></div>
</div><span class="iti__country-name">Bhutan (འབྲུག)</span><span class="iti__dial-code">+975</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bo" role="option" data-dial-code="591" data-country-code="bo" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bo"></div>
</div><span class="iti__country-name">Bolivia</span><span class="iti__dial-code">+591</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ba" role="option" data-dial-code="387" data-country-code="ba" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ba"></div>
</div><span class="iti__country-name">Bosnia and Herzegovina (Босна и Херцеговина)</span><span class="iti__dial-code">+387</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bw" role="option" data-dial-code="267" data-country-code="bw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bw"></div>
</div><span class="iti__country-name">Botswana</span><span class="iti__dial-code">+267</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-br" role="option" data-dial-code="55" data-country-code="br" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__br"></div>
</div><span class="iti__country-name">Brazil (Brasil)</span><span class="iti__dial-code">+55</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-io" role="option" data-dial-code="246" data-country-code="io" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__io"></div>
</div><span class="iti__country-name">British Indian Ocean Territory</span><span class="iti__dial-code">+246</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vg" role="option" data-dial-code="1" data-country-code="vg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__vg"></div>
</div><span class="iti__country-name">British Virgin Islands</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bn" role="option" data-dial-code="673" data-country-code="bn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bn"></div>
</div><span class="iti__country-name">Brunei</span><span class="iti__dial-code">+673</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bg" role="option" data-dial-code="359" data-country-code="bg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bg"></div>
</div><span class="iti__country-name">Bulgaria (България)</span><span class="iti__dial-code">+359</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bf" role="option" data-dial-code="226" data-country-code="bf" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bf"></div>
</div><span class="iti__country-name">Burkina Faso</span><span class="iti__dial-code">+226</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bi" role="option" data-dial-code="257" data-country-code="bi" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bi"></div>
</div><span class="iti__country-name">Burundi (Uburundi)</span><span class="iti__dial-code">+257</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kh" role="option" data-dial-code="855" data-country-code="kh" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__kh"></div>
</div><span class="iti__country-name">Cambodia (កម្ពុជា)</span><span class="iti__dial-code">+855</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cm" role="option" data-dial-code="237" data-country-code="cm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cm"></div>
</div><span class="iti__country-name">Cameroon (Cameroun)</span><span class="iti__dial-code">+237</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ca" role="option" data-dial-code="1" data-country-code="ca" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ca"></div>
</div><span class="iti__country-name">Canada</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cv" role="option" data-dial-code="238" data-country-code="cv" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cv"></div>
</div><span class="iti__country-name">Cape Verde (Kabu Verdi)</span><span class="iti__dial-code">+238</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bq" role="option" data-dial-code="599" data-country-code="bq" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bq"></div>
</div><span class="iti__country-name">Caribbean Netherlands</span><span class="iti__dial-code">+599</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ky" role="option" data-dial-code="1" data-country-code="ky" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ky"></div>
</div><span class="iti__country-name">Cayman Islands</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cf" role="option" data-dial-code="236" data-country-code="cf" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cf"></div>
</div><span class="iti__country-name">Central African Republic (République centrafricaine)</span><span class="iti__dial-code">+236</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-td" role="option" data-dial-code="235" data-country-code="td" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__td"></div>
</div><span class="iti__country-name">Chad (Tchad)</span><span class="iti__dial-code">+235</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cl" role="option" data-dial-code="56" data-country-code="cl" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cl"></div>
</div><span class="iti__country-name">Chile</span><span class="iti__dial-code">+56</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cn" role="option" data-dial-code="86" data-country-code="cn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cn"></div>
</div><span class="iti__country-name">China (中国)</span><span class="iti__dial-code">+86</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cx" role="option" data-dial-code="61" data-country-code="cx" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cx"></div>
</div><span class="iti__country-name">Christmas Island</span><span class="iti__dial-code">+61</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cc" role="option" data-dial-code="61" data-country-code="cc" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cc"></div>
</div><span class="iti__country-name">Cocos (Keeling) Islands</span><span class="iti__dial-code">+61</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-co" role="option" data-dial-code="57" data-country-code="co" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__co"></div>
</div><span class="iti__country-name">Colombia</span><span class="iti__dial-code">+57</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-km" role="option" data-dial-code="269" data-country-code="km" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__km"></div>
</div><span class="iti__country-name">Comoros (جزر القمر)</span><span class="iti__dial-code">+269</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cd" role="option" data-dial-code="243" data-country-code="cd" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cd"></div>
</div><span class="iti__country-name">Congo (DRC) (Jamhuri ya Kidemokrasia ya Kongo)</span><span class="iti__dial-code">+243</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cg" role="option" data-dial-code="242" data-country-code="cg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cg"></div>
</div><span class="iti__country-name">Congo (Republic) (Congo-Brazzaville)</span><span class="iti__dial-code">+242</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ck" role="option" data-dial-code="682" data-country-code="ck" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ck"></div>
</div><span class="iti__country-name">Cook Islands</span><span class="iti__dial-code">+682</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cr" role="option" data-dial-code="506" data-country-code="cr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cr"></div>
</div><span class="iti__country-name">Costa Rica</span><span class="iti__dial-code">+506</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ci" role="option" data-dial-code="225" data-country-code="ci" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ci"></div>
</div><span class="iti__country-name">Côte d’Ivoire</span><span class="iti__dial-code">+225</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-hr" role="option" data-dial-code="385" data-country-code="hr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__hr"></div>
</div><span class="iti__country-name">Croatia (Hrvatska)</span><span class="iti__dial-code">+385</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cu" role="option" data-dial-code="53" data-country-code="cu" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cu"></div>
</div><span class="iti__country-name">Cuba</span><span class="iti__dial-code">+53</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cw" role="option" data-dial-code="599" data-country-code="cw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cw"></div>
</div><span class="iti__country-name">Curaçao</span><span class="iti__dial-code">+599</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cy" role="option" data-dial-code="357" data-country-code="cy" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cy"></div>
</div><span class="iti__country-name">Cyprus (Κύπρος)</span><span class="iti__dial-code">+357</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-cz" role="option" data-dial-code="420" data-country-code="cz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__cz"></div>
</div><span class="iti__country-name">Czech Republic (Česká republika)</span><span class="iti__dial-code">+420</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-dk" role="option" data-dial-code="45" data-country-code="dk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__dk"></div>
</div><span class="iti__country-name">Denmark (Danmark)</span><span class="iti__dial-code">+45</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-dj" role="option" data-dial-code="253" data-country-code="dj" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__dj"></div>
</div><span class="iti__country-name">Djibouti</span><span class="iti__dial-code">+253</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-dm" role="option" data-dial-code="1" data-country-code="dm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__dm"></div>
</div><span class="iti__country-name">Dominica</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-do" role="option" data-dial-code="1" data-country-code="do" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__do"></div>
</div><span class="iti__country-name">Dominican Republic (República Dominicana)</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ec" role="option" data-dial-code="593" data-country-code="ec" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ec"></div>
</div><span class="iti__country-name">Ecuador</span><span class="iti__dial-code">+593</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-eg" role="option" data-dial-code="20" data-country-code="eg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__eg"></div>
</div><span class="iti__country-name">Egypt (مصر)</span><span class="iti__dial-code">+20</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sv" role="option" data-dial-code="503" data-country-code="sv" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sv"></div>
</div><span class="iti__country-name">El Salvador</span><span class="iti__dial-code">+503</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gq" role="option" data-dial-code="240" data-country-code="gq" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gq"></div>
</div><span class="iti__country-name">Equatorial Guinea (Guinea Ecuatorial)</span><span class="iti__dial-code">+240</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-er" role="option" data-dial-code="291" data-country-code="er" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__er"></div>
</div><span class="iti__country-name">Eritrea</span><span class="iti__dial-code">+291</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ee" role="option" data-dial-code="372" data-country-code="ee" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ee"></div>
</div><span class="iti__country-name">Estonia (Eesti)</span><span class="iti__dial-code">+372</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-et" role="option" data-dial-code="251" data-country-code="et" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__et"></div>
</div><span class="iti__country-name">Ethiopia</span><span class="iti__dial-code">+251</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fk" role="option" data-dial-code="500" data-country-code="fk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__fk"></div>
</div><span class="iti__country-name">Falkland Islands (Islas Malvinas)</span><span class="iti__dial-code">+500</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fo" role="option" data-dial-code="298" data-country-code="fo" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__fo"></div>
</div><span class="iti__country-name">Faroe Islands (Føroyar)</span><span class="iti__dial-code">+298</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fj" role="option" data-dial-code="679" data-country-code="fj" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__fj"></div>
</div><span class="iti__country-name">Fiji</span><span class="iti__dial-code">+679</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fi" role="option" data-dial-code="358" data-country-code="fi" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__fi"></div>
</div><span class="iti__country-name">Finland (Suomi)</span><span class="iti__dial-code">+358</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fr" role="option" data-dial-code="33" data-country-code="fr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__fr"></div>
</div><span class="iti__country-name">France</span><span class="iti__dial-code">+33</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gf" role="option" data-dial-code="594" data-country-code="gf" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gf"></div>
</div><span class="iti__country-name">French Guiana (Guyane française)</span><span class="iti__dial-code">+594</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pf" role="option" data-dial-code="689" data-country-code="pf" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pf"></div>
</div><span class="iti__country-name">French Polynesia (Polynésie française)</span><span class="iti__dial-code">+689</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ga" role="option" data-dial-code="241" data-country-code="ga" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ga"></div>
</div><span class="iti__country-name">Gabon</span><span class="iti__dial-code">+241</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gm" role="option" data-dial-code="220" data-country-code="gm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gm"></div>
</div><span class="iti__country-name">Gambia</span><span class="iti__dial-code">+220</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ge" role="option" data-dial-code="995" data-country-code="ge" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ge"></div>
</div><span class="iti__country-name">Georgia (საქართველო)</span><span class="iti__dial-code">+995</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-de" role="option" data-dial-code="49" data-country-code="de" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__de"></div>
</div><span class="iti__country-name">Germany (Deutschland)</span><span class="iti__dial-code">+49</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gh" role="option" data-dial-code="233" data-country-code="gh" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gh"></div>
</div><span class="iti__country-name">Ghana (Gaana)</span><span class="iti__dial-code">+233</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gi" role="option" data-dial-code="350" data-country-code="gi" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gi"></div>
</div><span class="iti__country-name">Gibraltar</span><span class="iti__dial-code">+350</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gr" role="option" data-dial-code="30" data-country-code="gr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gr"></div>
</div><span class="iti__country-name">Greece (Ελλάδα)</span><span class="iti__dial-code">+30</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gl" role="option" data-dial-code="299" data-country-code="gl" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gl"></div>
</div><span class="iti__country-name">Greenland (Kalaallit Nunaat)</span><span class="iti__dial-code">+299</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gd" role="option" data-dial-code="1" data-country-code="gd" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gd"></div>
</div><span class="iti__country-name">Grenada</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gp" role="option" data-dial-code="590" data-country-code="gp" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gp"></div>
</div><span class="iti__country-name">Guadeloupe</span><span class="iti__dial-code">+590</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gu" role="option" data-dial-code="1" data-country-code="gu" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gu"></div>
</div><span class="iti__country-name">Guam</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gt" role="option" data-dial-code="502" data-country-code="gt" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gt"></div>
</div><span class="iti__country-name">Guatemala</span><span class="iti__dial-code">+502</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gg" role="option" data-dial-code="44" data-country-code="gg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gg"></div>
</div><span class="iti__country-name">Guernsey</span><span class="iti__dial-code">+44</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gn" role="option" data-dial-code="224" data-country-code="gn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gn"></div>
</div><span class="iti__country-name">Guinea (Guinée)</span><span class="iti__dial-code">+224</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gw" role="option" data-dial-code="245" data-country-code="gw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gw"></div>
</div><span class="iti__country-name">Guinea-Bissau (Guiné Bissau)</span><span class="iti__dial-code">+245</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gy" role="option" data-dial-code="592" data-country-code="gy" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gy"></div>
</div><span class="iti__country-name">Guyana</span><span class="iti__dial-code">+592</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ht" role="option" data-dial-code="509" data-country-code="ht" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ht"></div>
</div><span class="iti__country-name">Haiti</span><span class="iti__dial-code">+509</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-hn" role="option" data-dial-code="504" data-country-code="hn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__hn"></div>
</div><span class="iti__country-name">Honduras</span><span class="iti__dial-code">+504</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-hk" role="option" data-dial-code="852" data-country-code="hk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__hk"></div>
</div><span class="iti__country-name">Hong Kong (香港)</span><span class="iti__dial-code">+852</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-hu" role="option" data-dial-code="36" data-country-code="hu" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__hu"></div>
</div><span class="iti__country-name">Hungary (Magyarország)</span><span class="iti__dial-code">+36</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-is" role="option" data-dial-code="354" data-country-code="is" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__is"></div>
</div><span class="iti__country-name">Iceland (Ísland)</span><span class="iti__dial-code">+354</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-in" role="option" data-dial-code="91" data-country-code="in" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__in"></div>
</div><span class="iti__country-name">India (भारत)</span><span class="iti__dial-code">+91</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-id" role="option" data-dial-code="62" data-country-code="id" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__id"></div>
</div><span class="iti__country-name">Indonesia</span><span class="iti__dial-code">+62</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ir" role="option" data-dial-code="98" data-country-code="ir" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ir"></div>
</div><span class="iti__country-name">Iran (ایران)</span><span class="iti__dial-code">+98</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-iq" role="option" data-dial-code="964" data-country-code="iq" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__iq"></div>
</div><span class="iti__country-name">Iraq (العراق)</span><span class="iti__dial-code">+964</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ie" role="option" data-dial-code="353" data-country-code="ie" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ie"></div>
</div><span class="iti__country-name">Ireland</span><span class="iti__dial-code">+353</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-im" role="option" data-dial-code="44" data-country-code="im" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__im"></div>
</div><span class="iti__country-name">Isle of Man</span><span class="iti__dial-code">+44</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-il" role="option" data-dial-code="972" data-country-code="il" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__il"></div>
</div><span class="iti__country-name">Israel (ישראל)</span><span class="iti__dial-code">+972</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-it" role="option" data-dial-code="39" data-country-code="it" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__it"></div>
</div><span class="iti__country-name">Italy (Italia)</span><span class="iti__dial-code">+39</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-jm" role="option" data-dial-code="1" data-country-code="jm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__jm"></div>
</div><span class="iti__country-name">Jamaica</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-jp" role="option" data-dial-code="81" data-country-code="jp" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__jp"></div>
</div><span class="iti__country-name">Japan (日本)</span><span class="iti__dial-code">+81</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-je" role="option" data-dial-code="44" data-country-code="je" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__je"></div>
</div><span class="iti__country-name">Jersey</span><span class="iti__dial-code">+44</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-jo" role="option" data-dial-code="962" data-country-code="jo" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__jo"></div>
</div><span class="iti__country-name">Jordan (الأردن)</span><span class="iti__dial-code">+962</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kz" role="option" data-dial-code="7" data-country-code="kz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__kz"></div>
</div><span class="iti__country-name">Kazakhstan (Казахстан)</span><span class="iti__dial-code">+7</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ke" role="option" data-dial-code="254" data-country-code="ke" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ke"></div>
</div><span class="iti__country-name">Kenya</span><span class="iti__dial-code">+254</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ki" role="option" data-dial-code="686" data-country-code="ki" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ki"></div>
</div><span class="iti__country-name">Kiribati</span><span class="iti__dial-code">+686</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-xk" role="option" data-dial-code="383" data-country-code="xk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__xk"></div>
</div><span class="iti__country-name">Kosovo</span><span class="iti__dial-code">+383</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kw" role="option" data-dial-code="965" data-country-code="kw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__kw"></div>
</div><span class="iti__country-name">Kuwait (الكويت)</span><span class="iti__dial-code">+965</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kg" role="option" data-dial-code="996" data-country-code="kg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__kg"></div>
</div><span class="iti__country-name">Kyrgyzstan (Кыргызстан)</span><span class="iti__dial-code">+996</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-la" role="option" data-dial-code="856" data-country-code="la" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__la"></div>
</div><span class="iti__country-name">Laos (ລາວ)</span><span class="iti__dial-code">+856</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lv" role="option" data-dial-code="371" data-country-code="lv" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__lv"></div>
</div><span class="iti__country-name">Latvia (Latvija)</span><span class="iti__dial-code">+371</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lb" role="option" data-dial-code="961" data-country-code="lb" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__lb"></div>
</div><span class="iti__country-name">Lebanon (لبنان)</span><span class="iti__dial-code">+961</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ls" role="option" data-dial-code="266" data-country-code="ls" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ls"></div>
</div><span class="iti__country-name">Lesotho</span><span class="iti__dial-code">+266</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lr" role="option" data-dial-code="231" data-country-code="lr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__lr"></div>
</div><span class="iti__country-name">Liberia</span><span class="iti__dial-code">+231</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ly" role="option" data-dial-code="218" data-country-code="ly" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ly"></div>
</div><span class="iti__country-name">Libya (ليبيا)</span><span class="iti__dial-code">+218</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-li" role="option" data-dial-code="423" data-country-code="li" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__li"></div>
</div><span class="iti__country-name">Liechtenstein</span><span class="iti__dial-code">+423</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lt" role="option" data-dial-code="370" data-country-code="lt" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__lt"></div>
</div><span class="iti__country-name">Lithuania (Lietuva)</span><span class="iti__dial-code">+370</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lu" role="option" data-dial-code="352" data-country-code="lu" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__lu"></div>
</div><span class="iti__country-name">Luxembourg</span><span class="iti__dial-code">+352</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mo" role="option" data-dial-code="853" data-country-code="mo" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mo"></div>
</div><span class="iti__country-name">Macau (澳門)</span><span class="iti__dial-code">+853</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mk" role="option" data-dial-code="389" data-country-code="mk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mk"></div>
</div><span class="iti__country-name">Macedonia (FYROM) (Македонија)</span><span class="iti__dial-code">+389</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mg" role="option" data-dial-code="261" data-country-code="mg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mg"></div>
</div><span class="iti__country-name">Madagascar (Madagasikara)</span><span class="iti__dial-code">+261</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mw" role="option" data-dial-code="265" data-country-code="mw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mw"></div>
</div><span class="iti__country-name">Malawi</span><span class="iti__dial-code">+265</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-my" role="option" data-dial-code="60" data-country-code="my" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__my"></div>
</div><span class="iti__country-name">Malaysia</span><span class="iti__dial-code">+60</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mv" role="option" data-dial-code="960" data-country-code="mv" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mv"></div>
</div><span class="iti__country-name">Maldives</span><span class="iti__dial-code">+960</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ml" role="option" data-dial-code="223" data-country-code="ml" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ml"></div>
</div><span class="iti__country-name">Mali</span><span class="iti__dial-code">+223</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mt" role="option" data-dial-code="356" data-country-code="mt" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mt"></div>
</div><span class="iti__country-name">Malta</span><span class="iti__dial-code">+356</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mh" role="option" data-dial-code="692" data-country-code="mh" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mh"></div>
</div><span class="iti__country-name">Marshall Islands</span><span class="iti__dial-code">+692</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mq" role="option" data-dial-code="596" data-country-code="mq" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mq"></div>
</div><span class="iti__country-name">Martinique</span><span class="iti__dial-code">+596</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mr" role="option" data-dial-code="222" data-country-code="mr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mr"></div>
</div><span class="iti__country-name">Mauritania (موريتانيا)</span><span class="iti__dial-code">+222</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mu" role="option" data-dial-code="230" data-country-code="mu" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mu"></div>
</div><span class="iti__country-name">Mauritius (Moris)</span><span class="iti__dial-code">+230</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-yt" role="option" data-dial-code="262" data-country-code="yt" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__yt"></div>
</div><span class="iti__country-name">Mayotte</span><span class="iti__dial-code">+262</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mx" role="option" data-dial-code="52" data-country-code="mx" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mx"></div>
</div><span class="iti__country-name">Mexico (México)</span><span class="iti__dial-code">+52</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-fm" role="option" data-dial-code="691" data-country-code="fm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__fm"></div>
</div><span class="iti__country-name">Micronesia</span><span class="iti__dial-code">+691</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-md" role="option" data-dial-code="373" data-country-code="md" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__md"></div>
</div><span class="iti__country-name">Moldova (Republica Moldova)</span><span class="iti__dial-code">+373</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mc" role="option" data-dial-code="377" data-country-code="mc" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mc"></div>
</div><span class="iti__country-name">Monaco</span><span class="iti__dial-code">+377</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mn" role="option" data-dial-code="976" data-country-code="mn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mn"></div>
</div><span class="iti__country-name">Mongolia (Монгол)</span><span class="iti__dial-code">+976</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-me" role="option" data-dial-code="382" data-country-code="me" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__me"></div>
</div><span class="iti__country-name">Montenegro (Crna Gora)</span><span class="iti__dial-code">+382</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ms" role="option" data-dial-code="1" data-country-code="ms" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ms"></div>
</div><span class="iti__country-name">Montserrat</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ma" role="option" data-dial-code="212" data-country-code="ma" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ma"></div>
</div><span class="iti__country-name">Morocco (المغرب)</span><span class="iti__dial-code">+212</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mz" role="option" data-dial-code="258" data-country-code="mz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mz"></div>
</div><span class="iti__country-name">Mozambique (Moçambique)</span><span class="iti__dial-code">+258</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mm" role="option" data-dial-code="95" data-country-code="mm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mm"></div>
</div><span class="iti__country-name">Myanmar (Burma) (မြန်မာ)</span><span class="iti__dial-code">+95</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-na" role="option" data-dial-code="264" data-country-code="na" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__na"></div>
</div><span class="iti__country-name">Namibia (Namibië)</span><span class="iti__dial-code">+264</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nr" role="option" data-dial-code="674" data-country-code="nr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__nr"></div>
</div><span class="iti__country-name">Nauru</span><span class="iti__dial-code">+674</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-np" role="option" data-dial-code="977" data-country-code="np" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__np"></div>
</div><span class="iti__country-name">Nepal (नेपाल)</span><span class="iti__dial-code">+977</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nl" role="option" data-dial-code="31" data-country-code="nl" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__nl"></div>
</div><span class="iti__country-name">Netherlands (Nederland)</span><span class="iti__dial-code">+31</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nc" role="option" data-dial-code="687" data-country-code="nc" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__nc"></div>
</div><span class="iti__country-name">New Caledonia (Nouvelle-Calédonie)</span><span class="iti__dial-code">+687</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nz" role="option" data-dial-code="64" data-country-code="nz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__nz"></div>
</div><span class="iti__country-name">New Zealand</span><span class="iti__dial-code">+64</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ni" role="option" data-dial-code="505" data-country-code="ni" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ni"></div>
</div><span class="iti__country-name">Nicaragua</span><span class="iti__dial-code">+505</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ne" role="option" data-dial-code="227" data-country-code="ne" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ne"></div>
</div><span class="iti__country-name">Niger (Nijar)</span><span class="iti__dial-code">+227</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ng" role="option" data-dial-code="234" data-country-code="ng" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ng"></div>
</div><span class="iti__country-name">Nigeria</span><span class="iti__dial-code">+234</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nu" role="option" data-dial-code="683" data-country-code="nu" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__nu"></div>
</div><span class="iti__country-name">Niue</span><span class="iti__dial-code">+683</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-nf" role="option" data-dial-code="672" data-country-code="nf" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__nf"></div>
</div><span class="iti__country-name">Norfolk Island</span><span class="iti__dial-code">+672</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kp" role="option" data-dial-code="850" data-country-code="kp" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__kp"></div>
</div><span class="iti__country-name">North Korea (조선 민주주의 인민 공화국)</span><span class="iti__dial-code">+850</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mp" role="option" data-dial-code="1" data-country-code="mp" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mp"></div>
</div><span class="iti__country-name">Northern Mariana Islands</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-no" role="option" data-dial-code="47" data-country-code="no" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__no"></div>
</div><span class="iti__country-name">Norway (Norge)</span><span class="iti__dial-code">+47</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-om" role="option" data-dial-code="968" data-country-code="om" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__om"></div>
</div><span class="iti__country-name">Oman (عُمان)</span><span class="iti__dial-code">+968</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pk" role="option" data-dial-code="92" data-country-code="pk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pk"></div>
</div><span class="iti__country-name">Pakistan (پاکستان)</span><span class="iti__dial-code">+92</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pw" role="option" data-dial-code="680" data-country-code="pw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pw"></div>
</div><span class="iti__country-name">Palau</span><span class="iti__dial-code">+680</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ps" role="option" data-dial-code="970" data-country-code="ps" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ps"></div>
</div><span class="iti__country-name">Palestine (فلسطين)</span><span class="iti__dial-code">+970</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pa" role="option" data-dial-code="507" data-country-code="pa" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pa"></div>
</div><span class="iti__country-name">Panama (Panamá)</span><span class="iti__dial-code">+507</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pg" role="option" data-dial-code="675" data-country-code="pg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pg"></div>
</div><span class="iti__country-name">Papua New Guinea</span><span class="iti__dial-code">+675</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-py" role="option" data-dial-code="595" data-country-code="py" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__py"></div>
</div><span class="iti__country-name">Paraguay</span><span class="iti__dial-code">+595</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pe" role="option" data-dial-code="51" data-country-code="pe" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pe"></div>
</div><span class="iti__country-name">Peru (Perú)</span><span class="iti__dial-code">+51</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ph" role="option" data-dial-code="63" data-country-code="ph" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ph"></div>
</div><span class="iti__country-name">Philippines</span><span class="iti__dial-code">+63</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pl" role="option" data-dial-code="48" data-country-code="pl" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pl"></div>
</div><span class="iti__country-name">Poland (Polska)</span><span class="iti__dial-code">+48</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pt" role="option" data-dial-code="351" data-country-code="pt" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pt"></div>
</div><span class="iti__country-name">Portugal</span><span class="iti__dial-code">+351</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pr" role="option" data-dial-code="1" data-country-code="pr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pr"></div>
</div><span class="iti__country-name">Puerto Rico</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-qa" role="option" data-dial-code="974" data-country-code="qa" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__qa"></div>
</div><span class="iti__country-name">Qatar (قطر)</span><span class="iti__dial-code">+974</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-re" role="option" data-dial-code="262" data-country-code="re" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__re"></div>
</div><span class="iti__country-name">Réunion (La Réunion)</span><span class="iti__dial-code">+262</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ro" role="option" data-dial-code="40" data-country-code="ro" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ro"></div>
</div><span class="iti__country-name">Romania (România)</span><span class="iti__dial-code">+40</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ru" role="option" data-dial-code="7" data-country-code="ru" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ru"></div>
</div><span class="iti__country-name">Russia (Россия)</span><span class="iti__dial-code">+7</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-rw" role="option" data-dial-code="250" data-country-code="rw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__rw"></div>
</div><span class="iti__country-name">Rwanda</span><span class="iti__dial-code">+250</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-bl" role="option" data-dial-code="590" data-country-code="bl" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__bl"></div>
</div><span class="iti__country-name">Saint Barthélemy</span><span class="iti__dial-code">+590</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sh" role="option" data-dial-code="290" data-country-code="sh" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sh"></div>
</div><span class="iti__country-name">Saint Helena</span><span class="iti__dial-code">+290</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kn" role="option" data-dial-code="1" data-country-code="kn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__kn"></div>
</div><span class="iti__country-name">Saint Kitts and Nevis</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lc" role="option" data-dial-code="1" data-country-code="lc" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__lc"></div>
</div><span class="iti__country-name">Saint Lucia</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-mf" role="option" data-dial-code="590" data-country-code="mf" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__mf"></div>
</div><span class="iti__country-name">Saint Martin (Saint-Martin (partie française))</span><span class="iti__dial-code">+590</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-pm" role="option" data-dial-code="508" data-country-code="pm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__pm"></div>
</div><span class="iti__country-name">Saint Pierre and Miquelon (Saint-Pierre-et-Miquelon)</span><span class="iti__dial-code">+508</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vc" role="option" data-dial-code="1" data-country-code="vc" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__vc"></div>
</div><span class="iti__country-name">Saint Vincent and the Grenadines</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ws" role="option" data-dial-code="685" data-country-code="ws" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ws"></div>
</div><span class="iti__country-name">Samoa</span><span class="iti__dial-code">+685</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sm" role="option" data-dial-code="378" data-country-code="sm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sm"></div>
</div><span class="iti__country-name">San Marino</span><span class="iti__dial-code">+378</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-st" role="option" data-dial-code="239" data-country-code="st" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__st"></div>
</div><span class="iti__country-name">São Tomé and Príncipe (São Tomé e Príncipe)</span><span class="iti__dial-code">+239</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sa" role="option" data-dial-code="966" data-country-code="sa" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sa"></div>
</div><span class="iti__country-name">Saudi Arabia (المملكة العربية السعودية)</span><span class="iti__dial-code">+966</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sn" role="option" data-dial-code="221" data-country-code="sn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sn"></div>
</div><span class="iti__country-name">Senegal (Sénégal)</span><span class="iti__dial-code">+221</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-rs" role="option" data-dial-code="381" data-country-code="rs" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__rs"></div>
</div><span class="iti__country-name">Serbia (Србија)</span><span class="iti__dial-code">+381</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sc" role="option" data-dial-code="248" data-country-code="sc" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sc"></div>
</div><span class="iti__country-name">Seychelles</span><span class="iti__dial-code">+248</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sl" role="option" data-dial-code="232" data-country-code="sl" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sl"></div>
</div><span class="iti__country-name">Sierra Leone</span><span class="iti__dial-code">+232</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sg" role="option" data-dial-code="65" data-country-code="sg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sg"></div>
</div><span class="iti__country-name">Singapore</span><span class="iti__dial-code">+65</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sx" role="option" data-dial-code="1" data-country-code="sx" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sx"></div>
</div><span class="iti__country-name">Sint Maarten</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sk" role="option" data-dial-code="421" data-country-code="sk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sk"></div>
</div><span class="iti__country-name">Slovakia (Slovensko)</span><span class="iti__dial-code">+421</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-si" role="option" data-dial-code="386" data-country-code="si" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__si"></div>
</div><span class="iti__country-name">Slovenia (Slovenija)</span><span class="iti__dial-code">+386</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sb" role="option" data-dial-code="677" data-country-code="sb" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sb"></div>
</div><span class="iti__country-name">Solomon Islands</span><span class="iti__dial-code">+677</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-so" role="option" data-dial-code="252" data-country-code="so" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__so"></div>
</div><span class="iti__country-name">Somalia (Soomaaliya)</span><span class="iti__dial-code">+252</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-za" role="option" data-dial-code="27" data-country-code="za" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__za"></div>
</div><span class="iti__country-name">South Africa</span><span class="iti__dial-code">+27</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-kr" role="option" data-dial-code="82" data-country-code="kr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__kr"></div>
</div><span class="iti__country-name">South Korea (대한민국)</span><span class="iti__dial-code">+82</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ss" role="option" data-dial-code="211" data-country-code="ss" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ss"></div>
</div><span class="iti__country-name">South Sudan (جنوب السودان)</span><span class="iti__dial-code">+211</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-es" role="option" data-dial-code="34" data-country-code="es" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__es"></div>
</div><span class="iti__country-name">Spain (España)</span><span class="iti__dial-code">+34</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-lk" role="option" data-dial-code="94" data-country-code="lk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__lk"></div>
</div><span class="iti__country-name">Sri Lanka (ශ්රී ලංකාව)</span><span class="iti__dial-code">+94</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sd" role="option" data-dial-code="249" data-country-code="sd" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sd"></div>
</div><span class="iti__country-name">Sudan (السودان)</span><span class="iti__dial-code">+249</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sr" role="option" data-dial-code="597" data-country-code="sr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sr"></div>
</div><span class="iti__country-name">Suriname</span><span class="iti__dial-code">+597</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sj" role="option" data-dial-code="47" data-country-code="sj" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sj"></div>
</div><span class="iti__country-name">Svalbard and Jan Mayen</span><span class="iti__dial-code">+47</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sz" role="option" data-dial-code="268" data-country-code="sz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sz"></div>
</div><span class="iti__country-name">Swaziland</span><span class="iti__dial-code">+268</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-se" role="option" data-dial-code="46" data-country-code="se" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__se"></div>
</div><span class="iti__country-name">Sweden (Sverige)</span><span class="iti__dial-code">+46</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ch" role="option" data-dial-code="41" data-country-code="ch" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ch"></div>
</div><span class="iti__country-name">Switzerland (Schweiz)</span><span class="iti__dial-code">+41</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-sy" role="option" data-dial-code="963" data-country-code="sy" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__sy"></div>
</div><span class="iti__country-name">Syria (سوريا)</span><span class="iti__dial-code">+963</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tw" role="option" data-dial-code="886" data-country-code="tw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tw"></div>
</div><span class="iti__country-name">Taiwan (台灣)</span><span class="iti__dial-code">+886</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tj" role="option" data-dial-code="992" data-country-code="tj" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tj"></div>
</div><span class="iti__country-name">Tajikistan</span><span class="iti__dial-code">+992</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tz" role="option" data-dial-code="255" data-country-code="tz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tz"></div>
</div><span class="iti__country-name">Tanzania</span><span class="iti__dial-code">+255</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-th" role="option" data-dial-code="66" data-country-code="th" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__th"></div>
</div><span class="iti__country-name">Thailand (ไทย)</span><span class="iti__dial-code">+66</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tl" role="option" data-dial-code="670" data-country-code="tl" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tl"></div>
</div><span class="iti__country-name">Timor-Leste</span><span class="iti__dial-code">+670</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tg" role="option" data-dial-code="228" data-country-code="tg" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tg"></div>
</div><span class="iti__country-name">Togo</span><span class="iti__dial-code">+228</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tk" role="option" data-dial-code="690" data-country-code="tk" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tk"></div>
</div><span class="iti__country-name">Tokelau</span><span class="iti__dial-code">+690</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-to" role="option" data-dial-code="676" data-country-code="to" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__to"></div>
</div><span class="iti__country-name">Tonga</span><span class="iti__dial-code">+676</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tt" role="option" data-dial-code="1" data-country-code="tt" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tt"></div>
</div><span class="iti__country-name">Trinidad and Tobago</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tn" role="option" data-dial-code="216" data-country-code="tn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tn"></div>
</div><span class="iti__country-name">Tunisia (تونس)</span><span class="iti__dial-code">+216</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tr" role="option" data-dial-code="90" data-country-code="tr" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tr"></div>
</div><span class="iti__country-name">Turkey (Türkiye)</span><span class="iti__dial-code">+90</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tm" role="option" data-dial-code="993" data-country-code="tm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tm"></div>
</div><span class="iti__country-name">Turkmenistan</span><span class="iti__dial-code">+993</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tc" role="option" data-dial-code="1" data-country-code="tc" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tc"></div>
</div><span class="iti__country-name">Turks and Caicos Islands</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-tv" role="option" data-dial-code="688" data-country-code="tv" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__tv"></div>
</div><span class="iti__country-name">Tuvalu</span><span class="iti__dial-code">+688</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vi" role="option" data-dial-code="1" data-country-code="vi" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__vi"></div>
</div><span class="iti__country-name">U.S. Virgin Islands</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ug" role="option" data-dial-code="256" data-country-code="ug" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ug"></div>
</div><span class="iti__country-name">Uganda</span><span class="iti__dial-code">+256</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ua" role="option" data-dial-code="380" data-country-code="ua" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ua"></div>
</div><span class="iti__country-name">Ukraine (Україна)</span><span class="iti__dial-code">+380</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ae" role="option" data-dial-code="971" data-country-code="ae" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ae"></div>
</div><span class="iti__country-name">United Arab Emirates (الإمارات العربية المتحدة)</span><span class="iti__dial-code">+971</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-gb" role="option" data-dial-code="44" data-country-code="gb" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__gb"></div>
</div><span class="iti__country-name">United Kingdom</span><span class="iti__dial-code">+44</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-us" role="option" data-dial-code="1" data-country-code="us" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__us"></div>
</div><span class="iti__country-name">United States</span><span class="iti__dial-code">+1</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-uy" role="option" data-dial-code="598" data-country-code="uy" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__uy"></div>
</div><span class="iti__country-name">Uruguay</span><span class="iti__dial-code">+598</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-uz" role="option" data-dial-code="998" data-country-code="uz" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__uz"></div>
</div><span class="iti__country-name">Uzbekistan (Oʻzbekiston)</span><span class="iti__dial-code">+998</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vu" role="option" data-dial-code="678" data-country-code="vu" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__vu"></div>
</div><span class="iti__country-name">Vanuatu</span><span class="iti__dial-code">+678</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-va" role="option" data-dial-code="39" data-country-code="va" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__va"></div>
</div><span class="iti__country-name">Vatican City (Città del Vaticano)</span><span class="iti__dial-code">+39</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ve" role="option" data-dial-code="58" data-country-code="ve" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ve"></div>
</div><span class="iti__country-name">Venezuela</span><span class="iti__dial-code">+58</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-vn" role="option" data-dial-code="84" data-country-code="vn" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__vn"></div>
</div><span class="iti__country-name">Vietnam (Việt Nam)</span><span class="iti__dial-code">+84</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-wf" role="option" data-dial-code="681" data-country-code="wf" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__wf"></div>
</div><span class="iti__country-name">Wallis and Futuna (Wallis-et-Futuna)</span><span class="iti__dial-code">+681</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-eh" role="option" data-dial-code="212" data-country-code="eh" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__eh"></div>
</div><span class="iti__country-name">Western Sahara (الصحراء الغربية)</span><span class="iti__dial-code">+212</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ye" role="option" data-dial-code="967" data-country-code="ye" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ye"></div>
</div><span class="iti__country-name">Yemen (اليمن)</span><span class="iti__dial-code">+967</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-zm" role="option" data-dial-code="260" data-country-code="zm" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__zm"></div>
</div><span class="iti__country-name">Zambia</span><span class="iti__dial-code">+260</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-zw" role="option" data-dial-code="263" data-country-code="zw" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__zw"></div>
</div><span class="iti__country-name">Zimbabwe</span><span class="iti__dial-code">+263</span>
</li>
<li class="iti__country iti__standard" tabindex="-1" id="iti-0__item-ax" role="option" data-dial-code="358" data-country-code="ax" aria-selected="false">
<div class="iti__flag-box">
<div class="iti__flag iti__ax"></div>
</div><span class="iti__country-name">Åland Islands</span><span class="iti__dial-code">+358</span>
</li>
</ul>
</div><input type="text" name="phone" data-id="16548" autocomplete="tel" utilsscript="/static/formulaic/js/intTelInput_utils.js" extensionprefix=" ext. " fullsuffix="_full" data-required="true" required="" id="id_phone"
data-intl-tel-input-id="0" placeholder="(201) 555-0123 ext. 4"><input type="hidden" name="phone_full">
</div>
</div>
<div class="forms-field field-wrapper form-group select
">
<label class="forms-field-label" for="id_grade_0"> Grade/Rank <span class="forms-required-label">*</span>
</label>
<input type="hidden" name="grade_0" data-initial="null" data-required="true" required="" id="id_grade_0" value=""><select name="grade_1" data-group-id="null" data-id="16549" data-required="true" required="" id="id_grade_1">
<option value="" selected="">(Choose One)</option>
<option value="62">SES</option>
<option value="63">GS-15</option>
<option value="64">GS-14</option>
<option value="65">GS-13</option>
<option value="66">GS-12</option>
<option value="67">GS-11</option>
<option value="68">GS-10</option>
<option value="69">GS-9 and below</option>
<option value="70">O1</option>
<option value="71">O2</option>
<option value="72">O3</option>
<option value="73">O4</option>
<option value="74">O5</option>
<option value="75">O6</option>
<option value="76">O7</option>
<option value="77">O8</option>
<option value="78">O9</option>
<option value="79">O10</option>
<option value="80">E1</option>
<option value="81">E2</option>
<option value="82">E3</option>
<option value="83">E4</option>
<option value="84">E5</option>
<option value="85">E6</option>
<option value="86">E7</option>
<option value="87">E8</option>
<option value="88">E9</option>
<option value="89">E10</option>
<option value="90">Not Applicable</option>
</select><select name="grade_2" data-group-id="7" data-id="16549" data-required="true" id="id_grade_2" style="display: none;">
<option value="" selected="">(Choose One)</option>
<option value="62">SES</option>
<option value="63">GS-15</option>
<option value="64">GS-14</option>
<option value="65">GS-13</option>
<option value="66">GS-12</option>
<option value="67">GS-11</option>
<option value="68">GS-10</option>
<option value="69">GS-9 and below</option>
</select><select name="grade_3" data-group-id="8" data-id="16549" data-required="true" id="id_grade_3" style="display: none;">
<option value="" selected="">(Choose One)</option>
<option value="70">O1</option>
<option value="71">O2</option>
<option value="72">O3</option>
<option value="73">O4</option>
<option value="74">O5</option>
<option value="75">O6</option>
<option value="76">O7</option>
<option value="77">O8</option>
<option value="78">O9</option>
<option value="79">O10</option>
<option value="80">E1</option>
<option value="81">E2</option>
<option value="82">E3</option>
<option value="83">E4</option>
<option value="84">E5</option>
<option value="85">E6</option>
<option value="86">E7</option>
<option value="87">E8</option>
<option value="88">E9</option>
<option value="89">E10</option>
</select><select name="grade_4" data-group-id="9" data-id="16549" data-required="true" id="id_grade_4" style="display: none;">
<option value="" selected="">(Choose One)</option>
<option value="62">SES</option>
<option value="63">GS-15</option>
<option value="64">GS-14</option>
<option value="65">GS-13</option>
<option value="66">GS-12</option>
<option value="67">GS-11</option>
<option value="68">GS-10</option>
<option value="69">GS-9 and below</option>
</select>
</div>
<div class="forms-field field-wrapper form-group select
">
<label class="forms-field-label" for="id_job_function_0"> Job Function <span class="forms-required-label">*</span>
</label>
<input type="hidden" name="job_function_0" data-initial="null" data-required="true" required="" id="id_job_function_0" value=""><select name="job_function_1" data-group-id="null" data-id="16550" data-required="true" required=""
id="id_job_function_1">
<option value="" selected="">(Choose One)</option>
<option value="91">Agency Leadership</option>
<option value="92">Business & Operations</option>
<option value="93">Communications & Marketing</option>
<option value="94">Financial/Contract Management</option>
<option value="95">Human Resource Management</option>
<option value="96">Technology Management</option>
</select><select name="job_function_2" data-group-id="10" data-id="16550" data-required="true" id="id_job_function_2" style="display: none;">
<option value="" selected="">(Choose One)</option>
<option value="92">Business & Operations</option>
<option value="93">Communications & Marketing</option>
<option value="94">Financial/Contract Management</option>
<option value="95">Human Resource Management</option>
<option value="96">Technology Management</option>
</select>
</div>
<div class="forms-field field-wrapper form-group select
">
<label class="forms-field-label" for="id_country"> Country <span class="forms-required-label">*</span>
</label>
<select name="country" data-id="16551" data-required="true" required="" id="id_country">
<option value="" selected="">(Choose One)</option>
<option value="153">United States</option>
<option value="154">EEA (European Economic Area)</option>
<option value="155">Canada</option>
<option value="156">Other</option>
</select>
</div>
<div class="forms-field field-wrapper form-group textinput
" style="display: none;">
<label class="forms-field-label" for="id_country_other"> Country (Other) <span class="forms-required-label">*</span>
</label>
<input type="text" name="country_other" data-id="16552" data-required="true" autocomplete="country-name" id="id_country_other">
</div>
<div class="forms-field field-wrapper form-group select
" style="display: none;">
<label class="forms-field-label" for="id_state"> State <span class="forms-required-label">*</span>
</label>
<select name="state" data-id="16553" data-required="true" id="id_state">
<option value="" selected="">(Choose One)</option>
<option value="472">Not Applicable</option>
<option value="97">Alabama</option>
<option value="98">Alaska</option>
<option value="99">Arizona</option>
<option value="100">Arkansas</option>
<option value="101">California</option>
<option value="102">Colorado</option>
<option value="103">Connecticut</option>
<option value="104">Delaware</option>
<option value="105">District of Columbia</option>
<option value="106">Florida</option>
<option value="107">Georgia</option>
<option value="108">Guam</option>
<option value="109">Hawaii</option>
<option value="110">Idaho</option>
<option value="111">Illinois</option>
<option value="112">Indiana</option>
<option value="113">Iowa</option>
<option value="114">Kansas</option>
<option value="115">Kentucky</option>
<option value="116">Louisiana</option>
<option value="117">Maine</option>
<option value="118">Maryland</option>
<option value="119">Massachusetts</option>
<option value="120">Michigan</option>
<option value="121">Minnesota</option>
<option value="122">Mississippi</option>
<option value="123">Missouri</option>
<option value="124">Montana</option>
<option value="125">Nebraska</option>
<option value="126">Nevada</option>
<option value="127">New Hampshire</option>
<option value="128">New Jersey</option>
<option value="129">New Mexico</option>
<option value="130">New York</option>
<option value="131">North Carolina</option>
<option value="132">North Dakota</option>
<option value="133">Ohio</option>
<option value="134">Oklahoma</option>
<option value="135">Oregon</option>
<option value="136">Pennsylvania</option>
<option value="137">Puerto Rico</option>
<option value="138">Rhode Island</option>
<option value="139">South Carolina</option>
<option value="140">South Dakota</option>
<option value="141">Tennessee</option>
<option value="142">Texas</option>
<option value="143">Utah</option>
<option value="144">Vermont</option>
<option value="145">Virgin Islands</option>
<option value="146">Virginia</option>
<option value="147">Washington</option>
<option value="148">West Virginia</option>
<option value="149">Wisconsin</option>
<option value="150">Wyoming</option>
<option value="151">Overseas Europe (AE)</option>
<option value="152">Overseas Pacific (AP)</option>
</select>
</div>
<div class="forms-field field-wrapper form-group select
" style="display: none;">
<label class="forms-field-label" for="id_canadian_province"> Province <span class="forms-required-label">*</span>
</label>
<select name="canadian_province" data-id="16554" data-required="true" id="id_canadian_province">
<option value="" selected="">(Choose One)</option>
<option value="513">Alberta</option>
<option value="514">British Columbia</option>
<option value="515">Manitoba</option>
<option value="516">New Brunswick</option>
<option value="517">Newfoundland and Labrador</option>
<option value="518">Nova Scotia</option>
<option value="520">Prince Edward Island</option>
<option value="519">Saskatchewan</option>
<option value="555">Ontario</option>
</select>
</div>
<div class="forms-field field-wrapper form-group textinput
">
<label class="forms-field-label" for="id_city"> City <span class="forms-required-label">*</span>
</label>
<input type="text" name="city" data-id="16555" data-required="true" autocomplete="on" required="" id="id_city">
</div>
<div class="forms-field field-wrapper form-group textinput
">
<label class="forms-field-label" for="id_zip_code"> Zip/Postal Code <span class="forms-required-label">*</span>
</label>
<input type="text" name="zip_code" data-id="16556" data-required="true" autocomplete="on" required="" id="id_zip_code">
</div>
<div class="forms-field field-wrapper form-group checkboxselectmultiple
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<label class="forms-field-label" for="id_procurement_0"> Which of the following products and services do you plan to recommend, specify, or approve the procurement of in the next 12 months? </label>
<div class="checkbox"><input type="hidden" name="procurement_0" data-initial="null" id="id_procurement_0" value="">
<div id="id_procurement_1">
<div><label for="id_procurement_1_0"><input type="checkbox" name="procurement_1" value="257" data-group-id="null" data-id="16560" id="id_procurement_1_0"> AI/Machine Learning</label></div>
<div><label for="id_procurement_1_1"><input type="checkbox" name="procurement_1" value="261" data-group-id="null" data-id="16560" id="id_procurement_1_1"> Big Data Management and Analytics</label></div>
<div><label for="id_procurement_1_2"><input type="checkbox" name="procurement_1" value="258" data-group-id="null" data-id="16560" id="id_procurement_1_2"> Citizen Experience/Digital Government</label></div>
<div><label for="id_procurement_1_3"><input type="checkbox" name="procurement_1" value="259" data-group-id="null" data-id="16560" id="id_procurement_1_3"> Cloud Computing</label></div>
<div><label for="id_procurement_1_4"><input type="checkbox" name="procurement_1" value="260" data-group-id="null" data-id="16560" id="id_procurement_1_4"> Cybersecurity</label></div>
<div><label for="id_procurement_1_5"><input type="checkbox" name="procurement_1" value="262" data-group-id="null" data-id="16560" id="id_procurement_1_5"> Emerging Technology</label></div>
<div><label for="id_procurement_1_6"><input type="checkbox" name="procurement_1" value="264" data-group-id="null" data-id="16560" id="id_procurement_1_6"> Health IT</label></div>
<div><label for="id_procurement_1_7"><input type="checkbox" name="procurement_1" value="265" data-group-id="null" data-id="16560" id="id_procurement_1_7"> Infrastructure Solutions</label></div>
<div><label for="id_procurement_1_8"><input type="checkbox" name="procurement_1" value="266" data-group-id="null" data-id="16560" id="id_procurement_1_8"> IT Modernization</label></div>
<div><label for="id_procurement_1_9"><input type="checkbox" name="procurement_1" value="267" data-group-id="null" data-id="16560" id="id_procurement_1_9"> Mobility Solutions</label></div>
<div><label for="id_procurement_1_10"><input type="checkbox" name="procurement_1" value="268" data-group-id="null" data-id="16560" id="id_procurement_1_10"> Network/Systems Mgmt</label></div>
<div><label for="id_procurement_1_11"><input type="checkbox" name="procurement_1" value="269" data-group-id="null" data-id="16560" id="id_procurement_1_11"> Public Safety</label></div>
<div><label for="id_procurement_1_12"><input type="checkbox" name="procurement_1" value="270" data-group-id="null" data-id="16560" id="id_procurement_1_12"> Smart City/IoT Solutions</label></div>
<div><label for="id_procurement_1_13"><input type="checkbox" name="procurement_1" value="271" data-group-id="null" data-id="16560" id="id_procurement_1_13"> Systems/Hardware/Software</label></div>
<div><label for="id_procurement_1_14"><input type="checkbox" name="procurement_1" value="272" data-group-id="null" data-id="16560" id="id_procurement_1_14"> Workforce & Training</label></div>
</div>
<div id="id_procurement_2">
<div><label for="id_procurement_2_0"><input type="checkbox" name="procurement_2" value="257" data-group-id="12" data-id="16560" id="id_procurement_2_0"> AI/Machine Learning</label></div>
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<label for="id_fcw_newsletter_1"><input type="checkbox" name="fcw_newsletter" value="469" data-id="16561" id="id_fcw_newsletter_1"> GovExec Today</label>
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<label for="id_fcw_newsletter_2"><input type="checkbox" name="fcw_newsletter" value="471" data-id="16561" id="id_fcw_newsletter_2"> Route Fifty Today</label>
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<label for="id_fcw_newsletter_4"><input type="checkbox" name="fcw_newsletter" value="558" data-id="16561" id="id_fcw_newsletter_4"> Federal Tech Today</label>
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<label for="id_fcw_newsletter_5"><input type="checkbox" name="fcw_newsletter" value="559" data-id="16561" id="id_fcw_newsletter_5"> The D Brief</label>
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