my.conexsys.com
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13.71.170.132
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Submitted URL: https://e.hmpcme.com/?ref=DSsAAHf0WkzoCvfkUL9AIdSeaJZl9t5rAQAAAI__ed5acRRRdxIUvL-XM_fHL0PK8ZrQTfyJOsAX7zb7JxvvqLgbJlr...
Effective URL: https://my.conexsys.com/EventRegistration/Login?key=uXTe9rf6e0aLWhLFHJIkCAh3RgtfELPpo6fDFBGt-oRh6-FdtPDz_caAc1khsfmU4TJt...
Submission: On June 27 via manual from US — Scanned from US
Effective URL: https://my.conexsys.com/EventRegistration/Login?key=uXTe9rf6e0aLWhLFHJIkCAh3RgtfELPpo6fDFBGt-oRh6-FdtPDz_caAc1khsfmU4TJt...
Submission: On June 27 via manual from US — Scanned from US
Form analysis 1 forms found in the DOM
<form id="frmPage" onsubmit="return false;">
<div id="content-place-holder" data-bind="css:cssClass(),foreach:$root.contentSectionList" class="base-content">
<!-- ko if: isVisible() -->
<div id="section_60920" data-bind="attr:{Id:'section_'+id()},css:cssClass()" class="section-row row sec-other">
<div id="col_60920" class="col-md-12" data-bind="attr:{Id:'col_'+id()}">
<div id="foreach_60920" data-bind="attr:{Id:'foreach_'+id()},foreach: elementList">
<!-- ko if:elementTypeName()=='AlreadyRegistered' || elementTypeName()=='RegistrationForm' || elementTypeName()=='CompanyLogin' --><!-- /ko -->
<!-- ko ifnot:elementTypeName()=='AlreadyRegistered' || elementTypeName()=='RegistrationForm' || elementTypeName()=='CompanyLogin'-->
<div id="elemrow_140172" class="element-row" data-bind="attr:{Id:'elemrow_'+id()}">
<div id="element_140172" class="element-temp" data-bind="attr:{Id:'element_'+id()}, template: { name: elementTypeName(),data: { elementObj: $data },afterRender:$root.applyValidation}">
<div data-bind="html:elementObj.attributeVM.rawHtml(),visible:elementObj.attributeVM.visible">
<div class="text-center">
<h1>Welcome to Registration for the HMP Education | MATE Act Training</h1>
<h1></h1>
</div>
</div>
</div>
</div>
<!-- /ko -->
</div>
</div>
</div>
<!-- /ko -->
<!-- ko if: isVisible() -->
<div id="section_60921" data-bind="attr:{Id:'section_'+id()},css:cssClass()" class="section-row row sec-login">
<div id="col_60921" class="col-md-12" data-bind="attr:{Id:'col_'+id()}">
<div id="foreach_60921" data-bind="attr:{Id:'foreach_'+id()},foreach: elementList">
<!-- ko if:elementTypeName()=='AlreadyRegistered' || elementTypeName()=='RegistrationForm' || elementTypeName()=='CompanyLogin' -->
<div id="col6_140173" class="col-md-6" data-bind="attr:{Id:'col6_'+id()}">
<div id="elemrow_140173" class="element-row" data-bind="attr:{Id:'elemrow_'+id()}">
<div id="element_140173" class="element-temp" data-bind="attr:{Id:'element_'+id()}, template: { name: elementTypeName(),data: { elementObj: $data },afterRender:$root.applyValidation}"><!-- ko if:elementObj.attributeVM.visible()-->
<script type="text/html" id="salutation-template">
<select class="form-control" data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()}, optionsCaption: 'Select Salutation',value:$root.salutaion">
<option value="">Not Selected</option>
<option value="Mr.">Mr.</option>
<option value="Mrs.">Mrs.</option>
<option value="Ms.">Ms.</option>
<option value="Miss.">Miss.</option>
<option value="Major">Major</option>
<option value="Prof.">Prof.</option>
<option value="Hon.">Hon.</option>
<option value="Dr.">Dr.</option>
</select>
</script>
<script type="text/html" id="country-template">
<select class="form-control"
data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $parent.elementObj.attributeVM.countryList, optionsText: 'name',optionsValue: 'id', optionsCaption: 'Select Country',value:$root.countryId"></select>
</script>
<script type="text/html" id="state-template">
<select class="form-control" data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $root.stateList, optionsText: 'Name',optionsValue: 'Id', optionsCaption: 'Select State',value:$root.stateId"></select>
</script>
<script type="text/html" id="alt-country-template">
<select class="form-control"
data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $parent.elementObj.attributeVM.altCountryList, optionsText: 'name',optionsValue: 'id', optionsCaption: 'Select Country',value:$root.altCountryId"></select>
</script>
<script type="text/html" id="alt-state-template">
<select class="form-control" data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $root.altStateList, optionsText: 'Name',optionsValue: 'Id', optionsCaption: 'Select State',value:$root.altStateId "></select>
</script>
<script type="text/html" id="lookup-company-template">
<select class="form-control"
data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $parent.elementObj.attributeVM.lookup.precedingRegistrationList, optionsText: 'company',optionsValue: 'id', optionsCaption: 'Select Company',value:$root.lookupInviteeId"></select>
</script>
<script type="text/html" id="lookup-country-template">
<select class="form-control"
data-bind="attr:{name:'lu'+fieldDbName()},css:{reqfield: isRequired()},options: $parent.elementObj.attributeVM.lookup.countryList, optionsText: 'name',optionsValue: 'id', optionsCaption: 'Select Country',value:$root.lookupCountryId"></select>
</script>
<script type="text/html" id="lookup-state-template">
<select class="form-control"
data-bind="attr:{name:'lu'+fieldDbName()},css:{reqfield: isRequired()},options: $root.lookupStateList, optionsText: 'Name',optionsValue: 'Id', optionsCaption: 'Select State',value:$root.lookupStateId"></select>
</script>
<script type="text/html" id="lookup-alt-country-template">
<select class="form-control"
data-bind="attr:{name:'lu'+fieldDbName()},css:{reqfield: isRequired()},options: $parent.elementObj.attributeVM.lookup.altCountryList, optionsText: 'name',optionsValue: 'id', optionsCaption: 'Select Country',value:$root.lookupAltCountryId"></select>
</script>
<script type="text/html" id="lookup-alt-state-template">
<select class="form-control"
data-bind="attr:{name:'lu'+fieldDbName()},css:{reqfield: isRequired()},options: $root.lookupAltStateList, optionsText: 'Name',optionsValue: 'Id', optionsCaption: 'Select State',value:$root.lookupAltStateId "></select>
</script>
<script type="text/html" id="singlequestion-template">
<div data-bind="foreach:singleChoiceQuestion.answerList, css:{'single-reqfield': isRequired()}">
<div class="custom-radio">
<input type="radio"
data-bind="attr:{id:'rdb'+ $parent.singleChoiceQuestion.eventQuestionId()+$index(),name:$parent.fieldDbName()+$parent.singleChoiceQuestion.eventQuestionId()}, checked:$parent.singleChoiceQuestion.singleChoiceAnswerId, value: eventQuestionAnswerId, event:{click:$root.selectSingleChoiceQuestion.bind($data,$parent)}" />
<label class="font-w-400" data-bind="attr:{for:'rdb'+$parent.singleChoiceQuestion.eventQuestionId()+$index()}">
<span></span>
<div style="display:inline;" data-bind="html:answerText()"></div>
</label>
</div>
<div data-bind="visible:eventQuestionAnswerId()==$parent.singleChoiceQuestion.singleChoiceAnswerId() && isOther()==true">
<input type="text" class="form-control"
data-bind="attr:{id:'isOtherTextRDB'+eventQuestionAnswerId(),placeholder:otherAnswerPlaceHolder()},value:otherTextAnswer, css:{reqfield: isOtherTextRequired()}, event: {change: $root.onFocusOutOtherQuestion}" />
</div>
</div>
</script>
<script type="text/html" id="yesnoquestion-template">
<div data-bind="foreach:yesNoQuestion.answerList, css:{'yesno-reqfield': isRequired()}">
<div class="custom-radio">
<input type="radio"
data-bind="attr:{id:'rdbYesNo'+$parent.yesNoQuestion.eventQuestionId()+$index(),name:$parent.fieldDbName()+$parent.yesNoQuestion.eventQuestionId()}, checked:$parent.yesNoQuestion.singleChoiceAnswerId, value: eventQuestionAnswerId, event:{click:$root.selectYesNoQuestion.bind($data,$parent)}" />
<label class="font-w-400" data-bind="attr:{for:'rdbYesNo'+$parent.yesNoQuestion.eventQuestionId()+$index()}">
<span></span><!-- ko text:answerText --><!-- /ko -->
</label>
</div>
</div>
</script>
<script type="text/html" id="multiquestion-template">
<div data-bind="foreach:multiChoiceQuestion.answerList, css:{'multi-reqfield': isRequired()}">
<div class="custom-checkbox">
<input type="checkbox"
data-bind="attr:{id:'chkMSelect'+eventQuestionAnswerId(), name:$parent.fieldDbName()+$parent.multiChoiceQuestion.eventQuestionId()}, checked:isSelected, event: { click: $root.selectMultiChoiceQuestion.bind($data, $parent) }" />
<label class="font-w-400" data-bind="attr:{for:'chkMSelect'+eventQuestionAnswerId()}">
<span></span>
<div style="display:inline;" data-bind="html:answerText"></div>
</label>
</div>
<div class="form-group col-md-12 col-sm-12" data-bind="visible:isSelected()==true && isOther()==true">
<input type="text" class="form-control" data-bind="attr:{id:'isOtherText'+eventQuestionAnswerId(), placeholder:otherAnswerPlaceHolder()},value:otherTextAnswer, event: {change: $root.onFocusOutOtherQuestion}" />
</div>
</div>
</script>
<script type="text/html" id="customtextquestion-template">
<input type="text" class="form-control" data-bind="attr:{name:fieldDbName()+id()}, css:{reqfield: isRequired()}, value:customQuestion.customAnswerText, event: {change: $root.onFocusOutCustomQuestion}" />
</script>
<!--ko if:elementObj.attributeVM.displayLookup()--><!--/ko-->
<!-- ko if:elementObj.attributeVM.displayExternalAuthentication()--><!-- /ko -->
<div class="col-md-12" data-bind="html:elementObj.attributeVM.header.text()">
<div class="text-center">
<h1>New Registration</h1>
<p>Please provide your information below.</p>
<p></p>
<p></p>
<div></div>
</div>
</div>
<div data-bind="foreach:elementObj.attributeVM.fieldList">
<div class="form-group">
<label class="control-label col-sm-4"> <!-- ko text:fieldName -->First Name<!-- /ko --> <span data-bind="css:{hidden:!isRequired()}">*</span></label>
<div class="col-sm-6"
data-bind="visible:inputType()!='dropdown' && inputType()!='singlequestion' && inputType()!='yesnoquestion' && inputType()!='multiquestion' && inputType()!='customtextquestion'">
<!-- ko if:fieldDbName()=='DateofBirth'--><!-- /ko -->
<!-- ko ifnot:fieldDbName()=='DateofBirth'-->
<!-- ko ifnot:fieldDbName()=='Password'-->
<!-- ko ifnot:fieldDbName()=='ReEmail'-->
<input class="form-control reqfield" data-bind="attr:{type:inputType(), id:fieldDbName(), name:fieldDbName(),maxlength:maxLength()},css:{reqfield: isRequired()},value:fieldValue, event: {change: $root.onFocusOut}" type="text"
id="FirstName" name="FirstName" maxlength="40" aria-required="true">
<!-- /ko -->
<!-- ko if:fieldDbName()=='ReEmail'--><!-- /ko -->
<!-- /ko -->
<!-- ko if:fieldDbName()=='Password'--><!-- /ko -->
<!-- /ko -->
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='Salutation') , template:{ name: 'salutation-template'}" style="display: none;">
<select class="form-control reqfield" data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()}, optionsCaption: 'Select Salutation',value:$root.salutaion" name="FirstName">
<option value="">Not Selected</option>
<option value="Mr.">Mr.</option>
<option value="Mrs.">Mrs.</option>
<option value="Ms.">Ms.</option>
<option value="Miss.">Miss.</option>
<option value="Major">Major</option>
<option value="Prof.">Prof.</option>
<option value="Hon.">Hon.</option>
<option value="Dr.">Dr.</option>
</select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='Country') , template:{ name: 'country-template'}" style="display: none;">
<select class="form-control reqfield"
data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $parent.elementObj.attributeVM.countryList, optionsText: 'name',optionsValue: 'id', optionsCaption: 'Select Country',value:$root.countryId"
name="FirstName"></select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='ProvState') , template:{ name: 'state-template'}" style="display: none;">
<select class="form-control reqfield" data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $root.stateList, optionsText: 'Name',optionsValue: 'Id', optionsCaption: 'Select State',value:$root.stateId"
name="FirstName">
<option value="">Select State</option>
</select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='AltCountry') , template:{ name: 'alt-country-template'}" style="display: none;">
<select class="form-control reqfield"
data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $parent.elementObj.attributeVM.altCountryList, optionsText: 'name',optionsValue: 'id', optionsCaption: 'Select Country',value:$root.altCountryId"
name="FirstName"></select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='AltProvState') , template:{ name: 'alt-state-template'}" style="display: none;">
<select class="form-control reqfield" data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $root.altStateList, optionsText: 'Name',optionsValue: 'Id', optionsCaption: 'Select State',value:$root.altStateId "
name="FirstName">
<option value="">Select State</option>
</select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='singlequestion'), template:{ name: 'singlequestion-template'}" style="display: none;">
<div data-bind="foreach:singleChoiceQuestion.answerList, css:{'single-reqfield': isRequired()}" class="single-reqfield"></div>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='yesnoquestion'), template:{ name: 'yesnoquestion-template'}" style="display: none;">
<div data-bind="foreach:yesNoQuestion.answerList, css:{'yesno-reqfield': isRequired()}" class="yesno-reqfield"></div>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='multiquestion'), template:{ name: 'multiquestion-template'}" style="display: none;">
<div data-bind="foreach:multiChoiceQuestion.answerList, css:{'multi-reqfield': isRequired()}" class="multi-reqfield"></div>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='customtextquestion'), template:{ name: 'customtextquestion-template'}" style="display: none;">
<input type="text" class="form-control reqfield" data-bind="attr:{name:fieldDbName()+id()}, css:{reqfield: isRequired()}, value:customQuestion.customAnswerText, event: {change: $root.onFocusOutCustomQuestion}"
name="FirstName0">
</div>
</div>
<div class="form-group">
<label class="control-label col-sm-4"> <!-- ko text:fieldName -->Last Name<!-- /ko --> <span data-bind="css:{hidden:!isRequired()}">*</span></label>
<div class="col-sm-6"
data-bind="visible:inputType()!='dropdown' && inputType()!='singlequestion' && inputType()!='yesnoquestion' && inputType()!='multiquestion' && inputType()!='customtextquestion'">
<!-- ko if:fieldDbName()=='DateofBirth'--><!-- /ko -->
<!-- ko ifnot:fieldDbName()=='DateofBirth'-->
<!-- ko ifnot:fieldDbName()=='Password'-->
<!-- ko ifnot:fieldDbName()=='ReEmail'-->
<input class="form-control reqfield" data-bind="attr:{type:inputType(), id:fieldDbName(), name:fieldDbName(),maxlength:maxLength()},css:{reqfield: isRequired()},value:fieldValue, event: {change: $root.onFocusOut}" type="text"
id="LastName" name="LastName" maxlength="40" aria-required="true">
<!-- /ko -->
<!-- ko if:fieldDbName()=='ReEmail'--><!-- /ko -->
<!-- /ko -->
<!-- ko if:fieldDbName()=='Password'--><!-- /ko -->
<!-- /ko -->
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='Salutation') , template:{ name: 'salutation-template'}" style="display: none;">
<select class="form-control reqfield" data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()}, optionsCaption: 'Select Salutation',value:$root.salutaion" name="LastName">
<option value="">Not Selected</option>
<option value="Mr.">Mr.</option>
<option value="Mrs.">Mrs.</option>
<option value="Ms.">Ms.</option>
<option value="Miss.">Miss.</option>
<option value="Major">Major</option>
<option value="Prof.">Prof.</option>
<option value="Hon.">Hon.</option>
<option value="Dr.">Dr.</option>
</select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='Country') , template:{ name: 'country-template'}" style="display: none;">
<select class="form-control reqfield"
data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $parent.elementObj.attributeVM.countryList, optionsText: 'name',optionsValue: 'id', optionsCaption: 'Select Country',value:$root.countryId"
name="LastName"></select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='ProvState') , template:{ name: 'state-template'}" style="display: none;">
<select class="form-control reqfield" data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $root.stateList, optionsText: 'Name',optionsValue: 'Id', optionsCaption: 'Select State',value:$root.stateId"
name="LastName">
<option value="">Select State</option>
</select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='AltCountry') , template:{ name: 'alt-country-template'}" style="display: none;">
<select class="form-control reqfield"
data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $parent.elementObj.attributeVM.altCountryList, optionsText: 'name',optionsValue: 'id', optionsCaption: 'Select Country',value:$root.altCountryId"
name="LastName"></select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='AltProvState') , template:{ name: 'alt-state-template'}" style="display: none;">
<select class="form-control reqfield" data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $root.altStateList, optionsText: 'Name',optionsValue: 'Id', optionsCaption: 'Select State',value:$root.altStateId "
name="LastName">
<option value="">Select State</option>
</select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='singlequestion'), template:{ name: 'singlequestion-template'}" style="display: none;">
<div data-bind="foreach:singleChoiceQuestion.answerList, css:{'single-reqfield': isRequired()}" class="single-reqfield"></div>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='yesnoquestion'), template:{ name: 'yesnoquestion-template'}" style="display: none;">
<div data-bind="foreach:yesNoQuestion.answerList, css:{'yesno-reqfield': isRequired()}" class="yesno-reqfield"></div>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='multiquestion'), template:{ name: 'multiquestion-template'}" style="display: none;">
<div data-bind="foreach:multiChoiceQuestion.answerList, css:{'multi-reqfield': isRequired()}" class="multi-reqfield"></div>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='customtextquestion'), template:{ name: 'customtextquestion-template'}" style="display: none;">
<input type="text" class="form-control reqfield" data-bind="attr:{name:fieldDbName()+id()}, css:{reqfield: isRequired()}, value:customQuestion.customAnswerText, event: {change: $root.onFocusOutCustomQuestion}"
name="LastName0">
</div>
</div>
<div class="form-group">
<label class="control-label col-sm-4"> <!-- ko text:fieldName -->Email<!-- /ko --> <span data-bind="css:{hidden:!isRequired()}">*</span></label>
<div class="col-sm-6"
data-bind="visible:inputType()!='dropdown' && inputType()!='singlequestion' && inputType()!='yesnoquestion' && inputType()!='multiquestion' && inputType()!='customtextquestion'">
<!-- ko if:fieldDbName()=='DateofBirth'--><!-- /ko -->
<!-- ko ifnot:fieldDbName()=='DateofBirth'-->
<!-- ko ifnot:fieldDbName()=='Password'-->
<!-- ko ifnot:fieldDbName()=='ReEmail'-->
<input class="form-control reqfield" data-bind="attr:{type:inputType(), id:fieldDbName(), name:fieldDbName(),maxlength:maxLength()},css:{reqfield: isRequired()},value:fieldValue, event: {change: $root.onFocusOut}" type="text"
id="Email" name="Email" maxlength="150" aria-required="true">
<!-- /ko -->
<!-- ko if:fieldDbName()=='ReEmail'--><!-- /ko -->
<!-- /ko -->
<!-- ko if:fieldDbName()=='Password'--><!-- /ko -->
<!-- /ko -->
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='Salutation') , template:{ name: 'salutation-template'}" style="display: none;">
<select class="form-control reqfield" data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()}, optionsCaption: 'Select Salutation',value:$root.salutaion" name="Email">
<option value="">Not Selected</option>
<option value="Mr.">Mr.</option>
<option value="Mrs.">Mrs.</option>
<option value="Ms.">Ms.</option>
<option value="Miss.">Miss.</option>
<option value="Major">Major</option>
<option value="Prof.">Prof.</option>
<option value="Hon.">Hon.</option>
<option value="Dr.">Dr.</option>
</select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='Country') , template:{ name: 'country-template'}" style="display: none;">
<select class="form-control reqfield"
data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $parent.elementObj.attributeVM.countryList, optionsText: 'name',optionsValue: 'id', optionsCaption: 'Select Country',value:$root.countryId"
name="Email"></select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='ProvState') , template:{ name: 'state-template'}" style="display: none;">
<select class="form-control reqfield" data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $root.stateList, optionsText: 'Name',optionsValue: 'Id', optionsCaption: 'Select State',value:$root.stateId"
name="Email">
<option value="">Select State</option>
</select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='AltCountry') , template:{ name: 'alt-country-template'}" style="display: none;">
<select class="form-control reqfield"
data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $parent.elementObj.attributeVM.altCountryList, optionsText: 'name',optionsValue: 'id', optionsCaption: 'Select Country',value:$root.altCountryId"
name="Email"></select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='AltProvState') , template:{ name: 'alt-state-template'}" style="display: none;">
<select class="form-control reqfield" data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $root.altStateList, optionsText: 'Name',optionsValue: 'Id', optionsCaption: 'Select State',value:$root.altStateId "
name="Email">
<option value="">Select State</option>
</select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='singlequestion'), template:{ name: 'singlequestion-template'}" style="display: none;">
<div data-bind="foreach:singleChoiceQuestion.answerList, css:{'single-reqfield': isRequired()}" class="single-reqfield"></div>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='yesnoquestion'), template:{ name: 'yesnoquestion-template'}" style="display: none;">
<div data-bind="foreach:yesNoQuestion.answerList, css:{'yesno-reqfield': isRequired()}" class="yesno-reqfield"></div>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='multiquestion'), template:{ name: 'multiquestion-template'}" style="display: none;">
<div data-bind="foreach:multiChoiceQuestion.answerList, css:{'multi-reqfield': isRequired()}" class="multi-reqfield"></div>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='customtextquestion'), template:{ name: 'customtextquestion-template'}" style="display: none;">
<input type="text" class="form-control reqfield" data-bind="attr:{name:fieldDbName()+id()}, css:{reqfield: isRequired()}, value:customQuestion.customAnswerText, event: {change: $root.onFocusOutCustomQuestion}" name="Email0">
</div>
</div>
<div class="form-group">
<label class="control-label col-sm-4"> <!-- ko text:fieldName -->Re-Enter Email<!-- /ko --> <span data-bind="css:{hidden:!isRequired()}">*</span></label>
<div class="col-sm-6"
data-bind="visible:inputType()!='dropdown' && inputType()!='singlequestion' && inputType()!='yesnoquestion' && inputType()!='multiquestion' && inputType()!='customtextquestion'">
<!-- ko if:fieldDbName()=='DateofBirth'--><!-- /ko -->
<!-- ko ifnot:fieldDbName()=='DateofBirth'-->
<!-- ko ifnot:fieldDbName()=='Password'-->
<!-- ko ifnot:fieldDbName()=='ReEmail'--><!-- /ko -->
<!-- ko if:fieldDbName()=='ReEmail'-->
<input class="form-control reqfield" autocomplete="off"
data-bind="attr:{type:inputType(), id:fieldDbName(), name:fieldDbName(),maxlength:maxLength()},css:{reqfield: isRequired()},value:fieldValue, event: {change: $root.onFocusOut}" type="text" id="ReEmail" name="ReEmail"
maxlength="150" aria-required="true">
<!-- /ko -->
<!-- /ko -->
<!-- ko if:fieldDbName()=='Password'--><!-- /ko -->
<!-- /ko -->
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='Salutation') , template:{ name: 'salutation-template'}" style="display: none;">
<select class="form-control reqfield" data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()}, optionsCaption: 'Select Salutation',value:$root.salutaion" name="ReEmail">
<option value="">Not Selected</option>
<option value="Mr.">Mr.</option>
<option value="Mrs.">Mrs.</option>
<option value="Ms.">Ms.</option>
<option value="Miss.">Miss.</option>
<option value="Major">Major</option>
<option value="Prof.">Prof.</option>
<option value="Hon.">Hon.</option>
<option value="Dr.">Dr.</option>
</select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='Country') , template:{ name: 'country-template'}" style="display: none;">
<select class="form-control reqfield"
data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $parent.elementObj.attributeVM.countryList, optionsText: 'name',optionsValue: 'id', optionsCaption: 'Select Country',value:$root.countryId"
name="ReEmail"></select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='ProvState') , template:{ name: 'state-template'}" style="display: none;">
<select class="form-control reqfield" data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $root.stateList, optionsText: 'Name',optionsValue: 'Id', optionsCaption: 'Select State',value:$root.stateId"
name="ReEmail">
<option value="">Select State</option>
</select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='AltCountry') , template:{ name: 'alt-country-template'}" style="display: none;">
<select class="form-control reqfield"
data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $parent.elementObj.attributeVM.altCountryList, optionsText: 'name',optionsValue: 'id', optionsCaption: 'Select Country',value:$root.altCountryId"
name="ReEmail"></select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='dropdown' && fieldDbName()=='AltProvState') , template:{ name: 'alt-state-template'}" style="display: none;">
<select class="form-control reqfield" data-bind="attr:{name:fieldDbName()},css:{reqfield: isRequired()},options: $root.altStateList, optionsText: 'Name',optionsValue: 'Id', optionsCaption: 'Select State',value:$root.altStateId "
name="ReEmail">
<option value="">Select State</option>
</select>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='singlequestion'), template:{ name: 'singlequestion-template'}" style="display: none;">
<div data-bind="foreach:singleChoiceQuestion.answerList, css:{'single-reqfield': isRequired()}" class="single-reqfield"></div>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='yesnoquestion'), template:{ name: 'yesnoquestion-template'}" style="display: none;">
<div data-bind="foreach:yesNoQuestion.answerList, css:{'yesno-reqfield': isRequired()}" class="yesno-reqfield"></div>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='multiquestion'), template:{ name: 'multiquestion-template'}" style="display: none;">
<div data-bind="foreach:multiChoiceQuestion.answerList, css:{'multi-reqfield': isRequired()}" class="multi-reqfield"></div>
</div>
<div class="col-sm-6" data-bind="visible:(inputType()=='customtextquestion'), template:{ name: 'customtextquestion-template'}" style="display: none;">
<input type="text" class="form-control reqfield" data-bind="attr:{name:fieldDbName()+id()}, css:{reqfield: isRequired()}, value:customQuestion.customAnswerText, event: {change: $root.onFocusOutCustomQuestion}" name="ReEmail0">
</div>
</div>
</div>
<!--ko if:elementObj.attributeVM.useCaptcha()--><!--/ko-->
<div class="form-group m-r-15">
<div class="text-center">
<button type="button" class="btn btn-primary" data-loading-text="Please wait..." data-bind="text:elementObj.attributeVM.button.text(),click:$root.newRegistration">New Registration</button>
</div>
</div>
<!--ko if:$root.showDuplicateMessage()--><!--/ko-->
<!-- /ko -->
</div>
</div>
</div>
<!-- /ko -->
<!-- ko ifnot:elementTypeName()=='AlreadyRegistered' || elementTypeName()=='RegistrationForm' || elementTypeName()=='CompanyLogin'--><!-- /ko -->
<!-- ko if:elementTypeName()=='AlreadyRegistered' || elementTypeName()=='RegistrationForm' || elementTypeName()=='CompanyLogin' -->
<div id="col6_140174" class="col-md-6" data-bind="attr:{Id:'col6_'+id()}">
<div id="elemrow_140174" class="element-row" data-bind="attr:{Id:'elemrow_'+id()}">
<div id="element_140174" class="element-temp" data-bind="attr:{Id:'element_'+id()}, template: { name: elementTypeName(),data: { elementObj: $data },afterRender:$root.applyValidation}">
<div class="" data-bind="css:{hidden:!elementObj.attributeVM.visible()}">
<div class="col-md-12" data-bind="html:elementObj.attributeVM.header.rawHtml()">
<div class="text-center">
<h1>Need to Log Back In?</h1> If you need to complete or view your registration, please click the button below<br> and complete the form to receive an email with login instructions.<br>
</div>
</div>
<div class="form-group m-r-15">
<div class="text-center">
<button type="button" class="btn btn-primary" data-bind="text:elementObj.attributeVM.sendLinkButton.text(),click:$root.openSendLoginLinkModal">Get Login Link</button>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- /ko -->
<!-- ko ifnot:elementTypeName()=='AlreadyRegistered' || elementTypeName()=='RegistrationForm' || elementTypeName()=='CompanyLogin'--><!-- /ko -->
</div>
</div>
</div>
<!-- /ko -->
</div>
</form>Text Content
Toggle navigation * Event Info * Policies WELCOME TO REGISTRATION FOR THE HMP EDUCATION | MATE ACT TRAINING NEW REGISTRATION Please provide your information below. First Name * Not Selected Mr. Mrs. Ms. Miss. Major Prof. Hon. Dr. Select State Select State Last Name * Not Selected Mr. Mrs. Ms. Miss. Major Prof. Hon. Dr. Select State Select State Email * Not Selected Mr. Mrs. Ms. Miss. Major Prof. Hon. Dr. Select State Select State Re-Enter Email * Not Selected Mr. Mrs. Ms. Miss. Major Prof. Hon. Dr. Select State Select State New Registration NEED TO LOG BACK IN? If you need to complete or view your registration, please click the button below and complete the form to receive an email with login instructions. Get Login Link If you have any questions/comments about this registration, please send us an email at registration@hmpglobal.com with MATE Act Training as the subject line. × MODAL TITLE Modal Content Ok × MODAL TITLE Modal Content Ok