***** Diagnostics ***** Query Issue! ***** Origin Data ***** Timestamp: 10/19/2024 6:41 am EDT IP Address: 141.155.160.11 Form Title: Website_Get Started File Name: NewForm.php Session ID: a5d5a0bdd2304db0a3361d1dd5eeb4cd Form ID: aec86718924a1286cd068e2abd62a450 Key: eyJBIjoiMTRsOHJrNiIsIkIiOiI0cmxsdGhjIiwiQyI6IjN3engxZiIsIkQiOiIxY2h1dWpjIiwiRSI6IjFrdnh5eTIiLCJGIjoiMWdqcHRnMCJ9 User Agent: Mozilla/5.0 (iPhone; CPU iPhone OS 17_3_1 like Mac OS X) AppleWebKit/605.1.15 (KHTML, like Gecko) Mobile/21D61 [FBAN/FBIOS;FBAV/486.0.0.61.91;FBBV/652941574;FBDV/iPhone11,8;FBMD/iPhone;FBSN/iOS;FBSV/17.3.1;FBSS/2;FBID/phone;FBLC/en_US;FBOP/5;FBRV/0;IABMV/1] PHP_SELF: /forms/Views/NewForm.php GATEWAY_INTERFACE: CGI/1.1 SERVER_ADDR: 67.227.187.99 SERVER_NAME: www2.achievetestprep.com SERVER_SOFTWARE: Apache SERVER_PROTOCOL: HTTP/1.1 REQUEST_METHOD: POST REQUEST_TIME: 1729334514 REQUEST_TIME_FLOAT: 1729334514.8913 DOCUMENT_ROOT: /home/achievetestprep/public_html/www2.achievetestprep.com HTTP_ACCEPT: */* HTTP_ACCEPT_ENCODING: gzip, deflate, br HTTP_ACCEPT_LANGUAGE: en-US,en;q=0.9 HTTP_CONNECTION: keep-alive HTTP_HOST: www2.achievetestprep.com HTTP_REFERER: https://www2.achievetestprep.com/forms/Views/NewForm.php?page_url=https%3A%2F%2Fwww.achievetestprep.com%2Fcareer-paths%2Fcna-to-rn&page_title=CNA%20to%20RN%20Bridge%20Program%20%7C%20Achieve%20Test%20Prep HTTP_USER_AGENT: Mozilla/5.0 (iPhone; CPU iPhone OS 17_3_1 like Mac OS X) AppleWebKit/605.1.15 (KHTML, like Gecko) Mobile/21D61 [FBAN/FBIOS;FBAV/486.0.0.61.91;FBBV/652941574;FBDV/iPhone11,8;FBMD/iPhone;FBSN/iOS;FBSV/17.3.1;FBSS/2;FBID/phone;FBLC/en_US;FBOP/5;FBRV/0;IABMV/1] HTTPS: on REMOTE_ADDR: 141.155.160.11 REMOTE_PORT: 10172 SCRIPT_FILENAME: /home/achievetestprep/public_html/www2.achievetestprep.com/forms/Views/NewForm.php SERVER_ADMIN: webmaster@www2.achievetestprep.com SERVER_PORT: 443 SCRIPT_NAME: /forms/Views/NewForm.php REQUEST_URI: /forms/Views/NewForm.php ***** Field Array ***** Array ( [fname] => Array ( [label] => First Name [placeholder] => Your first name [column] => 1 [required] => 1 [req_dependant] => None [type] => text [size] => 25 [sf_lead_field] => First_Name__c [hs_field] => firstname [valid] => 1 [post] => tkd138 [value] => Ritha ) [lname] => Array ( [label] => Last Name [placeholder] => Your last name [column] => 1 [required] => 1 [req_dependant] => None [type] => text [size] => 25 [sf_lead_field] => Name [hs_field] => lastname [valid] => 1 [post] => tkd139 [value] => Charl ) [email] => Array ( [label] => Email Address [placeholder] => your@emailaddress.com [column] => 1 [required] => 1 [req_dependant] => None [type] => email [size] => 25 [sf_lead_field] => Email__c [hs_field] => email [valid] => 1 [post] => tkd140 [value] => Nickelcharles16@gmail.com ) [phone] => Array ( [label] => Mobile Phone [placeholder] => 123 345 6789 [column] => 1 [required] => 1 [req_dependant] => none [type] => phone [size] => 25 [sf_lead_field] => Mobile_Primary__c [hs_field] => phone [note] => [valid] => 1 [post] => tkd141 [value] => 5169064186 ) [zip] => Array ( [label] => Zip Code [placeholder] => 012345 [column] => 1 [required] => 1 [req_dependant] => None [type] => zip [sf_lead_field] => Zip_Code__c [hs_field] => zip [valid] => 1 [post] => tkd142 [value] => 11432 ) [license] => Array ( [label] => Current License [placeholder] => Please select [column] => 1 [required] => 1 [req_dependant] => None [type] => select [options] => Array ( [CNA/CMA] => CNA/CMA [EMT] => EMT [LPN/LVN] => LPN/LVN [Paramedic] => Paramedic [RN] => RN [Respiratory Therapist] => RT [Surgical Technician] => Surgical Tech [None of the above] => None ) [sf_lead_field] => License_Master__c [sf_instructor_field] => License__c [hs_field] => please_select_your_license_ [note] => [valid] => 1 [post] => tkd143 [value] => CNA/CMA ) [degree] => Array ( [label] => Program of Interest: [placeholder] => Please select [column] => 1 [required] => 1 [req_dependant] => None [type] => select [options] => Array ( [Nursing – LPN to RN] => RN Bridge (ASN or BSN) [Nursing – LPN to BSN] => RN Bridge (ASN or BSN) [Nursing – RN to BSN] => RN to BSN Bridge [Nursing – CNA to RN] => CNA to RN [Nursing – EMT to RN] => EMT to RN [Nursing – Paramedic to RN/BSN] => Paramedic to RN/BSN [Nursing – Respiratory Therapist to RN] => Respiratory Therapist to RN [Nursing – Physician Assistant] => Physician Assistant [Nursing – Surgical Tech to RN] => Surgical Technician to RN [Nursing – Medical Asst to RN] => MA to RN [Nursing – Entry to Nursing] => Nursing - General Degree [Nursing – LPN to Nurse Practitioner] => LPN to Nurse Practitioner [Dental – Dental Hygienist] => Dental Hygienist [General – Business] => Business Degree [General – Marketing] => Business [General – Healthcare] => Healthcare Administration [General – IT/Computer Science] => Computer Science + IT [General – Other] => General Degree ) [sf_lead_field] => Initial_Program_of_Interest__c [sf_instructor_field] => [hs_field] => degree [note] => [valid] => 1 [post] => tkd144 [value] => CNA to RN ) [find] => Array ( [label] => How did you find us [placeholder] => Please select [column] => 1 [required] => 1 [req_dependant] => None [type] => select [options] => Array ( [Blog/Forum] => Blog/Forum [Email] => Email [Facebook] => Facebook [Instagram] => Instagram [LinkedIn] => LinkedIn [Online Job Board] => Other Online Job Board [Pinterest] => Pinterest [Received postcard in the mail] => Postcard [Received letter in the mail (not postcard)] => Letter - in mail [Referred by Achieve Student] => Referral - Student [Referred by Someone at Work] => Referral - Nursing Home/Work [Referred by Other] => Referral - Unknown person [Search Engine] => Search Engine [TikTok] => TikTok [Youtube] => Youtube [Other] => Other/Unknown ) [sf_lead_field] => Lead_Source__c [sf_instructor_field] => [hs_field] => how_did_you_find_us_ [note] => [valid] => 1 [post] => tkd145 [value] => Facebook ) [term] => Array ( [label] => I agree to Achieve's terms and to being contacted via email, phone, or sms at the email and phone provided. [column] => [required] => 1 [req_dependant] => None [type] => checkbox [valid] => 1 [post] => tkd146 [value] => true ) )