***** Diagnostics *****
Query Issue!
***** Origin Data *****
Timestamp: 10/18/2024 7:07 pm EDT
IP Address: 143.44.165.10
Form Title: Nursing Seminar Registartion
File Name: NewStealthSeminar.php
Session ID: db4c0b2542aa1185b19bbca5f60c21fe
Form ID: aad0100e6db051480be973ba7f095e9b
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PHP_SELF: /forms/Views/NewStealthSeminar.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: 1729292851
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HTTP_HOST: www2.achievetestprep.com
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SCRIPT_FILENAME: /home/achievetestprep/public_html/www2.achievetestprep.com/forms/Views/NewStealthSeminar.php
SERVER_ADMIN: webmaster@www2.achievetestprep.com
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SCRIPT_NAME: /forms/Views/NewStealthSeminar.php
REQUEST_URI: /forms/Views/NewStealthSeminar.php
***** Field Array *****
Array
(
[seminar] => Array
(
[label] => Choose a Seminar Day & Time
[placeholder] => Please select
[required] => 1
[req_dependant] => None
[type] => select
[sf_lead_field] => Web_Form_Comments__c
[hs_field] => choose_a_seminar_day_time
[options] => Array
(
[Saturday October 19th at 10:00 AM EDT
(Only 25 3 seats left for this event time.)] => 2024-10-19 10:00:00 America/New_York
[Monday October 21st at 9:00 PM EDT
(Only 25 10 seats left for this event time.)] => 2024-10-21 21:00:00 America/New_York
[Wednesday October 23rd at 7:00 PM EDT
(Only 25 11 seats left for this event time.)] => 2024-10-23 19:00:00 America/New_York
[Thursday October 24th at 10:00 AM EDT
(Only 25 17 seats left for this event time.)] => 2024-10-24 10:00:00 America/New_York
)
[valid] => 1
[post] => 39o420
[value] => 2024-10-19 10:00:00 America/New_York
)
[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] => 39o421
[value] => test
)
[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] => 39o422
[value] => test
)
[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] => 39o423
[value] => test@test.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] => 39o424
[value] => 5123124444
)
[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] => 39o425
[value] => 12314
)
[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
[Physician's Assistant] => Physician's Assistant
[RN] => RN
[Respiratory Therapist] => RT
[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] => 39o426
[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] => Paramedic to RN
[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
)
[sf_lead_field] => Initial_Program_of_Interest__c
[sf_instructor_field] =>
[hs_field] => degree
[note] =>
[valid] => 1
[post] => 39o427
[value] => RN Bridge (ASN or BSN)
)
[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] => 39o428
[value] => Email
)
[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] => 39o429
[value] => true
)
[state] => Array
(
[options] => Array
(
[Alabama] => AL
[Alaska] => AK
[Arizona] => AZ
[Arkansas] => AR
[California] => CA
[Colorado] => CO
[Connecticut] => CT
[Delaware] => DE
[District of Columbia] => DC
[Florida] => FL
[Georgia] => GA
[Hawaii] => HI
[Idaho] => ID
[Illinois] => IL
[Indiana] => IN
[Iowa] => IA
[Kansas] => KS
[Kentucky] => KY
[Louisiana] => LA
[Maine] => ME
[Maryland] => MD
[Massachusetts] => MA
[Michigan] => MI
[Minnesota] => MN
[Mississippi] => MS
[Missouri] => MO
[Montana] => MT
[Nebraska] => NE
[Nevada] => NV
[New Hampshire] => NH
[New Jersey] => NJ
[New Mexico] => NM
[New York] => NY
[North Carolina] => NC
[North Dakota] => ND
[Ohio] => OH
[Oklahoma] => OK
[Oregon] => OR
[Pennsylvania] => PA
[Rhode Island] => RI
[South Carolina] => SC
[South Dakota] => SD
[Tennessee] => TN
[Texas] => TX
[Utah] => UT
[Vermont] => VT
[Virginia] => VA
[Washington] => WA
[West Virginia] => WV
[Wisconsin] => WI
[Wyoming] => WY
)
[value] =>
)
)