{"id":451,"date":"2025-12-29T19:40:18","date_gmt":"2025-12-29T19:40:18","guid":{"rendered":"https:\/\/backup.testlinkwebsite.store\/idnpsa-v2\/?page_id=451"},"modified":"2026-01-07T23:49:28","modified_gmt":"2026-01-07T23:49:28","slug":"become-a-member","status":"publish","type":"page","link":"https:\/\/backup.testlinkwebsite.store\/idnpsa-v2\/become-a-member\/","title":{"rendered":"Become a Member"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"451\" class=\"elementor elementor-451\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3735b5e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3735b5e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b2a31ab\" data-id=\"b2a31ab\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ce3003a animated-slow elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"ce3003a\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">We do not sell or give away any personal information.<\/p>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9b697ee fluentform-widget-submit-button-center animated-slow fluent-form-widget-step-header-yes fluent-form-widget-step-progressbar-yes fluentform-widget-submit-button-custom elementor-invisible elementor-widget elementor-widget-fluent-form-widget\" data-id=\"9b697ee\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"fluent-form-widget.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n            <div class=\"fluentform-widget-wrapper hide-fluent-form-labels fluentform-widget-custom-radio-checkbox fluentform-widget-align-default\">\n\n            \n            <div class='fluentform ff-default fluentform_wrapper_3 ffs_default_wrap'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_3_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">User Registration<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='451' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"dc19827753\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/idnpsa-v2\/wp-json\/wp\/v2\/pages\/451\" \/><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_first_name_' id='label_ff_3_names_first_name_' >First Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_3_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"First Name*\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_last_name_' id='label_ff_3_names_last_name_' >Last Name<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_3_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Last Name*\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_2\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_input_text' id='label_ff_3_input_text' aria-label=\"Credentials\">Credentials<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" placeholder=\"Credentials* i.e AGACNP,MD,FNP\u00a0\" data-name=\"input_text\" id=\"ff_3_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_email' id='label_ff_3_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_3_email\" class=\"ff-el-form-control\" placeholder=\"Email*\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_3\"  class='ff-t-container ff-column-container ff_columns_total_2 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_password' id='label_ff_3_password' aria-label=\"Password\">Password<\/label><\/div><div class='ff-el-input--content'><input type=\"password\" name=\"password\" id=\"ff_3_password\" class=\"ff-el-form-control\" placeholder=\"Create password*\" data-name=\"password\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 50%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_phone_1' id='label_ff_3_phone_1' aria-label=\"Phone\/Mobile\">Phone\/Mobile<\/label><\/div><div class='ff-el-input--content'><input name=\"phone_1\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" placeholder=\"Phone number*\" data-name=\"phone_1\" id=\"ff_3_phone_1\" inputmode=\"tel\"  aria-invalid='false' aria-required=true><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_4\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 100%;'><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address_1\" ><div class='ff-el-input--label'><label aria-label=\"Address\">Address<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_address_1_address_line_1_' id='label_ff_3_address_1_address_line_1_' aria-label=\"Street Address\">Street Address<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_3_address_1_address_line_1_\" class=\"ff-el-form-control\" placeholder=\"Street Address*\" data-key_name=\"address_line_1\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_3_address_1_address_line_2_' id='label_ff_3_address_1_address_line_2_' aria-label=\"Street Address Line 2\">Street Address Line 2<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[address_line_2]\" id=\"ff_3_address_1_address_line_2_\" class=\"ff-el-form-control\" placeholder=\"Street Address Line 2\" data-key_name=\"address_line_2\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_address_1_city_' id='label_ff_3_address_1_city_' aria-label=\"City\">City<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[city]\" id=\"ff_3_address_1_city_\" class=\"ff-el-form-control\" placeholder=\"City*\" data-key_name=\"city\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_address_1_state_' id='label_ff_3_address_1_state_' aria-label=\"Region\/State\/Province\">Region\/State\/Province<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[state]\" id=\"ff_3_address_1_state_\" class=\"ff-el-form-control\" placeholder=\"Region\/State\/Province*\" data-key_name=\"state\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_address_1_zip_' id='label_ff_3_address_1_zip_' aria-label=\"Postal \/ Zip code\">Postal \/ Zip code<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address_1[zip]\" id=\"ff_3_address_1_zip_\" class=\"ff-el-form-control\" placeholder=\"Postal \/ Zip code*\" data-key_name=\"zip\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_5\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: %;'><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-3_1\" ><h3 class='ff-el-section-title'>Current Role\u00a0*<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group  ff_list_2col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Current Role\">Current Role<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2f6b2b2182e2ac8630d16fa4b96d84fe'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Nurse Practitioner\"  id='checkbox_2f6b2b2182e2ac8630d16fa4b96d84fe' aria-label='Nurse Practitioner' aria-invalid='false' aria-required=true> <span>Nurse Practitioner<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_32a5dab46e0d5a86a0073421d1abdb42'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Physician\"  id='checkbox_32a5dab46e0d5a86a0073421d1abdb42' aria-label='Physician' aria-invalid='false' aria-required=true> <span>Physician<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_7756df561fa08f7f0e3c2fa45018bc90'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Physician Associate\"  id='checkbox_7756df561fa08f7f0e3c2fa45018bc90' aria-label='Physician Associate' aria-invalid='false' aria-required=true> <span>Physician Associate<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_aca88b8545eb224fcec0e8aeefae720d'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Pharmacist\"  id='checkbox_aca88b8545eb224fcec0e8aeefae720d' aria-label='Pharmacist' aria-invalid='false' aria-required=true> <span>Pharmacist<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_e31684af0fb24652d4faa522c7ae8167'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Registered Nurse\"  id='checkbox_e31684af0fb24652d4faa522c7ae8167' aria-label='Registered Nurse' aria-invalid='false' aria-required=true> <span>Registered Nurse<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_a23fbf59bfa76b4277f96411e96e2887'><input  type=\"checkbox\" name=\"checkbox[]\" data-name=\"checkbox\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Other\"  id='checkbox_a23fbf59bfa76b4277f96411e96e2887' aria-label='Other' aria-invalid='false' aria-required=true> <span>Other<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_6\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: %;'><div class=\"ff-el-group ff-el-section-break  ff_left\" ><h3 class='ff-el-section-title'>Nurse practitioner certifications (check all that apply)\u00a0*<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group  ff_list_2col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Nurse Practitioner Certifications\">Nurse Practitioner Certifications<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_3c8c3b1a38f5e19a3b98f1c7e133247e'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Family nurse practitioner\"  id='checkbox_1_3c8c3b1a38f5e19a3b98f1c7e133247e' aria-label='Family nurse practitioner' aria-invalid='false' aria-required=true> <span>Family nurse practitioner<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_0ec805eb991735731b6f321c572bda94'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Adult and gerontology primary care\"  id='checkbox_1_0ec805eb991735731b6f321c572bda94' aria-label='Adult and gerontology primary care' aria-invalid='false' aria-required=true> <span>Adult and gerontology primary care<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_7fc3e3166cf40403a03a40322353840c'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Pediatric nurse practitioner\"  id='checkbox_1_7fc3e3166cf40403a03a40322353840c' aria-label='Pediatric nurse practitioner' aria-invalid='false' aria-required=true> <span>Pediatric nurse practitioner<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_9860d3948ca0073ade9db13ca248f850'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Adult and gerontology acute care\"  id='checkbox_1_9860d3948ca0073ade9db13ca248f850' aria-label='Adult and gerontology acute care' aria-invalid='false' aria-required=true> <span>Adult and gerontology acute care<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_47b30e1db2c8bf415ebd114fe1393cfe'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Other\"  id='checkbox_1_47b30e1db2c8bf415ebd114fe1393cfe' aria-label='Other' aria-invalid='false' aria-required=true> <span>Other<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_0d92acf23dab7a2f176d37e610e4af4c'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"N\/A\"  id='checkbox_1_0d92acf23dab7a2f176d37e610e4af4c' aria-label='N\/A' aria-invalid='false' aria-required=true> <span>N\/A<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_7\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: %;'><div class=\"ff-el-group ff-el-section-break  ff_left\" ><h3 class='ff-el-section-title'>Tell us about your current infectious disease practice (check all that apply)\u00a0*<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group  ff_list_2col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Current Infectious Disease Practice\">Current Infectious Disease Practice<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_8639dddc56139a290bfca66c20a6df17'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Inpatient infectious disease (direct patient care)\"  id='checkbox_2_8639dddc56139a290bfca66c20a6df17' aria-label='Inpatient infectious disease (direct patient care)' aria-invalid='false' aria-required=true> <span>Inpatient infectious disease (direct patient care)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_eff9bfef24ee77f29dec45a986248b22'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Outpatient infectious disease (direct patient care)\"  id='checkbox_2_eff9bfef24ee77f29dec45a986248b22' aria-label='Outpatient infectious disease (direct patient care)' aria-invalid='false' aria-required=true> <span>Outpatient infectious disease (direct patient care)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_1be970fa7003f6a4ddd7b26c093ea91a'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"OPAT\"  id='checkbox_2_1be970fa7003f6a4ddd7b26c093ea91a' aria-label='OPAT' aria-invalid='false' aria-required=true> <span>OPAT<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_871fe1a7023a99659bbf978911f7c213'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Research\"  id='checkbox_2_871fe1a7023a99659bbf978911f7c213' aria-label='Research' aria-invalid='false' aria-required=true> <span>Research<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_7971c8a3944e1a0e89729580be70e7ec'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Education or teaching\"  id='checkbox_2_7971c8a3944e1a0e89729580be70e7ec' aria-label='Education or teaching' aria-invalid='false' aria-required=true> <span>Education or teaching<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_2_de9a55afcddda5b894f0d4bda300a79b'><input  type=\"checkbox\" name=\"checkbox_2[]\" data-name=\"checkbox_2\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"I currently do not practice in the infectious disease specialty\"  id='checkbox_2_de9a55afcddda5b894f0d4bda300a79b' aria-label='I currently do not practice in the infectious disease specialty' aria-invalid='false' aria-required=true> <span>I currently do not practice in the infectious disease specialty<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_8\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: %;'><div class=\"ff-el-group ff-el-section-break  ff_left\" ><h3 class='ff-el-section-title'>Do you participate in any of the following (check all that apply)?\u00a0*<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group  ff_list_2col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Participate in any of the following\">Participate in any of the following<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_bdd715bfffc5ccb6ea3dcbd51b127281'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Member of an institutional antimicrobial stewardship committee\"  id='checkbox_3_bdd715bfffc5ccb6ea3dcbd51b127281' aria-label='Member of an institutional antimicrobial stewardship committee' aria-invalid='false' aria-required=true> <span>Member of an institutional antimicrobial stewardship committee<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_e8305ebb72fb204205cf43608f32763e'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Member of an institutional infection prevention committee\"  id='checkbox_3_e8305ebb72fb204205cf43608f32763e' aria-label='Member of an institutional infection prevention committee' aria-invalid='false' aria-required=true> <span>Member of an institutional infection prevention committee<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_9b65bbb22a74228294babd4f050394a5'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"None of the above\"  id='checkbox_3_9b65bbb22a74228294babd4f050394a5' aria-label='None of the above' aria-invalid='false' aria-required=true> <span>None of the above<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_3_b0df8eb78640a458d197dba3a8f97f5a'><input  type=\"checkbox\" name=\"checkbox_3[]\" data-name=\"checkbox_3\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"N\/A\"  id='checkbox_3_b0df8eb78640a458d197dba3a8f97f5a' aria-label='N\/A' aria-invalid='false' aria-required=true> <span>N\/A<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_9\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: %;'><div class=\"ff-el-group ff-el-section-break  ff_left\" ><h3 class='ff-el-section-title'>My practice settings include (check all that apply)\u00a0*<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group  ff_list_2col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"My practice settings include\">My practice settings include<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_8bc76516063cc8d770f52f27b5fdce1a'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Private practice\"  id='checkbox_4_8bc76516063cc8d770f52f27b5fdce1a' aria-label='Private practice' aria-invalid='false' aria-required=true> <span>Private practice<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_042f1f78772c883ac689de047f25dd19'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Rural clinic or critical access\"  id='checkbox_4_042f1f78772c883ac689de047f25dd19' aria-label='Rural clinic or critical access' aria-invalid='false' aria-required=true> <span>Rural clinic or critical access<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_9e5ec8b8e350fe31c47d88b3f2250a58'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Community hospital or practice\"  id='checkbox_4_9e5ec8b8e350fe31c47d88b3f2250a58' aria-label='Community hospital or practice' aria-invalid='false' aria-required=true> <span>Community hospital or practice<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_614eeca1bd16c0df70183d866b7caca1'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Academic settings\"  id='checkbox_4_614eeca1bd16c0df70183d866b7caca1' aria-label='Academic settings' aria-invalid='false' aria-required=true> <span>Academic settings<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_8c7010a3af9924d9a0386a08efd6173e'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Government\"  id='checkbox_4_8c7010a3af9924d9a0386a08efd6173e' aria-label='Government' aria-invalid='false' aria-required=true> <span>Government<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_576f35304849f7ba5da6df69289d4924'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Other\"  id='checkbox_4_576f35304849f7ba5da6df69289d4924' aria-label='Other' aria-invalid='false' aria-required=true> <span>Other<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_4_a8edd4fa8eb72cfb5b232565dc3e7d11'><input  type=\"checkbox\" name=\"checkbox_4[]\" data-name=\"checkbox_4\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"N\/A\"  id='checkbox_4_a8edd4fa8eb72cfb5b232565dc3e7d11' aria-label='N\/A' aria-invalid='false' aria-required=true> <span>N\/A<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div data-name=\"ff_cn_id_10\"  class='ff-t-container ff-column-container ff_columns_total_1 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: %;'><div class=\"ff-el-group ff-el-section-break  ff_left\" ><h3 class='ff-el-section-title'>Tell us about your infectious disease education and training (check all that apply)\u00a0*<\/h3><div class='ff-section_break_desk'><\/div><hr \/><\/div><div class='ff-el-group  ff_list_2col'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Tell us about your infectious disease education and training\">Tell us about your infectious disease education and training<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5_33ea10d1b67be1b698d0f78f4cb9079a'><input  type=\"checkbox\" name=\"checkbox_5[]\" data-name=\"checkbox_5\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Formal medical fellowship with board certification\"  id='checkbox_5_33ea10d1b67be1b698d0f78f4cb9079a' aria-label='Formal medical fellowship with board certification' aria-invalid='false' aria-required=true> <span>Formal medical fellowship with board certification<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5_58282fa31c9f1bbbdedb0502d2cda49c'><input  type=\"checkbox\" name=\"checkbox_5[]\" data-name=\"checkbox_5\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Postgraduate fellowship or residency in ID (for NP, PA, or PharmD)\"  id='checkbox_5_58282fa31c9f1bbbdedb0502d2cda49c' aria-label='Postgraduate fellowship or residency in ID (for NP, PA, or PharmD)' aria-invalid='false' aria-required=true> <span>Postgraduate fellowship or residency in ID (for NP, PA, or PharmD)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5_2c724999e0a8e28e9ae1780a5e755d23'><input  type=\"checkbox\" name=\"checkbox_5[]\" data-name=\"checkbox_5\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Infectious disease board review courses (not as preparation for certification)\"  id='checkbox_5_2c724999e0a8e28e9ae1780a5e755d23' aria-label='Infectious disease board review courses (not as preparation for certification)' aria-invalid='false' aria-required=true> <span>Infectious disease board review courses (not as preparation for certification)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5_b80597bda56176fa819b979250231e71'><input  type=\"checkbox\" name=\"checkbox_5[]\" data-name=\"checkbox_5\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"National conferences\"  id='checkbox_5_b80597bda56176fa819b979250231e71' aria-label='National conferences' aria-invalid='false' aria-required=true> <span>National conferences<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5_46082211ef797bd50c9b53a732ed1734'><input  type=\"checkbox\" name=\"checkbox_5[]\" data-name=\"checkbox_5\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Infectious disease textbooks\"  id='checkbox_5_46082211ef797bd50c9b53a732ed1734' aria-label='Infectious disease textbooks' aria-invalid='false' aria-required=true> <span>Infectious disease textbooks<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5_712f6bc3e69759796e2e038a643837c0'><input  type=\"checkbox\" name=\"checkbox_5[]\" data-name=\"checkbox_5\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"On-the-job training (structured orientation, predefined ID outcomes knowledge after completion)\"  id='checkbox_5_712f6bc3e69759796e2e038a643837c0' aria-label='On-the-job training (structured orientation, predefined ID outcomes knowledge after completion)' aria-invalid='false' aria-required=true> <span>On-the-job training (structured orientation, predefined ID outcomes knowledge after completion)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5_cf1490ff8b99e2535a444b951d5d8c07'><input  type=\"checkbox\" name=\"checkbox_5[]\" data-name=\"checkbox_5\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"On-the-job training (unstructured orientation such as shadowing colleagues)\"  id='checkbox_5_cf1490ff8b99e2535a444b951d5d8c07' aria-label='On-the-job training (unstructured orientation such as shadowing colleagues)' aria-invalid='false' aria-required=true> <span>On-the-job training (unstructured orientation such as shadowing colleagues)<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_5_6ebd8e42226d183e99f620445944b52d'><input  type=\"checkbox\" name=\"checkbox_5[]\" data-name=\"checkbox_5\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Other\"  id='checkbox_5_6ebd8e42226d183e99f620445944b52d' aria-label='Other' aria-invalid='false' aria-required=true> <span>Other<\/span><\/label><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\"  aria-label=\"Submit\">Submit<\/button><\/div><\/fieldset><\/form><div id='fluentform_3_errors' class='ff-errors-in-stack ff_form_instance_3_1 ff-form-loading_errors ff_form_instance_3_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_3_1 = {\"id\":\"3\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"asteriskPlacement\":\"asterisk-right\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\",\"cssClassName\":\"\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_3_1\",\"form_id_selector\":\"fluentform_3\",\"rules\":{\"names[first_name]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"names[last_name]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"input_text\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"email\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true},\"email\":{\"value\":true,\"message\":\"Please provide a\\u00a0valid address. All new members receive free IDNPSA stickers!\",\"global_message\":\"This field must contain a valid email\",\"global\":false}},\"password\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"phone_1\":{\"required\":{\"value\":true,\"global\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\"},\"valid_phone_number\":{\"value\":false,\"global\":true,\"message\":\"Phone number is not valid\",\"global_message\":\"Phone number is not valid\"}},\"address_1[address_line_1]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"address_1[address_line_2]\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"address_1[city]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"address_1[state]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"address_1[zip]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"address_1[country]\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"checkbox\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"checkbox_1\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"checkbox_2\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"checkbox_3\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"checkbox_4\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}},\"checkbox_5\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global_message\":\"This field is required\",\"global\":true}}},\"debounce_time\":300};\n                            <\/script>\n                        <\/div>\n\n            \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-19781c6 animated-slow elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"19781c6\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Already a member?\u00a0<a href=\"https:\/\/backup.testlinkwebsite.store\/idnpsa-v2\/member-portal\/\">Log In<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>We do not sell or give away any personal information. User Registration First NameLast NameCredentialsEmailPasswordPhone\/MobileAddressStreet AddressStreet Address Line 2CityRegion\/State\/ProvincePostal \/ [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":267,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-451","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/backup.testlinkwebsite.store\/idnpsa-v2\/wp-json\/wp\/v2\/pages\/451","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/backup.testlinkwebsite.store\/idnpsa-v2\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/backup.testlinkwebsite.store\/idnpsa-v2\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/backup.testlinkwebsite.store\/idnpsa-v2\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/backup.testlinkwebsite.store\/idnpsa-v2\/wp-json\/wp\/v2\/comments?post=451"}],"version-history":[{"count":50,"href":"https:\/\/backup.testlinkwebsite.store\/idnpsa-v2\/wp-json\/wp\/v2\/pages\/451\/revisions"}],"predecessor-version":[{"id":1051,"href":"https:\/\/backup.testlinkwebsite.store\/idnpsa-v2\/wp-json\/wp\/v2\/pages\/451\/revisions\/1051"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/backup.testlinkwebsite.store\/idnpsa-v2\/wp-json\/wp\/v2\/media\/267"}],"wp:attachment":[{"href":"https:\/\/backup.testlinkwebsite.store\/idnpsa-v2\/wp-json\/wp\/v2\/media?parent=451"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}