Register - SEQanswers

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You can now log into the system using your new username and password. </div> <div class="signup-content h-hide"> <p class="signup-header-text">Start your sign up process.</p> <form id="frmRegister" action="registration/registration" method="post" class="form_layout"> <input type="hidden" name="urlpath" value="aHR0cHM6Ly93d3cuc2VxYW5zd2Vycy5jb20vL21lbWJlci8zODE2OC1pZGRhbg==" />   <div id="regContent" class=""> <div class="form-fieldset"> <div class="form_row"> <label class="label_column">User Name</label> <div class="field_column"> <input type="text" id="regDataUsername" name="username" class="textbox" autocomplete="off" value=""/> <div class="field-desc" >Please enter the name by which you would like to log-in and be known on this site.</div> </div> </div> <div class="form_row"> <label class="label_column">Password</label> <div class="field_column"><input type="password" id="regDataPassword" name="password" class="textbox" autocomplete="off" /></div> </div> <div class="form_row"> <label class="label_column">Confirm Password</label> <div class="field_column"> <input type="password" id="regDataConfirmpassword" name="confirmpassword" class="textbox" autocomplete="off" /> <div class="h-margin-top-m restore"> <strong>Password tips:</strong> <ul> <li>Make your password at least 8 characters long.</li> <li>Avoid using your user name as your password.</li> </ul> </div> </div> </div> <div class="form_row"> <label class="label_column">Email</label> <div class="field_column"><input type="text" id="regDataEmail" name="email" class="textbox" autocomplete="off" autocapitalize="off" value="" /></div> </div> <div class="form_row"> <label class="label_column">Confirm Email</label> <div class="field_column"><input type="text" id="regDataEmailConfirm" name="email_confirm" class="textbox" autocomplete="off" autocapitalize="off" value="" /></div> </div> <div class="form_row h-margin-xxl js-humanverify-recaptcha2"> <input class="js-humanverify-recaptcha2-response" type="hidden" name="humanverify[g-recaptcha-response]" value="" /> <label class="label_column">Verification</label> <script src="https://www.google.com/recaptcha/api.js?hl=en" async defer></script> <div class="g-recaptcha" data-callback="recaptcha2callback" data-theme="light" data-sitekey="6Lf0biMgAAAAAHq6rmcDG8Zy47iluiQDzsNwrnb-"> </div> </div> <div class="form_row"> <h2 class="fieldset-header">Additional Required Information (profile)</h2> </div> <div class="form_row"> <label class="label_column">Full Name</label> <div class="field_column"> <input type="text" class="textbox" name="userfield[field13]" id="cfield_13" value="" maxlength="100" /> <div class="field-desc">Write your full (first and last) name.</div> <input type="hidden" name="userfield[field13_set]" value="1" /> </div> </div> <div class="form_row"> <label class="label_column">Institution</label> <div class="field_column"> <input type="text" class="textbox" name="userfield[field8]" id="cfield_8" value="" maxlength="150" /> <div class="field-desc">Write your institution name (e.g., Harvard University, NIH, etc.)</div> <input type="hidden" name="userfield[field8_set]" value="1" /> </div> </div> <div class="form_row"> <label class="label_column">Institution Type</label> <div class="field_column"> <select class="textbox" name="userfield[field15]" id="cfield_15"> <option value="0" selected="selected">Please select one</option> <option value="1">Biotech Company</option> <option value="2">Clinical Laboratory</option> <option value="3">Contract Research Organization</option> <option value="4">Government Lab</option> <option value="5">Hospital/Medical School</option> <option value="6">Molecular Diagnostic Firm</option> <option value="7">Pharmaceutical Company</option> <option value="8">Private Research Institute</option> <option value="9">University</option> <option value="10">Other</option> </select> <div class="field-desc">Choose the appropriate institution type.</div> <input type="hidden" name="userfield[field15_set]" value="1" /> </div> </div> <div class="form_row"> <label class="label_column">Country</label> <div class="field_column"> <select class="textbox" name="userfield[field9]" id="cfield_9"> <option value="0" selected="selected">Please select one</option> <option value="1">Afghanistan</option> <option value="2">Aland Islands</option> <option value="3">Albania</option> <option value="4">Algeria</option> <option value="5">American Samoa</option> <option value="6">Andorra</option> <option value="7">Angola</option> <option value="8">Anguilla</option> <option value="9">Antigua And Barbuda</option> <option value="10">Argentina</option> <option value="11">Armenia</option> <option value="12">Aruba</option> <option value="13">Australia</option> <option value="14">Austria</option> <option value="15">Azerbaijan</option> <option value="16">Bahamas</option> <option value="17">Bahrain</option> <option value="18">Bangladesh</option> <option value="19">Barbados</option> <option value="20">Belarus</option> <option value="21">Belgium</option> <option value="22">Belize</option> <option value="23">Benin</option> <option value="24">Bermuda</option> <option value="25">Bhutan</option> <option value="26">Bolivia</option> <option value="27">Bonaire, Sint Eustatius and Saba</option> <option value="28">Bosnia And Herzegovina</option> <option value="29">Botswana</option> <option value="30">Bouvet Island</option> <option value="31">Brazil</option> <option value="32">British Indian Ocean Territory</option> <option value="33">Brunei Darussalam</option> <option value="34">Bulgaria</option> <option value="35">Burkina Faso</option> <option value="36">Burundi</option> <option value="37">Cambodia</option> <option value="38">Cameroon</option> <option value="39">Canada</option> <option value="40">Cape Verde</option> <option value="41">Cayman Islands</option> <option value="42">Central African Republic</option> <option value="43">Chad</option> <option value="44">Chile</option> <option value="45">China</option> <option value="46">Christmas Island</option> <option value="47">Cocos (Keeling) Islands</option> <option value="48">Colombia</option> <option value="49">Comoros</option> <option value="50">Congo</option> <option value="51">Congo, The Democratic Republic of the</option> <option value="52">Cook Islands</option> <option value="53">Costa Rica</option> <option value="54">C么te D'Ivoire</option> <option value="55">Croatia</option> <option value="56">Cuba</option> <option value="57">Cura莽ao</option> <option value="58">Cyprus</option> <option value="59">Czech Republic</option> <option value="60">Denmark</option> <option value="61">Djibouti</option> <option value="62">Dominica</option> <option value="63">Dominican Republic</option> <option value="64">East Timor</option> <option value="65">Ecuador</option> <option value="66">Egypt</option> <option value="67">El Salvador</option> <option value="68">Equatorial Guinea</option> <option value="69">Eritrea</option> <option value="70">Estonia</option> <option value="71">Ethiopia</option> <option value="72">Falkland Islands (Malvinas)</option> <option value="73">Faroe Islands</option> <option value="74">Fiji</option> <option value="75">Finland</option> <option value="76">France</option> <option value="77">French Guiana</option> <option value="78">French Polynesia</option> <option value="79">French Southern Territories</option> <option value="80">Gabon</option> <option value="81">Gambia</option> <option value="82">Georgia</option> <option value="83">Germany</option> <option value="84">Ghana</option> <option value="85">Gibraltar</option> <option value="86">Greece</option> <option value="87">Greenland</option> <option value="88">Grenada</option> <option value="89">Guadeloupe</option> <option value="90">Guam</option> <option value="91">Guatemala</option> <option value="92">Guernsey</option> <option value="93">Guinea</option> <option value="94">Guinea-Bissau</option> <option value="95">Guyana</option> <option value="96">Haiti</option> <option value="97">Heard Island and McDonald Islands</option> <option value="98">Holy See (Vatican State)</option> <option value="99">Honduras</option> <option value="100">Hong Kong</option> <option value="101">Hungary</option> <option value="102">Iceland</option> <option value="103">India</option> <option value="104">Indonesia</option> <option value="105">Iran, Islamic Republic of</option> <option value="106">Iraq</option> <option value="107">Ireland</option> <option value="108">Isle of Man</option> <option value="109">Israel</option> <option value="110">Italy</option> <option value="111">Jamaica</option> <option value="112">Japan</option> <option value="113">Jersey</option> <option value="114">Jordan</option> <option value="115">Kazakstan</option> <option value="116">Kenya</option> <option value="117">Kiribati</option> <option value="118">Korea, Democratic People's Republic of (North Korea)</option> <option value="119">Korea, Republic of (South Korea)</option> <option value="120">Kuwait</option> <option value="121">Kyrgyzstan</option> <option value="122">Lao People's Democratic Republic</option> <option value="123">Latvia</option> <option value="124">Lebanon</option> <option value="125">Lesotho</option> <option value="126">Liberia</option> <option value="127">Libyan Arab Jamahiriya</option> <option value="128">Liechtenstein</option> <option value="129">Lithuania</option> <option value="130">Luxembourg</option> <option value="131">Macau</option> <option value="132">Macedonia, The Former Yugoslav Republic</option> <option value="133">Madagascar</option> <option value="134">Malawi</option> <option value="135">Malaysia</option> <option value="136">Maldives</option> <option value="137">Mali</option> <option value="138">Malta</option> <option value="139">Marshall Islands</option> <option value="140">Martinique</option> <option value="141">Mauritania</option> <option value="142">Mauritius</option> <option value="143">Mayotte</option> <option value="144">Mexico</option> <option value="145">Micronesia, Federated States Of</option> <option value="146">Moldova, Republic of</option> <option value="147">Monaco</option> <option value="148">Mongolia</option> <option value="149">Montenegro</option> <option value="150">Montserrat</option> <option value="151">Morocco</option> <option value="152">Mozambique</option> <option value="153">Myanmar</option> <option value="154">Namibia</option> <option value="155">Nauru</option> <option value="156">Nepal</option> <option value="157">Netherlands</option> <option value="158">Netherlands Antilles</option> <option value="159">New Caledonia</option> <option value="160">New Zealand</option> <option value="161">Nicaragua</option> <option value="162">Niger</option> <option value="163">Nigeria</option> <option value="164">Niue</option> <option value="165">Norfolk Island</option> <option value="166">Northern Mariana Islands</option> <option value="167">Norway</option> <option value="168">Oman</option> <option value="169">Pakistan</option> <option value="170">Palau</option> <option value="171">Palestinian Territory, Occupied</option> <option value="172">Panama</option> <option value="173">Papua New Guinea</option> <option value="174">Paraguay</option> <option value="175">Peru</option> <option value="176">Philippines</option> <option value="177">Pitcairn</option> <option value="178">Poland</option> <option value="179">Portugal</option> <option value="180">Puerto Rico</option> <option value="181">Qatar</option> <option value="182">R茅union</option> <option value="183">Romania</option> <option value="184">Russian Federation</option> <option value="185">Rwanda</option> <option value="186">Saint Barth茅lemy</option> <option value="187">Saint Helena</option> <option value="188">Saint Kitts and Nevis</option> <option value="189">Saint Lucia</option> <option value="190">Saint Martin</option> <option value="191">Saint Pierre and Miquelon</option> <option value="192">Saint Vincent And The Grenadines</option> <option value="193">Samoa</option> <option value="194">San Marino</option> <option value="195">Sao Tome And Principe</option> <option value="196">Saudi Arabia</option> <option value="197">Senegal</option> <option value="198">Serbia</option> <option value="199">Seychelles</option> <option value="200">Sierra Leone</option> <option value="201">Singapore</option> <option value="202">Sint Maarten (Dutch part)</option> <option value="203">Slovakia</option> <option value="204">Slovenia</option> <option value="205">Solomon Islands</option> <option value="206">Somalia</option> <option value="207">South Africa</option> <option value="208">South Georgia and the South Sandwich Islands</option> <option value="209">South Sudan</option> <option value="210">Spain</option> <option value="211">Sri Lanka</option> <option value="212">Sudan</option> <option value="213">Suriname</option> <option value="214">Svalbard And Jan Mayen</option> <option value="215">Swaziland</option> <option value="216">Sweden</option> <option value="217">Switzerland</option> <option value="218">Syrian Arab Republic</option> <option value="219">Taiwan</option> <option value="220">Tajikistan</option> <option value="221">Tanzania, United Republic of</option> <option value="222">Thailand</option> <option value="223">Togo</option> <option value="224">Tokelau</option> <option value="225">Tonga</option> <option value="226">Trinidad And Tobago</option> <option value="227">Tunisia</option> <option value="228">Turkey</option> <option value="229">Turkmenistan</option> <option value="230">Turks And Caicos Islands</option> <option value="231">Tuvalu</option> <option value="232">Uganda</option> <option value="233">Ukraine</option> <option value="234">United Arab Emirates</option> <option value="235">United Kingdom</option> <option value="236">United States</option> <option value="237">United States Minor Outlying Islands</option> <option value="238">Uruguay</option> <option value="239">Uzbekistan</option> <option value="240">Vanuatu</option> <option value="241">Venezuela</option> <option value="242">Viet Nam</option> <option value="243">Virgin Islands, British</option> <option value="244">Virgin Islands, United States</option> <option value="245">Wallis And Futuna</option> <option value="246">Western Sahara</option> <option value="247">Yemen</option> <option value="248">Zambia</option> <option value="249">Zimbabwe</option> </select> <div class="field-desc">Select the country where you live/work.</div> <input type="hidden" name="userfield[field9_set]" value="1" /> </div> </div> <div class="form_row"> <label class="label_column">Current Position</label> <div class="field_column"> <select class="textbox" name="userfield[field14]" id="cfield_14"> <option value="0" selected="selected">Please select one</option> <option value="1">Clinical researcher</option> <option value="2">Clinician</option> <option value="3">Core 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