{"id":2818,"date":"2017-04-25T19:26:53","date_gmt":"2017-04-25T19:26:53","guid":{"rendered":"http:\/\/stopconstructionfalls.com\/?page_id=2818"},"modified":"2023-05-22T17:19:52","modified_gmt":"2023-05-22T17:19:52","slug":"success-story-form","status":"publish","type":"page","link":"https:\/\/metamediatraining.com\/SafetySmartV2\/success-story-form\/","title":{"rendered":"Success Story Form"},"content":{"rendered":"<p>Please complete this form if you are interested in having the story of your stand-down event published on stopconstructionfalls.com, cpwr.com, and possibly in various other media avenues.<\/p>\n<p><strong>By submitting this form you are giving your consent for CPWR to:<\/strong><\/p>\n<p style=\"padding-left: 30px;\">(A) Contact you to ask any follow-up questions about the information provided;<\/p>\n<p style=\"padding-left: 30px;\">(B) Use any and all information provided, including photos, in the creation of a Stand-Down Success Story;<\/p>\n<p style=\"padding-left: 30px;\">(C)\u00a0Use non-identifying information as part of an overall evaluation effort examining data in aggregate (this includes position\/job title, state, company size, number of attendees, and stand-down activities).<\/p>\n<p>Companies should obtain permission from individuals included before sharing photos or identifying information with CPWR. \u00a0If CPWR decides to feature your story, we will notify you, reach out to schedule an interview for additional information, and provide a copy of the Success Story for your review and approval prior to publishing.<\/p>\n<p><a href=\"https:\/\/metamediatraining.com\/SafetySmartV2\/about-the-campaign\/success-stories\/\">See past examples of Success Stories here.<\/a><\/p>\n<p>If you agree to the above, please complete the following form:<\/p>\n<p style=\"text-align: right;\"><span style=\"color: #808080;\">(<\/span><strong><span style=\"color: #800000;\">*<\/span><\/strong> Required Fields<span style=\"color: #808080;\">)<\/span><\/p>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var 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action='\/SafetySmartV2\/wp-json\/wp\/v2\/pages\/2818#gf_2' data-formid='2' >\n                        <div class='gform-body gform_body'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_2_1\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_1\"><label class='gfield_label gform-field-label' for='input_2_1' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_2_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_2_2\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_2\"><label 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value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' 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field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_8\"><label class='gfield_label gform-field-label' for='input_2_8' >Company Size<\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_2_8' class='medium gfield_select'     aria-invalid=\"false\" ><option value='1 to 10' >1 to 10<\/option><option value='10 to 25' >10 to 25<\/option><option value='25 to 50' >25 to 50<\/option><option value='50 to 100' >50 to 100<\/option><option value='Over 100' >Over 100<\/option><\/select><\/div><\/li><li id=\"field_2_9\"  class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_2_9\"><label class='gfield_label gform-field-label' for='input_2_9' >Number of Stand-Down Attendees<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div 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