{"id":1171,"date":"2015-11-30T09:15:36","date_gmt":"2015-11-30T14:15:36","guid":{"rendered":"http:\/\/apned.info\/en\/connexion\/adhesion\/"},"modified":"2016-12-05T07:50:17","modified_gmt":"2016-12-05T12:50:17","slug":"adhesion","status":"publish","type":"page","link":"https:\/\/apned.info\/en\/connexion\/adhesion","title":{"rendered":"Adhesion"},"content":{"rendered":"[vc_row type=&#8221;full_width_content&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; class=&#8221;enteteImage&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; width=&#8221;1\/1&#8243;][image_with_animation image_url=&#8221;499&#8243; alignment=&#8221;&#8221; animation=&#8221;Fade In&#8221;][heading]MEMBERSHIP[\/heading][\/vc_column][\/vc_row][vc_row type=&#8221;in_container&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; top_padding=&#8221;25&#8243;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; width=&#8221;1\/1&#8243;][vc_text_separator title=&#8221;REGISTRATION FORM&#8221; title_align=&#8221;separator_align_left&#8221; align=&#8221;align_left&#8221;][vc_column_text]\n<ul>\n<li>Would you like to become a member of\u00a0a dynamic and expanding professional association of nutritionist experts in dysphagia (APNED)?<\/li>\n<li>Are you\u00a0also currently a member of the OPDQ or another officially recognized association of dietitian-nutritionists?<\/li>\n<li>Are you a dietetic student\u00a0currently registered in a university dietetics program?<\/li>\n<\/ul>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=&#8221;in_container&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; top_padding=&#8221;40&#8243; bottom_padding=&#8221;40&#8243; class=&#8221;txtAdhesion&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; width=&#8221;1\/3&#8243;][image_with_animation image_url=&#8221;504&#8243; alignment=&#8221;center&#8221; animation=&#8221;Fade In&#8221;][vc_column_text]\n<h3 style=\"text-align: center;\">PERIOD<\/h3>\n<p style=\"text-align: center;\">From\u00a0January 1st to December\u00a031st,\u00a02017<\/p>\n[\/vc_column_text][\/vc_column][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; width=&#8221;1\/3&#8243;][image_with_animation image_url=&#8221;505&#8243; alignment=&#8221;center&#8221; animation=&#8221;Fade In&#8221;][vc_column_text]\n<h3 style=\"text-align: center;\">ANNUAL FEE<\/h3>\n<p style=\"text-align: center;\">65.00$ nutritionists<br \/>\n30.00$ dietetics student<\/p>\n[\/vc_column_text][\/vc_column][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; width=&#8221;1\/3&#8243;][image_with_animation image_url=&#8221;506&#8243; alignment=&#8221;center&#8221; animation=&#8221;Fade In&#8221;][vc_column_text]\n<h3>IMPORTANT POINTS<\/h3>\n<p>STUDENTS AND DIETITIAN OUTSIDE QUEBEC<\/p>\n<ol>\n<li>Register<\/li>\n<li>Pay via Paypal<\/li>\n<li>Email a scanned copy of your proof of university registration to <a href=\"mailto:Information@apned.info\">Information@apned.info<\/a><\/li>\n<\/ol>\n<p class=\"txtBlue\"><strong>Dietitians practicing outside Quebec must provide their Dietitians of Canada or your regulatory body\u00a0Member N\u00b0<\/strong><\/p>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=&#8221;in_container&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; width=&#8221;1\/1&#8243;][tabbed_section el_class=&#8221;formsAdhesion&#8221;][tab title=&#8221;Dietetist&#8221; tab_id=&#8221;1454599145916-1&#8243;]<script type=\"text\/javascript\">var 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data-formid='4' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_4_3\" class=\"gfield gfield--type-html step1 clear gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_3\" ><\/li><li id=\"field_4_43\" class=\"gfield gfield--type-radio gfield--type-choice col-gf-12 wrappedLeft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_43\" ><label class='gfield_label gform-field-label' >Membership<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_43'>\n\t\t\t<li class='gchoice gchoice_4_43_0'>\n\t\t\t\t<input name='input_43' type='radio' value='I am a member of the OPDQ' checked='checked' id='choice_4_43_0'    \/>\n\t\t\t\t<label for='choice_4_43_0' id='label_4_43_0' class='gform-field-label gform-field-label--type-inline'>I am a member of the OPDQ<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_43_1'>\n\t\t\t\t<input name='input_43' type='radio' value='I am a member in another province or country'  id='choice_4_43_1'    \/>\n\t\t\t\t<label for='choice_4_43_1' id='label_4_43_1' class='gform-field-label gform-field-label--type-inline'>I am a member in another province or country<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_2\" class=\"gfield gfield--type-text col-gf-12 wrappedLeft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_2\" ><label class='gfield_label 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ginput_container_password gform-grid-row' id='input_4_45_container'>\n\t\t\t\t\t\t<span id='input_4_45_1_container' class='ginput_password ginput_left gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_45' id='input_4_45'   value=''   aria-required=\"true\" aria-invalid=\"false\"  \/>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<label for='input_4_45' class='gform-field-label gform-field-label--type-sub '>Enter Password<\/label>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span id='input_4_45_2_container' class='ginput_password ginput_right gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_45_2' id='input_4_45_2'   value=''   aria-required=\"true\" aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<label for='input_4_45_2' class='gform-field-label gform-field-label--type-sub '>Confirm Password<\/label>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<div class='gf_clear gf_clear_complex'><\/div>\n\t\t\t\t\t<\/div><\/li><li id=\"field_4_4\" class=\"gfield gfield--type-html step2 clear gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_4\" ><\/li><li id=\"field_4_11\" class=\"gfield gfield--type-html col-gf-12 wrappedLeft2 gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_11\" >EMPLOYMENT<\/li><li id=\"field_4_13\" class=\"gfield gfield--type-checkbox gfield--type-choice col-gf-6 firstCol noTitle wrappedLeft2 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_13\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Employment<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_13'><li class='gchoice gchoice_4_13_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.1' type='checkbox'  value='Clinical nutrition'  id='choice_4_13_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_13_1' id='label_4_13_1' class='gform-field-label gform-field-label--type-inline'>Clinical nutrition<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_13_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.2' type='checkbox'  value='Management of Food services'  id='choice_4_13_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_13_2' id='label_4_13_2' class='gform-field-label gform-field-label--type-inline'>Management of Food services<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_13_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.3' type='checkbox'  value='Management in clinical nutrition'  id='choice_4_13_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_13_3' id='label_4_13_3' class='gform-field-label gform-field-label--type-inline'>Management in clinical nutrition<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_13_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.4' type='checkbox'  value='Clinical nutrition &amp; Management'  id='choice_4_13_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_13_4' id='label_4_13_4' class='gform-field-label gform-field-label--type-inline'>Clinical nutrition &amp; Management<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_13_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.5' type='checkbox'  value='Chief of Service'  id='choice_4_13_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_13_5' id='label_4_13_5' class='gform-field-label gform-field-label--type-inline'>Chief of Service<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_13_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.6' type='checkbox'  value='Research'  id='choice_4_13_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_13_6' id='label_4_13_6' class='gform-field-label gform-field-label--type-inline'>Research<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_13_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_13.7' type='checkbox'  value='Teaching'  id='choice_4_13_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_13_7' id='label_4_13_7' class='gform-field-label gform-field-label--type-inline'>Teaching<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_14\" class=\"gfield gfield--type-textarea col-gf-6 lastCol wrappedLeft2 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_14\" ><label class='gfield_label gform-field-label' for='input_4_14'>Other<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_14' id='input_4_14' class='textarea medium'   maxlength='50' placeholder='50 caract\u00e8res max'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_12\" class=\"gfield gfield--type-html col-gf-12 wrappedRight2 gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_12\" >Skill<\/li><li id=\"field_4_15\" class=\"gfield gfield--type-checkbox gfield--type-choice col-gf-6 firstCol noTitle wrappedRight2 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_15\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Skill<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_15'><li class='gchoice gchoice_4_15_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.1' type='checkbox'  value='Pediatric Nutrition'  id='choice_4_15_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_1' id='label_4_15_1' class='gform-field-label gform-field-label--type-inline'>Pediatric Nutrition<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.2' type='checkbox'  value='Geriatric Nutrition'  id='choice_4_15_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_2' id='label_4_15_2' class='gform-field-label gform-field-label--type-inline'>Geriatric Nutrition<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.3' type='checkbox'  value='Radio \u2013 oncology'  id='choice_4_15_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_3' id='label_4_15_3' class='gform-field-label gform-field-label--type-inline'>Radio \u2013 oncology<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.4' type='checkbox'  value='Neurology'  id='choice_4_15_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_4' id='label_4_15_4' class='gform-field-label gform-field-label--type-inline'>Neurology<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_15_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.5' type='checkbox'  value='Trauma &amp; intensive care'  id='choice_4_15_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_15_5' id='label_4_15_5' class='gform-field-label gform-field-label--type-inline'>Trauma &amp; intensive care<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_16\" class=\"gfield gfield--type-textarea col-gf-6 lastCol wrappedRight2 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_16\" ><label class='gfield_label gform-field-label' for='input_4_16'>Other<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_16' id='input_4_16' class='textarea medium'   maxlength='50' placeholder='50 caract\u00e8res max'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_5\" class=\"gfield gfield--type-html step3 clear gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_5\" ><\/li><li id=\"field_4_17\" class=\"gfield gfield--type-html col-gf-12 noPadding wrappedLeft3 gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_17\" >Work address information<\/li><li id=\"field_4_19\" class=\"gfield gfield--type-text col-gf-12 wrappedLeft3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_19\" ><label class='gfield_label gform-field-label' for='input_4_19'>Institution<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_4_19' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_20\" class=\"gfield gfield--type-text col-gf-12 wrappedLeft3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_20\" ><label class='gfield_label gform-field-label' for='input_4_20'>Department\/Service<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_4_20' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_25\" class=\"gfield gfield--type-text col-gf-4 firstCol wrappedLeft3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_25\" ><label class='gfield_label gform-field-label' for='input_4_25'>No<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_4_25' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_26\" class=\"gfield gfield--type-text col-gf-8 lastCol wrappedLeft3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_26\" ><label class='gfield_label gform-field-label' for='input_4_26'>Street<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_4_26' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_28\" class=\"gfield gfield--type-text col-gf-12 wrappedLeft3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_28\" ><label class='gfield_label gform-field-label' for='input_4_28'>City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_4_28' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_27\" class=\"gfield gfield--type-text col-gf-12 wrappedLeft3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_27\" ><label class='gfield_label gform-field-label' for='input_4_27'>Postal code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_4_27' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_29\" class=\"gfield gfield--type-phone col-gf-8 wrappedLeft3 firstCol gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_29\" ><label class='gfield_label gform-field-label' for='input_4_29'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_29' id='input_4_29' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_40\" class=\"gfield gfield--type-text col-gf-4 wrappedLeft3 lastCol field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_40\" ><label class='gfield_label gform-field-label' for='input_4_40'>Ext.<\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_4_40' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_33\" class=\"gfield gfield--type-phone col-gf-12 wrappedLeft3 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_33\" ><label class='gfield_label gform-field-label' for='input_4_33'>Fax<\/label><div class='ginput_container ginput_container_phone'><input name='input_33' id='input_4_33' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_18\" class=\"gfield gfield--type-html col-gf-12 noPadding wrappedRight3 gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_18\" >Home address information<\/li><li id=\"field_4_21\" class=\"gfield gfield--type-text col-gf-4 firstCol wrappedRight3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_21\" ><label class='gfield_label gform-field-label' for='input_4_21'>No<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_4_21' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_22\" class=\"gfield gfield--type-text col-gf-4 wrappedRight3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_22\" ><label class='gfield_label gform-field-label' for='input_4_22'>Street<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_4_22' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_23\" class=\"gfield gfield--type-text col-gf-4 lastCol wrappedRight3 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_23\" ><label class='gfield_label gform-field-label' for='input_4_23'>App.<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_4_23' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_24\" class=\"gfield gfield--type-text col-gf-12 wrappedRight3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_24\" ><label class='gfield_label gform-field-label' for='input_4_24'>City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_4_24' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_30\" class=\"gfield gfield--type-text col-gf-12 wrappedRight3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_30\" ><label class='gfield_label gform-field-label' for='input_4_30'>Postal Code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_4_30' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_32\" class=\"gfield gfield--type-phone col-gf-8 wrappedRight3 firstCol gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_32\" ><label class='gfield_label gform-field-label' for='input_4_32'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_32' id='input_4_32' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_4_41\" class=\"gfield gfield--type-text col-gf-4 wrappedRight3 lastCol field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_41\" ><label class='gfield_label gform-field-label' for='input_4_41'>Ext.<\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_4_41' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_36\" class=\"gfield gfield--type-checkbox gfield--type-choice wrappedRight3 col-gf-6 lastCol right field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_36\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Committees<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_36'><li class='gchoice gchoice_4_36_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.1' type='checkbox'  value='Work related tools'  id='choice_4_36_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_36_1' id='label_4_36_1' class='gform-field-label gform-field-label--type-inline'>Work related tools<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_36_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.2' type='checkbox'  value='Rheology'  id='choice_4_36_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_36_2' id='label_4_36_2' class='gform-field-label gform-field-label--type-inline'>Rheology<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_36_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.3' type='checkbox'  value='Training'  id='choice_4_36_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_36_3' id='label_4_36_3' class='gform-field-label gform-field-label--type-inline'>Training<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_36_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.4' type='checkbox'  value='Board of directors'  id='choice_4_36_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_36_4' id='label_4_36_4' class='gform-field-label gform-field-label--type-inline'>Board of directors<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_4_36_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.5' type='checkbox'  value='Event organisation'  id='choice_4_36_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_36_5' id='label_4_36_5' class='gform-field-label gform-field-label--type-inline'>Event organisation<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_37\" class=\"gfield gfield--type-radio gfield--type-choice wrappedRight3 col-gf-6 firstCol field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_37\" ><label class='gfield_label gform-field-label' >Implication<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_4_37'>\n\t\t\t<li class='gchoice gchoice_4_37_0'>\n\t\t\t\t<input name='input_37' type='radio' value='Yes'  id='choice_4_37_0'    \/>\n\t\t\t\t<label for='choice_4_37_0' id='label_4_37_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_4_37_1'>\n\t\t\t\t<input name='input_37' type='radio' value='No'  id='choice_4_37_1'    \/>\n\t\t\t\t<label for='choice_4_37_1' id='label_4_37_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_4_46\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_4_46\" ><label class='gfield_label gform-field-label' for='input_4_46'>Name<\/label><div class='ginput_container'><input name='input_46' id='input_4_46' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_4_46'>This field is for validation purposes and should be left unchanged.<\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_4' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_4\"]){return false;}  if( !jQuery(\"#gform_4\")[0].checkValidity || jQuery(\"#gform_4\")[0].checkValidity()){window[\"gf_submitting_4\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_4\"]){return false;} if( !jQuery(\"#gform_4\")[0].checkValidity || jQuery(\"#gform_4\")[0].checkValidity()){window[\"gf_submitting_4\"]=true;}  jQuery(\"#gform_4\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_4' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='4' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_4' value='WyJbXSIsIjViMzg2ZDdiNTk5MDJmNDVjMGQzNjNhY2Y2ZDY0MDI2Il0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_4' id='gform_target_page_number_4' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_4' id='gform_source_page_number_4' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 4, 'https:\/\/apned.info\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_4').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_4');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_4').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_4').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_4').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_4').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_4').val();gformInitSpinner( 4, 'https:\/\/apned.info\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [4, current_page]);window['gf_submitting_4'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_4').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [4]);window['gf_submitting_4'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_4').text());}else{jQuery('#gform_4').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"4\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);                if (event && event.defaultPrevented) {                return;         }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_4\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_4\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_4\" );        let postRenderFired = false;                function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            jQuery( document ).trigger( 'gform_post_render', [4, current_page] );            gform.utils.trigger( { event: 'gform\/postRender', native: false, data: { formId: 4, currentPage: current_page } } );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]> *\/\n<\/script>\n[\/tab][tab title=&#8221;Student&#8221; tab_id=&#8221;1454599146258-0&#8243;]\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework replacedChecks_wrapper' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_6' ><form method='post' enctype='multipart\/form-data'  id='gform_6' class='replacedChecks' action='\/en\/wp-json\/wp\/v2\/pages\/1171' data-formid='6' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_6_3\" class=\"gfield gfield--type-html step1 clear gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_3\" ><\/li><li id=\"field_6_7\" class=\"gfield gfield--type-text col-gf-12 wrappedLeft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_7\" ><label class='gfield_label gform-field-label' for='input_6_7'>First 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_7' id='input_6_7' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_8\" class=\"gfield gfield--type-text col-gf-12 wrappedLeft gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_8\" ><label class='gfield_label gform-field-label' for='input_6_8'>Last 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_8' id='input_6_8' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_38\" class=\"gfield gfield--type-email col-gf-12 wrappedRight gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_38\" ><label class='gfield_label gform-field-label' for='input_6_38'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_38' id='input_6_38' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_6_43\" class=\"gfield gfield--type-password col-gf-12 wrappedRight gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_43\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Password of your choice<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_password gform-grid-row' id='input_6_43_container'>\n\t\t\t\t\t\t<span id='input_6_43_1_container' class='ginput_password ginput_left gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_43' id='input_6_43'   value=''   aria-required=\"true\" aria-invalid=\"false\"  \/>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<label for='input_6_43' class='gform-field-label gform-field-label--type-sub '>Enter Password<\/label>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span id='input_6_43_2_container' class='ginput_password ginput_right gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_43_2' id='input_6_43_2'   value=''   aria-required=\"true\" aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<label for='input_6_43_2' class='gform-field-label gform-field-label--type-sub '>Confirm Password<\/label>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<div class='gf_clear gf_clear_complex'><\/div>\n\t\t\t\t\t<\/div><\/li><li id=\"field_6_4\" class=\"gfield gfield--type-html step2 clear gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_4\" ><\/li><li id=\"field_6_17\" class=\"gfield gfield--type-html col-gf-12 noPadding wrappedLeft3 gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_17\" >Study address information<\/li><li id=\"field_6_19\" class=\"gfield gfield--type-text col-gf-12 wrappedLeft3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_19\" ><label class='gfield_label gform-field-label' for='input_6_19'>Institution<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_6_19' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_20\" class=\"gfield gfield--type-text col-gf-12 wrappedLeft3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_20\" ><label class='gfield_label gform-field-label' for='input_6_20'>Department\/Service<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_6_20' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_25\" class=\"gfield gfield--type-text col-gf-4 firstCol wrappedLeft3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_25\" ><label class='gfield_label gform-field-label' for='input_6_25'>No<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_6_25' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_26\" class=\"gfield gfield--type-text col-gf-8 lastCol wrappedLeft3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_26\" ><label class='gfield_label gform-field-label' for='input_6_26'>Street<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_6_26' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_28\" class=\"gfield gfield--type-text col-gf-12 wrappedLeft3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_28\" ><label class='gfield_label gform-field-label' for='input_6_28'>City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_6_28' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_27\" class=\"gfield gfield--type-text col-gf-12 wrappedLeft3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_27\" ><label class='gfield_label gform-field-label' for='input_6_27'>Postal code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_6_27' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_29\" class=\"gfield gfield--type-phone col-gf-8 wrappedLeft3 firstCol gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_29\" ><label class='gfield_label gform-field-label' for='input_6_29'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_29' id='input_6_29' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_40\" class=\"gfield gfield--type-text col-gf-4 wrappedLeft3 lastCol field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_40\" ><label class='gfield_label gform-field-label' for='input_6_40'>Ext.<\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_6_40' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_33\" class=\"gfield gfield--type-phone col-gf-12 wrappedLeft3 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_33\" ><label class='gfield_label gform-field-label' for='input_6_33'>Fax<\/label><div class='ginput_container ginput_container_phone'><input name='input_33' id='input_6_33' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_18\" class=\"gfield gfield--type-html col-gf-12 noPadding wrappedRight3 gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_18\" >Coordonn\u00e9es \u00e0 la maison<\/li><li id=\"field_6_21\" class=\"gfield gfield--type-text col-gf-4 firstCol wrappedRight3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_21\" ><label class='gfield_label gform-field-label' for='input_6_21'>No<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_6_21' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_22\" class=\"gfield gfield--type-text col-gf-4 wrappedRight3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_22\" ><label class='gfield_label gform-field-label' for='input_6_22'>Street<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_6_22' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_23\" class=\"gfield gfield--type-text col-gf-4 lastCol wrappedRight3 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_23\" ><label class='gfield_label gform-field-label' for='input_6_23'>App.<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_6_23' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_24\" class=\"gfield gfield--type-text col-gf-12 wrappedRight3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_24\" ><label class='gfield_label gform-field-label' for='input_6_24'>City<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_6_24' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_30\" class=\"gfield gfield--type-text col-gf-12 wrappedRight3 gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_30\" ><label class='gfield_label gform-field-label' for='input_6_30'>Postal code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_6_30' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_32\" class=\"gfield gfield--type-phone col-gf-8 wrappedRight3 firstCol gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_32\" ><label class='gfield_label gform-field-label' for='input_6_32'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_32' id='input_6_32' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_6_41\" class=\"gfield gfield--type-text col-gf-4 wrappedRight3 lastCol field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_41\" ><label class='gfield_label gform-field-label' for='input_6_41'>Ext.<\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_6_41' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_6_39\" class=\"gfield gfield--type-fileupload preuve_ad col-gf-12 wrappedRight3 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_39\" ><label class='gfield_label gform-field-label' for='input_6_39'>Proof of student status<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_6_39'>We need this evidence to verify your student status<\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20971520' \/><input name='input_39' id='input_6_39' type='file' class='medium' aria-describedby=\"gfield_upload_rules_6_39 gfield_description_6_39\" onchange='javascript:gformValidateFileSize( this, 20971520 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_6_39'>Max. file size: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_6_39'><\/div><\/div><\/li><li id=\"field_6_44\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_6_44\" ><label class='gfield_label gform-field-label' for='input_6_44'>Phone<\/label><div class='ginput_container'><input name='input_44' id='input_6_44' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_6_44'>This field is for validation purposes and should be left unchanged.<\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_6' class='gform_button button' value='Soumettre'  onclick='if(window[\"gf_submitting_6\"]){return false;}  if( !jQuery(\"#gform_6\")[0].checkValidity || jQuery(\"#gform_6\")[0].checkValidity()){window[\"gf_submitting_6\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_6\"]){return false;} if( !jQuery(\"#gform_6\")[0].checkValidity || jQuery(\"#gform_6\")[0].checkValidity()){window[\"gf_submitting_6\"]=true;}  jQuery(\"#gform_6\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_6' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='6' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_6' value='WyJbXSIsIjViMzg2ZDdiNTk5MDJmNDVjMGQzNjNhY2Y2ZDY0MDI2Il0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_6' id='gform_target_page_number_6' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_6' id='gform_source_page_number_6' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 6, 'https:\/\/apned.info\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_6').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_6');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_6').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_6').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_6').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_6').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_6').val();gformInitSpinner( 6, 'https:\/\/apned.info\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [6, current_page]);window['gf_submitting_6'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_6').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [6]);window['gf_submitting_6'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_6').text());}else{jQuery('#gform_6').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"6\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);                if (event && event.defaultPrevented) {                return;         }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_6\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_6\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", 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Would&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":433,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1171","page","type-page","status-publish"],"acf":[],"_links":{"self":[{"href":"https:\/\/apned.info\/en\/wp-json\/wp\/v2\/pages\/1171","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apned.info\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apned.info\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apned.info\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/apned.info\/en\/wp-json\/wp\/v2\/comments?post=1171"}],"version-history":[{"count":11,"href":"https:\/\/apned.info\/en\/wp-json\/wp\/v2\/pages\/1171\/revisions"}],"predecessor-version":[{"id":3202,"href":"https:\/\/apned.info\/en\/wp-json\/wp\/v2\/pages\/1171\/revisions\/3202"}],"up":[{"embeddable":true,"href":"https:\/\/apned.info\/en\/wp-json\/wp\/v2\/pages\/433"}],"wp:attachment":[{"href":"https:\/\/apned.info\/en\/wp-json\/wp\/v2\/media?parent=1171"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}