{"id":74,"date":"2016-11-17T09:59:57","date_gmt":"2016-11-17T08:59:57","guid":{"rendered":"http:\/\/blog.u-bourgogne.fr\/recherche-translationnelle-cancerologie\/?page_id=74"},"modified":"2019-11-17T23:33:49","modified_gmt":"2019-11-17T22:33:49","slug":"formulaire-dinscription","status":"publish","type":"page","link":"https:\/\/blog.ube.fr\/recherche-translationnelle-cancerologie\/formulaire-dinscription\/","title":{"rendered":"Formulaire d&#8217;inscription"},"content":{"rendered":"<p>Pour vous inscrire, compl\u00e9ter imp\u00e9rativement et avec pr\u00e9cision le formulaire ci-dessous et joignez les pi\u00e8ces justificatives.<\/p>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f73-o1\" lang=\"fr-FR\" dir=\"ltr\">\n<div class=\"screen-reader-response\">\n<p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\">\n<ul><\/ul>\n<\/div>\n<form action=\"\/recherche-translationnelle-cancerologie\/wp-json\/wp\/v2\/pages\/74#wpcf7-f73-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"73\" \/><br \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.8.3\" \/><br \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/><br \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f73-o1\" \/><br \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><br \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div align=\"center\">\n<p><strong>Vous vous inscrivez:<br \/>\n\t\t\t<font color=\"#CC6677\">*<br \/>\n\t\t\t<\/font><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"inscription\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"inscription\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"Au module RTC en formation continue\">Au module RTC en formation continue<\/option><option value=\"Au module RTC en doctorat\">Au module RTC en doctorat<\/option><option value=\"Au module RTC en dipl\u00f4me EPHE\">Au module RTC en dipl\u00f4me EPHE<\/option><\/select><\/span><\/strong>\n\t<\/p>\n<p><strong>Votre situation<\/strong>\n\t<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"situation\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"situation\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"Agent public\">Agent public<\/option><option value=\"Salari\u00e9 du secteur priv\u00e9\">Salari\u00e9 du secteur priv\u00e9<\/option><option value=\"Demandeur d\u2019emploi\">Demandeur d\u2019emploi<\/option><option value=\"Etudiant\">Etudiant<\/option><\/select><\/span>\n\t<\/p>\n<p><strong>Votre fonction, statut, activit\u00e9<br \/>\n\t\t\t<font color=\"#CC6677\">*<br \/>\n\t\t\t<\/font><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fonction\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fonction\" \/><\/span> <\/strong>\n\t<\/p>\n<p><strong>Vous \u00eates:<br \/>\n\t\t\t<font color=\"#CC6677\">*<br \/>\n\t\t\t<\/font><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"civilite\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"civilite\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"Madame\">Madame<\/option><option value=\"Monsieur\">Monsieur<\/option><\/select><\/span><\/strong>\n\t<\/p>\n<p><strong>Votre nom<br \/>\n\t\t\t<font color=\"#CC6677\">*<br \/>\n\t\t\t<\/font><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nom\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom\" \/><\/span> <\/strong>\n\t<\/p>\n<p><strong>Votre pr\u00e9nom<br \/>\n\t\t\t<font color=\"#CC6677\">*<br \/>\n\t\t\t<\/font> <\/strong>\n\t<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"prenom\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"prenom\" \/><\/span>\n\t<\/p>\n<p><strong>Votre email<br \/>\n\t\t\t<font color=\"#CC6677\">*<br \/>\n\t\t\t<\/font><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span> <\/strong>\n\t<\/p>\n<p><strong>Votre t\u00e9l\u00e9phone<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telephone\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telephone\" \/><\/span> <\/strong>\n\t<\/p>\n<p><strong>Votre adresse<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adresse\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"adresse\"><\/textarea><\/span> <\/strong>\n\t<\/p>\n<p><strong>PIECE A JOINDRE OBLIGATOIREMENT pour les doctorants et dipl\u00f4mes de l'EPHE :<\/strong>\n\t<\/p>\n<p>Copie de la carte d\u2019\u00e9tudiant de l\u2019ann\u00e9e 2019\/2020: <span class=\"wpcf7-form-control-wrap\" data-name=\"carte_etu\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"carte_etu\" \/><\/span>\n\t<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Valider\" \/>\n\t<\/p>\n<p><\/ br><br \/>\n\t\t<font color=\"#CC6677\">Les champs marqu\u00e9s par un ast\u00e9risque * sont obligatoires<br \/>\n\t\t<\/font>\n\t<\/p>\n<\/div>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<table border=\"0\" cellspacing=\"20\" cellpadding=\"0\" align=\"center\">\n<tbody>\n<tr>\n<td valign=\"middle\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"http:\/\/blog.ube.fr\/recherche-translationnelle-cancerologie\/wp-content\/uploads\/sites\/66\/2016\/12\/ubfc.png\" width=\"155\" height=\"82\" \/><\/td>\n<td valign=\"middle\" width=\"50\"><\/td>\n<td valign=\"middle\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/blog.ube.fr\/recherche-translationnelle-cancerologie\/wp-content\/uploads\/sites\/66\/2016\/12\/logo-psl.png\" width=\"155\" height=\"83\" \/><\/td>\n<td valign=\"middle\" width=\"50\"><\/td>\n<td valign=\"middle\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter\" src=\"http:\/\/blog.ube.fr\/recherche-translationnelle-cancerologie\/wp-content\/uploads\/sites\/66\/2017\/12\/canceropole.png\" width=\"160\" height=\"47\" \/><span id=\"transmark\" style=\"width: 0px;height: 0px\"><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>Pour vous inscrire, compl\u00e9ter imp\u00e9rativement et avec pr\u00e9cision le formulaire ci-dessous et joignez les pi\u00e8ces justificatives.<\/p>\n","protected":false},"author":260,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-74","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/blog.ube.fr\/recherche-translationnelle-cancerologie\/wp-json\/wp\/v2\/pages\/74","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.ube.fr\/recherche-translationnelle-cancerologie\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/blog.ube.fr\/recherche-translationnelle-cancerologie\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/blog.ube.fr\/recherche-translationnelle-cancerologie\/wp-json\/wp\/v2\/users\/260"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.ube.fr\/recherche-translationnelle-cancerologie\/wp-json\/wp\/v2\/comments?post=74"}],"version-history":[{"count":5,"href":"https:\/\/blog.ube.fr\/recherche-translationnelle-cancerologie\/wp-json\/wp\/v2\/pages\/74\/revisions"}],"predecessor-version":[{"id":220,"href":"https:\/\/blog.ube.fr\/recherche-translationnelle-cancerologie\/wp-json\/wp\/v2\/pages\/74\/revisions\/220"}],"wp:attachment":[{"href":"https:\/\/blog.ube.fr\/recherche-translationnelle-cancerologie\/wp-json\/wp\/v2\/media?parent=74"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}