{"id":7926,"date":"2022-08-04T14:57:44","date_gmt":"2022-08-04T12:57:44","guid":{"rendered":"https:\/\/interdem.org\/?page_id=7926"},"modified":"2022-08-04T14:57:45","modified_gmt":"2022-08-04T12:57:45","slug":"interdem-academy-application-form-for-membership","status":"publish","type":"page","link":"https:\/\/interdem.org\/?page_id=7926","title":{"rendered":"INTERDEM Academy application form for membership"},"content":{"rendered":"\n<div class=\"wp-block-contact-form-7-contact-form-selector\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f7921-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F7926#wpcf7-f7921-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"7921\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.8.2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f7921-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<figure class=\"wp-block-table\">\n\t<table>\n\t\t<tbody>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><label> Name: <\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><label> Country: <\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-country\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-country\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><label> Workplace: <\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-workplace\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-workplace\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><label> Current Position (e.g. PhD student, post-doctoral fellow):<\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-position\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-position\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><label> Supervised by or Affiliated with (INTERDEM-member): <\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-member\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-member\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><label> Main research project and area of expertise (max.170 characters): <\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-Area\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"textarea-Area\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><label> Mail: <\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-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=\"your-email\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><label> Secondairy mail (non-institutional): <\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email-second\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email-second\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><label> PubMed Link: <\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-pubmedlink\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-pubmedlink\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><label> Twitter: <\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-twitter\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-twitter\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><label> LinkedIn: <\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-linkedin\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-linkedin\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><label> Facebook: <\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-facebook\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-facebook\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><label> Picture upload: <\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"file-picture\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg\" aria-invalid=\"false\" type=\"file\" name=\"file-picture\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><label>I hereby give permission to publish my profile on interdem.org <\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-permission\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-permission\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-permission\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><label> Any other remarks: <\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"textarea-remarks\"><textarea cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"textarea-remarks\"><\/textarea><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t\t<p><label> Captcha quiz <\/label>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t\t<td>\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"quiz-captcha\"><label><span class=\"wpcf7-quiz-label\">10 * 10<\/span> <input size=\"40\" class=\"wpcf7-form-control wpcf7-quiz\" autocomplete=\"off\" aria-required=\"true\" aria-invalid=\"false\" type=\"text\" name=\"quiz-captcha\" \/><\/label><input type=\"hidden\" name=\"_wpcf7_quiz_answer_quiz-captcha\" value=\"610717263831a3c5785af74b77148de1\" \/><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr>\n\t\t\t\t<td>\n\t\t\t\t<\/td>\n\t\t\t\t<td>\n\t\t\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/td>\n\t\t\t<\/tr>\n\t\t<\/tbody>\n\t<\/table>\n<\/figure><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"Name: Country: Workplace: Current Position (e.g. PhD student, post-doctoral fellow): Supervised by or Affiliated with (INTERDEM-member): Main research project and area of expertise (max.170 characters): Mail: Secondairy mail (non-institutional): PubMed [...]","protected":false},"author":12,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/interdem.org\/index.php?rest_route=\/wp\/v2\/pages\/7926"}],"collection":[{"href":"https:\/\/interdem.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/interdem.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/interdem.org\/index.php?rest_route=\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/interdem.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7926"}],"version-history":[{"count":4,"href":"https:\/\/interdem.org\/index.php?rest_route=\/wp\/v2\/pages\/7926\/revisions"}],"predecessor-version":[{"id":7930,"href":"https:\/\/interdem.org\/index.php?rest_route=\/wp\/v2\/pages\/7926\/revisions\/7930"}],"wp:attachment":[{"href":"https:\/\/interdem.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7926"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}