{"id":19451,"date":"2024-07-04T14:59:22","date_gmt":"2024-07-04T12:59:22","guid":{"rendered":"http:\/\/www.wspr.bialystok.pl\/?page_id=19451"},"modified":"2024-07-04T14:59:23","modified_gmt":"2024-07-04T12:59:23","slug":"formularz-zgloszeniowy","status":"publish","type":"page","link":"https:\/\/www.wspr.bialystok.pl\/?page_id=19451","title":{"rendered":"Formularz zg\u0142oszeniowy"},"content":{"rendered":"<div id=\"dslc-theme-content\"><div id=\"dslc-theme-content-inner\">\n<div class=\"forminator-ui forminator-custom-form forminator-custom-form-19450 forminator-design--material  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-19450\" data-uid=\"69fbdd888d28f\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-19450\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-19450 forminator-design--material  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"19450\"\n\t\t\t\t data-color-option=\"default\" data-design=\"material\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69fbdd888d28f\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69fbdd888d28f\" id=\"forminator-field-name-1_69fbdd888d28f-label\" class=\"forminator-label\">Imi\u0119 i Nazwisko <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"Na przyk\u0142ad: Jan Kowalski\" id=\"forminator-field-name-1_69fbdd888d28f\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69fbdd888d28f\" id=\"forminator-field-email-1_69fbdd888d28f-label\" class=\"forminator-label\">Adres e-mail <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Na przyk\u0142ad: jan@kowalski.com\" id=\"forminator-field-email-1_69fbdd888d28f\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_69fbdd888d28f\" id=\"forminator-field-phone-1_69fbdd888d28f-label\" class=\"forminator-label\">Numer telefonu <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Przyk\u0142ad: +48 300 400 5000\" id=\"forminator-field-phone-1_69fbdd888d28f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-69fbdd888d28f-label\"><span id=\"forminator-radiogroup-radio-1-69fbdd888d28f-label\" class=\"forminator-label\">Terminy szkole\u0144 do wyboru: <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-69fbdd888d28f\" class=\"forminator-radio\" title=\"I TERMIN 10.03, 13.03-15.03.2025r\"><input type=\"radio\" name=\"radio-1\" value=\"I-tura-(zmiana-terminu):-24-27-wrzesie\u0144-2024r.\" id=\"forminator-field-radio-1-1-69fbdd888d28f\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">I TERMIN 10.03, 13.03-15.03.2025r<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-69fbdd888d28f\" class=\"forminator-radio\" title=\"II TERMIN 17.03, 19.03-21.03.2025r\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-69fbdd888d28f\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">II TERMIN 17.03, 19.03-21.03.2025r<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-69fbdd888d28f\" class=\"forminator-radio\" title=\"III TERMIN 25.03-27.03, 31.03.2025r\"><input type=\"radio\" name=\"radio-1\" value=\"III-TERMIN-25-31-MARZEC-2025r.\" id=\"forminator-field-radio-1-3-69fbdd888d28f\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">III TERMIN 25.03-27.03, 31.03.2025r<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-3\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-3-69fbdd888d28f-label\"><label id=\"forminator-field-checkbox-3-1-69fbdd888d28f-label\" for=\"forminator-field-checkbox-3-1-69fbdd888d28f\" class=\"forminator-checkbox\" title=\"O\u015bwiadczam, \u017ce wyra\u017cam zgod\u0119 na gromadzenie i przetwarzanie moich danych osobowych przez SP ZOZ WSPR w Bia\u0142ymstoku w celach zwi\u0105zanych z realizacj\u0105 szkole\u0144, um\u00f3w i celach marketingowych (zgodnie z: Rozporz\u0105dzenie Parlamentu Europejskiego I Rady (UE) 2016\/679 z dnia 27 kwietnia 2016 r. w sprawie ochrony os\u00f3b fizycznych w zwi\u0105zku z przetwarzaniem danych osobowych i w sprawie swobodnego przep\u0142ywu takich danych oraz uchylenia dyrektywy 95\/46\/WE)\"><input type=\"checkbox\" name=\"checkbox-3[]\" value=\"III-tura:-2-5-wrze\u015bnia-2024r\" id=\"forminator-field-checkbox-3-1-69fbdd888d28f\" aria-labelledby=\"forminator-field-checkbox-3-1-69fbdd888d28f-label\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">O\u015bwiadczam, \u017ce wyra\u017cam zgod\u0119 na gromadzenie i przetwarzanie moich danych osobowych przez SP ZOZ WSPR w Bia\u0142ymstoku w celach zwi\u0105zanych z realizacj\u0105 szkole\u0144, um\u00f3w i celach marketingowych (zgodnie z: Rozporz\u0105dzenie Parlamentu Europejskiego I Rady (UE) 2016\/679 z dnia 27 kwietnia 2016 r. w sprawie ochrony os\u00f3b fizycznych w zwi\u0105zku z przetwarzaniem danych osobowych i w sprawie swobodnego przep\u0142ywu takich danych oraz uchylenia dyrektywy 95\/46\/WE)<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-12 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-69fbdd888d28f-label\"><label id=\"forminator-field-checkbox-1-1-69fbdd888d28f-label\" for=\"forminator-field-checkbox-1-1-69fbdd888d28f\" class=\"forminator-checkbox\" title=\"O\u015bwiadczam, i\u017c jestem zatrudniona\/-y na podstawie umowy o prac\u0119 w SP ZOZ WSPR  w Bia\u0142ymstoku i zamieszkuj\u0119 w powiecie bia\u0142ostockim lub w 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