{"id":21782,"date":"2020-11-30T05:37:52","date_gmt":"2020-11-30T05:37:52","guid":{"rendered":"https:\/\/tectonique.net\/agate_dev\/?page_id=21782"},"modified":"2026-04-07T17:44:03","modified_gmt":"2026-04-07T09:44:03","slug":"prise-en-charge-pour-cours-en-ligne","status":"publish","type":"page","link":"https:\/\/agate-project.org\/fr\/prise-en-charge-pour-cours-en-ligne\/","title":{"rendered":"Prise en charge pour cours en ligne"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-6e0d9726-289e-4690-80e6-19626df3c898\" id=\"wpforms-21699\"><form id=\"wpforms-form-21699\" class=\"wpforms-validate wpforms-form\" data-formid=\"21699\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/fr\/wp-json\/wp\/v2\/pages\/21782\" data-token=\"b85f21049e8705b200ea2effdfa15947\" data-token-time=\"1775609496\" data-trp-original-action=\"\/fr\/wp-json\/wp\/v2\/pages\/21782\"><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-21699-field_20-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"20\"><h3 id=\"wpforms-21699-field_20\">Veuillez remplir ce formulaire<\/h3><div class=\"wpforms-field-description\"> Si vous avez vu ne formation  annonc\u00e9e sur le site web d&#8217;Agate Project ou ailleurs (dure\u00e9 5 jours ou moins), et si vous souhaitez demander une prise en charge par Agate Project des frais d\u2019inscription.<\/br><\/br>\r\n\r\nMerci de compl\u00e9ter toutes les cases ci-dessous et d\u2019appuyer sur le bouton &#8220;soumettre ma demande\u201d afin de valider votre demande de prise en charge.<\/div><\/div><div id=\"wpforms-21699-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-21699-field_38\">Nom du cours <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-21699-field_38\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][38]\" required><\/div><div id=\"wpforms-21699-field_39-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-21699-field_39\">Adresse du site web du cours en ligne (URL) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-21699-field_39\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][39]\" placeholder=\"http:\/\/\" required><\/div><div id=\"wpforms-21699-field_40-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-21699-field_40\">Prix des frais d\u2019inscription  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-21699-field_40\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][40]\" step=\"any\" required><\/div><div id=\"wpforms-21699-field_41-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-21699-field_41\">Monnaie des frais d\u2019inscription <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-21699-field_41\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][41]\" required><\/div><div id=\"wpforms-21699-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-21699-field_1\">Votre pr\u00e9nom <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-21699-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-21699-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-21699-field_2\">Votre nom de famille <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-21699-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/div><div id=\"wpforms-21699-field_8-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-21699-field_8\">Votre adresse email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-21699-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-21699-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-21699-field_6\">Nom de votre \u00e9tablissement actuel  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-21699-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-21699-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-21699-field_7\">Pays dans lequel vous residez  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-21699-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-21699-field_12-container\" class=\"wpforms-field wpforms-field-radio\" data-field-type=\"radio\" data-field-id=\"12\"><label class=\"wpforms-field-label\">Votre situation<\/label><ul id=\"wpforms-21699-field_12\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-21699-field_12_1\" name=\"wpforms[fields][12]\" value=\"Etudiant Masters\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-21699-field_12_1\">Etudiant Masters<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-21699-field_12_2\" name=\"wpforms[fields][12]\" value=\"Etudiant PhD\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-21699-field_12_2\">Etudiant PhD<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-21699-field_12_3\" name=\"wpforms[fields][12]\" value=\"Enseignant \/ Chercheur\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-21699-field_12_3\">Enseignant \/ Chercheur<\/label><\/li><\/ul><\/div><div id=\"wpforms-21699-field_16-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-21699-field_16\">Motivation : Pourquoi souhaitez-vous participer \u00e0 ce cours <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-21699-field_16\" class=\"wpforms-field-medium wpforms-field-required wpforms-limit-words-enabled\" data-form-id=\"21699\" data-field-id=\"16\" data-text-limit=\"100\" name=\"wpforms[fields][16]\" required><\/textarea><\/div><div id=\"wpforms-21699-field_33-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"33\"><h3 id=\"wpforms-21699-field_33\">D\u00e9claration<\/h3><\/div><div id=\"wpforms-21699-field_34-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"34\"><label class=\"wpforms-field-label\">Je d\u00e9clare <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-21699-field_34\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-21699-field_34_1\" name=\"wpforms[fields][34][]\" value=\" que toutes les informations fournies dans ce document sont vraies et correctes\" required><label class=\"wpforms-field-label-inline\" for=\"wpforms-21699-field_34_1\">que toutes les informations fournies dans ce document sont vraies et correctes<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"21699\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/agate-project.org\/fr\/wp-json\/wp\/v2\/pages\/21782\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-21699\" class=\"wpforms-submit\" data-alt-text=\"Sending application...\" data-submit-text=\"Soumettre ma demande\" aria-live=\"assertive\" value=\"wpforms-submit\">Soumettre ma demande<\/button><\/div><input type=\"hidden\" name=\"trp-form-language\" value=\"fr\"\/><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"class_list":["post-21782","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/agate-project.org\/fr\/wp-json\/wp\/v2\/pages\/21782","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/agate-project.org\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/agate-project.org\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/agate-project.org\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/agate-project.org\/fr\/wp-json\/wp\/v2\/comments?post=21782"}],"version-history":[{"count":5,"href":"https:\/\/agate-project.org\/fr\/wp-json\/wp\/v2\/pages\/21782\/revisions"}],"predecessor-version":[{"id":27815,"href":"https:\/\/agate-project.org\/fr\/wp-json\/wp\/v2\/pages\/21782\/revisions\/27815"}],"wp:attachment":[{"href":"https:\/\/agate-project.org\/fr\/wp-json\/wp\/v2\/media?parent=21782"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}