{"id":152373,"date":"2021-04-08T16:27:46","date_gmt":"2021-04-08T14:27:46","guid":{"rendered":"https:\/\/mercyships.be\/inschrijvingsformulier-vrijwilligerswerk\/"},"modified":"2024-06-20T17:37:30","modified_gmt":"2024-06-20T15:37:30","slug":"formulaire-de-candidature-pour-le-benevolat","status":"publish","type":"page","link":"https:\/\/mercyships.be\/fr\/formulaire-de-candidature-pour-le-benevolat\/","title":{"rendered":"Formulaire de candidature pour le b\u00e9n\u00e9volat"},"content":{"rendered":"<\/p>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1rx6x9t-2048951b59fb8aa8d7f7deb7c2089428\">\n.avia-section.av-1rx6x9t-2048951b59fb8aa8d7f7deb7c2089428{\nbackground-color:#ffffff;\nbackground-image:url(https:\/\/mercyships.be\/wp-content\/uploads\/2024\/04\/GLM210828_DELIVERY_VOYAGE_SUEZ_SAILING_MORNING_EF007_HI-MID-scaled.jpg);\nbackground-repeat:no-repeat;\nbackground-position:0% 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bord<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_52'  action='\/fr\/wp-json\/wp\/v2\/pages\/152373' data-formid='52' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_52' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_52_62\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_52_62'>Facebook<\/label><div class='ginput_container'><input name='input_62' id='input_52_62' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_52_62'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/li><li id=\"field_52_42\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_52_59\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Nous vous remercions de l&#039;int\u00e9r\u00eat que vous portez au b\u00e9n\u00e9volat \u00e0 bord de l&#039;un de nos navires-h\u00f4pitaux. Avant de poursuivre, nous aimerions vous informer de certains aspects importants du b\u00e9n\u00e9volat:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description gfield_consent_description' id='gfield_consent_description_52_59' tabindex='0'>- Nos b\u00e9n\u00e9voles paient leur propre voyage en avion et une indemnit\u00e9 forfaitaire pour leur s\u00e9jour \u00e0 bord du navire-h\u00f4pital (cette indemnit\u00e9 est en principe de 400 USD par mois, mais elle n'est actuellement pas due en raison de circonstances exceptionnelles, au moins pour les 6 prochains mois).<br \/>\n<br \/>\n- En raison de la r\u00e9glementation maritime et des conditions physiques \u00e0 bord, un excellent \u00e9tat de sant\u00e9 est requis. Des documents m\u00e9dicaux seront demand\u00e9s au cours du processus de candidature.<br \/>\n<br \/>\n- Tous les b\u00e9n\u00e9voles \u00e0 bord parlent anglais. Le processus de candidature est \u00e9galement enti\u00e8rement en anglais.<br \/>\n<br \/>\n- Chaque poste de b\u00e9n\u00e9vole est assorti d'un engagement minimum. Il s'agit du nombre de semaines ou de mois pendant lesquels vous serez \u00e0 bord. <br \/>\n <br \/>\n- Pour la planification de nos listes de b\u00e9n\u00e9voles, nous demandons une certaine flexibilit\u00e9 \u00e0 nos b\u00e9n\u00e9voles, au moins pour l'ann\u00e9e \u00e0 venir. Dans l'attente de dates disponibles, vous ferez partie de notre communaut\u00e9 de talents.<\/div><div class='ginput_container ginput_container_consent'><input name='input_59.1' id='input_52_59_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_52_59\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_52_59_1' >J'ai lu les conditions g\u00e9n\u00e9rales ci-dessus.<\/label><input type='hidden' name='input_59.2' value='J&#039;ai lu les conditions g\u00e9n\u00e9rales ci-dessus.' class='gform_hidden' \/><input type='hidden' name='input_59.3' value='26' class='gform_hidden' \/><\/div><\/li><li id=\"field_52_60\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_52_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_52_1'>Pr\u00e9nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_52_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_52_2\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_52_2'>Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_52_2' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_52_23\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Adresse<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip ginput_container_address gform-grid-row' id='input_52_23' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_52_23_1_container' >\n                                        <label for='input_52_23_1' id='input_52_23_1_label' class='gform-field-label gform-field-label--type-sub '>Rue + num\u00e9ro<\/label>\n                                        <input type='text' name='input_23.1' id='input_52_23_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_52_23_5_container' >\n                                    <label for='input_52_23_5' id='input_52_23_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                    <input type='text' name='input_23.5' id='input_52_23_5' value=''    aria-required='true'    \/>\n                                <\/span><span class='ginput_right address_city ginput_address_city gform-grid-col' id='input_52_23_3_container' >\n                                    <label for='input_52_23_3' id='input_52_23_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                    <input type='text' name='input_23.3' id='input_52_23_3' value=''    aria-required='true'    \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_23.4' id='input_52_23_4' value=''\/><input type='hidden' class='gform_hidden' name='input_23.6' id='input_52_23_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_52_29\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_52_10\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_52_10'>Adresse e-mail<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_10' id='input_52_10' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_52_35\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_52_35'>Num\u00e9ro de t\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_52_35' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_52_31\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_52_45\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Je recherche un poste b\u00e9n\u00e9vole dans le secteur suivant (plusieurs options possibles) :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_52_45'><li class='gchoice gchoice_52_45_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.1' type='checkbox'  value='Secteur m\u00e9dical'  id='choice_52_45_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_52_45_1' id='label_52_45_1' class='gform-field-label gform-field-label--type-inline'>Secteur m\u00e9dical<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_52_45_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.2' type='checkbox'  value='Secteur maritime et technique'  id='choice_52_45_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_52_45_2' id='label_52_45_2' class='gform-field-label gform-field-label--type-inline'>Secteur maritime et technique<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_52_45_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_45.3' type='checkbox'  value='Secteur g\u00e9n\u00e9ral'  id='choice_52_45_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_52_45_3' id='label_52_45_3' class='gform-field-label 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