{"id":6125,"date":"2020-04-01T20:46:18","date_gmt":"2020-04-01T20:46:18","guid":{"rendered":"https:\/\/www.lymphoma.ca\/formulaire-doffre-de-service-benevole\/"},"modified":"2020-04-01T20:46:18","modified_gmt":"2020-04-01T20:46:18","slug":"formulaire-doffre-de-service-benevole","status":"publish","type":"page","link":"https:\/\/www.lymphoma.ca\/fr\/formulaire-doffre-de-service-benevole\/","title":{"rendered":"Formulaire d\u2019offre de service b\u00e9n\u00e9vole"},"content":{"rendered":"[vc_row type=\u00a0\u00bbin_container\u00a0\u00bb full_screen_row_position=\u00a0\u00bbmiddle\u00a0\u00bb column_margin=\u00a0\u00bbdefault\u00a0\u00bb scene_position=\u00a0\u00bbcenter\u00a0\u00bb text_color=\u00a0\u00bbdark\u00a0\u00bb text_align=\u00a0\u00bbleft\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3&Prime; shape_divider_position=\u00a0\u00bbbottom\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb][vc_column column_padding=\u00a0\u00bbno-extra-padding\u00a0\u00bb column_padding_position=\u00a0\u00bball\u00a0\u00bb background_color_opacity=\u00a0\u00bb1&Prime; background_hover_color_opacity=\u00a0\u00bb1&Prime; column_link_target=\u00a0\u00bb_self\u00a0\u00bb column_shadow=\u00a0\u00bbnone\u00a0\u00bb column_border_radius=\u00a0\u00bbnone\u00a0\u00bb width=\u00a0\u00bb1\/1&Prime; tablet_width_inherit=\u00a0\u00bbdefault\u00a0\u00bb tablet_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb phone_text_alignment=\u00a0\u00bbdefault\u00a0\u00bb overlay_strength=\u00a0\u00bb0.3&Prime; column_border_width=\u00a0\u00bbnone\u00a0\u00bb column_border_style=\u00a0\u00bbsolid\u00a0\u00bb bg_image_animation=\u00a0\u00bbnone\u00a0\u00bb][vc_column_text]<span class=\"MenuLink thickbox\">Merci d\u2019avoir exprim\u00e9 votre int\u00e9r\u00eat \u00e0 devenir b\u00e9n\u00e9vole avec Lymphome Canada. Les informations demand\u00e9es vous offrent l\u2019occasion de r\u00e9fl\u00e9chir \u00e0 vos raisons de vouloir devenir b\u00e9n\u00e9vole aupr\u00e8s de LC et nous aide \u00e0 nous assurer que vos comp\u00e9tences et votre exp\u00e9rience sont adapt\u00e9es au r\u00f4le le plus appropri\u00e9 au sein de l\u2019organisation.<\/span><\/p>\n<p>Lorsque vous remplissez le formulaire d\u2019offre de service b\u00e9n\u00e9vole, votre nom ira dans notre base de donn\u00e9es de b\u00e9n\u00e9voles et si quelque chose se produira dans votre r\u00e9gion, ou qui convient \u00e0 votre disponibilit\u00e9 et comp\u00e9tences, nous serons en contact. Merci beaucoup pour votre int\u00e9r\u00eat pour le b\u00e9n\u00e9volat.[\/vc_column_text]<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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action='\/fr\/wp-json\/wp\/v2\/pages\/6125#gf_5' data-formid='5' novalidate>\n        <div id='gf_progressbar_wrapper_5' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">\u00c9tape <span class='gf_step_current_page'>1<\/span> sur <span class='gf_step_page_count'>2<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_50' style='width:50%;'><span>50%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_5_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_5_1\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>\u00c0 propos de vous<\/h2><\/li><li id=\"field_5_2\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_2'>Titre<\/label><div class='ginput_container ginput_container_select'><select name='input_2' id='input_5_2' class='medium gfield_select'     aria-invalid=\"false\" ><option value='- Aucun -' >- Aucun -<\/option><option value='Mr.' >Mr.<\/option><option value='Mme' >Mme<\/option><option value='Miss.' >Miss.<\/option><option value='Ms.' >Ms.<\/option><option value='Dr.' >Dr.<\/option><\/select><\/div><\/li><li id=\"field_5_3\" class=\"gfield gfield--type-name 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' >Nom<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_3'>\n                            \n                            <span id='input_5_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_5_3_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_3_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_5_3_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_3_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_4\" class=\"gfield gfield--type-address 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' >Adresse postale<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_5_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_5_4_1' value=''    aria-required='false'    \/>\n                                        <label for='input_5_4_1' id='input_5_4_1_label' class='gform-field-label gform-field-label--type-sub '>Adresse postale<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_5_4_2_container' >\n                                        <input type='text' name='input_4.2' id='input_5_4_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_4_2' id='input_5_4_2_label' class='gform-field-label gform-field-label--type-sub '>Adresse ligne 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_5_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_5_4_3' value=''    aria-required='false'    \/>\n                                    <label for='input_5_4_3' id='input_5_4_3_label' class='gform-field-label gform-field-label--type-sub '>Ville<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_5_4_4_container' >\n                                        <select name='input_4.4' id='input_5_4_4'     aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alberta' >Alberta<\/option><option value='Colombie-Britannique' >Colombie-Britannique<\/option><option value='Manitoba' >Manitoba<\/option><option value='Nouveau-Brunswick' >Nouveau-Brunswick<\/option><option value='Terre-Neuve-et-Labrador' >Terre-Neuve-et-Labrador<\/option><option value='Territoires du Nord-Ouest' >Territoires du Nord-Ouest<\/option><option value='Nouvelle-\u00c9cosse' >Nouvelle-\u00c9cosse<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' >Ontario<\/option><option value='\u00cele du Prince-\u00c9douard' >\u00cele du Prince-\u00c9douard<\/option><option value='Qu\u00e9bec' >Qu\u00e9bec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select>\n                                        <label for='input_5_4_4' id='input_5_4_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_5_4_5' value=''    aria-required='false'    \/>\n                                    <label for='input_5_4_5' id='input_5_4_5_label' class='gform-field-label gform-field-label--type-sub '>Code postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_4.6' id='input_5_4_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_5_5\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_5'>Courriel<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_5_5' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_5_6\" class=\"gfield gfield--type-select gf_left_half 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_5_6'>Comment avez-vous entendu parler de nous ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_5_6' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='- S\u00e9lectionner -' selected='selected'>- S\u00e9lectionner -<\/option><option value='Friend\/ Family' >Friend\/ Family<\/option><option value='Website' >Website<\/option><option value='Charity Village' >Charity Village<\/option><option value='Media ( i.e. TV, Radio)' >Media ( i.e. TV, Radio)<\/option><option value='Local volunteer\/employment centre' >Local volunteer\/employment centre<\/option><option value='Community event' >Community event<\/option><option value='School' >School<\/option><option value='Social Media ( i.e. Facebook)' >Social Media ( i.e. Facebook)<\/option><option value='LC Communication ( i.e. newsletter )' >LC Communication ( i.e. newsletter )<\/option><option value='Autres' >Autres<\/option><\/select><\/div><\/li><li id=\"field_5_7\" class=\"gfield gfield--type-select gf_right_half 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_5_7'>Pourquoi faire du b\u00e9n\u00e9volat chez LC?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_5_7' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='- S\u00e9lectionner -' selected='selected'>- S\u00e9lectionner -<\/option><option value='J&#039;ai\/avais un lymphome' >J&#039;ai\/avais un lymphome<\/option><option value='Je connais quelqu&#039;un atteint d&#039;un lymphome' >Je connais quelqu&#039;un atteint d&#039;un lymphome<\/option><option value='Je suis un professionnel de la sant\u00e9' >Je suis un professionnel de la sant\u00e9<\/option><option value='Je suis int\u00e9ress\u00e9 dans la maladie' >Je suis int\u00e9ress\u00e9 dans la maladie<\/option><option value='Pour accumuler des heures de services communautaires (\u00e9tudiants aux secondaires)' >Pour accumuler des heures de services communautaires (\u00e9tudiants aux secondaires)<\/option><option value='Pour apprendre des nouvelles comp\u00e9tences' >Pour apprendre des nouvelles comp\u00e9tences<\/option><\/select><\/div><\/li><li id=\"field_5_8\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >\u00cates-vous actuellement:<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_5_8'><li class='gchoice gchoice_5_8_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.1' type='checkbox'  value='\u00c9tudiant (coll\u00e8ge ou universit\u00e9)'  id='choice_5_8_1'   aria-describedby=\"gfield_description_5_8\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_8_1' id='label_5_8_1' class='gform-field-label gform-field-label--type-inline'>\u00c9tudiant (coll\u00e8ge ou universit\u00e9)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_8_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.2' type='checkbox'  value='\u00c9tudiant au secondaire'  id='choice_5_8_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_8_2' id='label_5_8_2' class='gform-field-label gform-field-label--type-inline'>\u00c9tudiant au secondaire<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_8_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.3' type='checkbox'  value='Retrait\u00e9 \/ rester \u00e0 la maison'  id='choice_5_8_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_8_3' id='label_5_8_3' class='gform-field-label gform-field-label--type-inline'>Retrait\u00e9 \/ rester \u00e0 la maison<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_8_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.4' type='checkbox'  value='Employ\u00e9 \u00e0 temps plein'  id='choice_5_8_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_8_4' id='label_5_8_4' class='gform-field-label gform-field-label--type-inline'>Employ\u00e9 \u00e0 temps plein<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_8_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.5' type='checkbox'  value='Employ\u00e9 \u00e0 temps partiel'  id='choice_5_8_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_8_5' id='label_5_8_5' class='gform-field-label gform-field-label--type-inline'>Employ\u00e9 \u00e0 temps partiel<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_8_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.6' type='checkbox'  value='Ind\u00e9pendant'  id='choice_5_8_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_8_6' id='label_5_8_6' class='gform-field-label gform-field-label--type-inline'>Ind\u00e9pendant<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_8_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.7' type='checkbox'  value='Recherche d\u2019emploi'  id='choice_5_8_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_8_7' id='label_5_8_7' class='gform-field-label gform-field-label--type-inline'>Recherche d\u2019emploi<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_5_8'>(choisissez tout ce qui s\u2019applique) <\/div><\/li><li id=\"field_5_10\" class=\"gfield gfield--type-survey gfield--input-type-likert gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Communication<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_likert'><table aria-label='Communication' class='gsurvey-likert' id='input_5_10'><thead><tr><td scope='col' class='gsurvey-likert-row-label'><\/td><th id='likert_col_1_5_10' scope='col'  class='gsurvey-likert-choice-label'>Anglais<\/th><th id='likert_col_2_5_10' scope='col'  class='gsurvey-likert-choice-label'>Fran\u00e7ais<\/th><th id='likert_col_3_5_10' scope='col'  class='gsurvey-likert-choice-label'>Bilingue<\/th><\/tr><\/thead><tbody><tr><td id='likert_row_1_5_10' data-label='' class='gsurvey-likert-row-label'>Langue(s) Parl\u00e9<\/td><td data-label='Anglais' class='gsurvey-likert-choice'><input name='input_10.1' type='radio' value='glikertrowd0c6217c:glikertcol10a0ccc185'  id='choice_5_10_1_1'    aria-labelledby='likert_row_1_5_10 likert_col_1_5_10'\/><\/td><td data-label='Fran\u00e7ais' class='gsurvey-likert-choice'><input name='input_10.1' type='radio' value='glikertrowd0c6217c:glikertcol10f709456e'  id='choice_5_10_1_2'    aria-labelledby='likert_row_1_5_10 likert_col_2_5_10'\/><\/td><td data-label='Bilingue' class='gsurvey-likert-choice'><input name='input_10.1' type='radio' value='glikertrowd0c6217c:glikertcol10a4b30b9b'  id='choice_5_10_1_3'    aria-labelledby='likert_row_1_5_10 likert_col_3_5_10'\/><\/td><\/tr><tr><td id='likert_row_2_5_10' data-label='' class='gsurvey-likert-row-label'>Langue(s) \u00c9crit<\/td><td data-label='Anglais' class='gsurvey-likert-choice'><input name='input_10.2' type='radio' value='glikertrow32f2a7c2:glikertcol10a0ccc185'  id='choice_5_10_2_1'    aria-labelledby='likert_row_2_5_10 likert_col_1_5_10'\/><\/td><td data-label='Fran\u00e7ais' class='gsurvey-likert-choice'><input name='input_10.2' type='radio' value='glikertrow32f2a7c2:glikertcol10f709456e'  id='choice_5_10_2_2'    aria-labelledby='likert_row_2_5_10 likert_col_2_5_10'\/><\/td><td data-label='Bilingue' class='gsurvey-likert-choice'><input name='input_10.2' type='radio' value='glikertrow32f2a7c2:glikertcol10a4b30b9b'  id='choice_5_10_2_3'    aria-labelledby='likert_row_2_5_10 likert_col_3_5_10'\/><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_5_11\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Votre exp\u00e9rience<\/h2><\/li><li id=\"field_5_12\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_12'>Resum\u00e9<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='2097152' \/><input name='input_12' id='input_5_12' type='file' class='medium' aria-describedby=\"gfield_upload_rules_5_12 gfield_description_5_12\" onchange='javascript:gformValidateFileSize( this, 2097152 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_12'>Types de fichiers accept\u00e9s\u00a0: txt, rtf, pdf, doc, docx, Taille max. des fichiers\u00a0: 2 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_12'><\/div> <\/div><div class='gfield_description' id='gfield_description_5_12'>Les fichiers doivent peser moins de 2 Mo.\nExtensions autoris\u00e9es : txt rtf pdf doc docx<\/div><\/li><li id=\"field_5_13\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_13'>Si vous n\u2019avez pas inclus votre curriculum vitae, veuillez utiliser l\u2019espace fourni pour nous parler de votre b\u00e9n\u00e9volat et\/ou de votre exp\u00e9rience de travail.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_5_13' class='textarea medium'    placeholder='Dressez la liste de vos exp\u00e9riences de b\u00e9n\u00e9volat ant\u00e9rieures ou actuelles ainsi que votre formation et vos emplois ant\u00e9rieurs emplois'  aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_14\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Lymphome Canada s\u2019engage \u00e0 prot\u00e9ger la vie priv\u00e9e des renseignements personnels recueillis. Nous ne louons pas, ne vendons pas ou n\u2019\u00e9changeons pas de renseignements personnels. Nous utilisons les renseignements personnels pour tenir les gens au courant des activit\u00e9s de Lymphome Canada, y compris les programmes \u00e0 venir, les \u00e9v\u00e9nements, la collecte de fonds, les occasions de faire du b\u00e9n\u00e9volat et la reconnaissance des contributions des b\u00e9n\u00e9voles. Si \u00e0 tout moment on ne souhaite plus \u00eatre contact\u00e9, vous pouvez nous aviser par courriel ou par \u00e9crit.<\/p><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_5_15' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Prochain'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_5_2' class='gform_page' data-js='page-field-id-15' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_5_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_5_16\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Ton int\u00e9r\u00eat<\/h2><\/li><li id=\"field_5_17\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Indiquez les domaines dans lesquels vous souhaitez faire du b\u00e9n\u00e9volat:<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_17'><li class='gchoice gchoice_5_17_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.1' type='checkbox'  value='assistant administratif'  id='choice_5_17_1'   aria-describedby=\"gfield_description_5_17\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_17_1' id='label_5_17_1' class='gform-field-label gform-field-label--type-inline'>assistant administratif<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_17_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.2' type='checkbox'  value='Collecte de fonds'  id='choice_5_17_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_17_2' id='label_5_17_2' class='gform-field-label gform-field-label--type-inline'>Collecte de fonds<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_17_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.3' type='checkbox'  value='Soutien par les pairs'  id='choice_5_17_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_17_3' id='label_5_17_3' class='gform-field-label gform-field-label--type-inline'>Soutien par les pairs<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_17_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.4' type='checkbox'  value='Comit\u00e9'  id='choice_5_17_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_17_4' id='label_5_17_4' class='gform-field-label gform-field-label--type-inline'>Comit\u00e9<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_17_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.5' type='checkbox'  value='La saisie des donn\u00e9es'  id='choice_5_17_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_17_5' id='label_5_17_5' class='gform-field-label gform-field-label--type-inline'>La saisie des donn\u00e9es<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_17_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.6' type='checkbox'  value='Planification d&#039;\u00e9v\u00e9nements'  id='choice_5_17_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_17_6' id='label_5_17_6' class='gform-field-label gform-field-label--type-inline'>Planification d'\u00e9v\u00e9nements<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_17_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.7' type='checkbox'  value='Conception graphique'  id='choice_5_17_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_17_7' id='label_5_17_7' class='gform-field-label gform-field-label--type-inline'>Conception graphique<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_17_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.8' type='checkbox'  value='La photographie'  id='choice_5_17_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_17_8' id='label_5_17_8' class='gform-field-label gform-field-label--type-inline'>La photographie<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_17_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.9' type='checkbox'  value='Vid\u00e9ographie'  id='choice_5_17_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_17_9' id='label_5_17_9' class='gform-field-label gform-field-label--type-inline'>Vid\u00e9ographie<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_17_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.11' type='checkbox'  value='\u00c9crivaine'  id='choice_5_17_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_17_11' id='label_5_17_11' class='gform-field-label gform-field-label--type-inline'>\u00c9crivaine<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_17_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.12' type='checkbox'  value='Des m\u00e9dias sociaux'  id='choice_5_17_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_17_12' id='label_5_17_12' class='gform-field-label gform-field-label--type-inline'>Des m\u00e9dias sociaux<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_17_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.13' type='checkbox'  value='Ambassadeur de l&#039;\u00e9v\u00e9nement'  id='choice_5_17_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_17_13' id='label_5_17_13' class='gform-field-label gform-field-label--type-inline'>Ambassadeur de l'\u00e9v\u00e9nement<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_17_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.14' type='checkbox'  value='Commercialisation'  id='choice_5_17_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_17_14' id='label_5_17_14' class='gform-field-label gform-field-label--type-inline'>Commercialisation<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_5_17'> (cocher 3 qui s'appliquent)<\/div><\/li><li id=\"field_5_18\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Votre disponibilit\u00e9<\/h2><\/li><li id=\"field_5_19\" class=\"gfield gfield--type-survey gfield--input-type-likert field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Quand \u00eates-vous le plus disponible pour faire du b\u00e9n\u00e9volat?<\/label><div class='ginput_container ginput_container_likert'><table aria-label='Quand \u00eates-vous le plus disponible pour faire du b\u00e9n\u00e9volat?' class='gsurvey-likert' id='input_5_19'><thead><tr><td scope='col' class='gsurvey-likert-row-label'><\/td><th id='likert_col_1_5_19' scope='col'  class='gsurvey-likert-choice-label'>Journ\u00e9e<\/th><th id='likert_col_2_5_19' scope='col'  class='gsurvey-likert-choice-label'>Soir\u00e9e<\/th><th id='likert_col_3_5_19' scope='col'  class='gsurvey-likert-choice-label'>Tous les deux<\/th><\/tr><\/thead><tbody><tr><td id='likert_row_1_5_19' data-label='' class='gsurvey-likert-row-label'>Lundi<\/td><td data-label='Journ\u00e9e' class='gsurvey-likert-choice'><input name='input_19.1' type='radio' value='glikertrow59b45295:glikertcol199c37ca18'  id='choice_5_19_1_1'    aria-labelledby='likert_row_1_5_19 likert_col_1_5_19'\/><\/td><td data-label='Soir\u00e9e' class='gsurvey-likert-choice'><input name='input_19.1' type='radio' value='glikertrow59b45295:glikertcol190c9f6a33'  id='choice_5_19_1_2'    aria-labelledby='likert_row_1_5_19 likert_col_2_5_19'\/><\/td><td data-label='Tous les deux' class='gsurvey-likert-choice'><input name='input_19.1' type='radio' value='glikertrow59b45295:glikertcol19fcf3de7f'  id='choice_5_19_1_3'    aria-labelledby='likert_row_1_5_19 likert_col_3_5_19'\/><\/td><\/tr><tr><td id='likert_row_2_5_19' data-label='' class='gsurvey-likert-row-label'>Mardi<\/td><td data-label='Journ\u00e9e' class='gsurvey-likert-choice'><input name='input_19.2' type='radio' value='glikertrow7f2a8d31:glikertcol199c37ca18'  id='choice_5_19_2_1'    aria-labelledby='likert_row_2_5_19 likert_col_1_5_19'\/><\/td><td data-label='Soir\u00e9e' class='gsurvey-likert-choice'><input name='input_19.2' type='radio' value='glikertrow7f2a8d31:glikertcol190c9f6a33'  id='choice_5_19_2_2'    aria-labelledby='likert_row_2_5_19 likert_col_2_5_19'\/><\/td><td data-label='Tous les deux' class='gsurvey-likert-choice'><input name='input_19.2' type='radio' value='glikertrow7f2a8d31:glikertcol19fcf3de7f'  id='choice_5_19_2_3'    aria-labelledby='likert_row_2_5_19 likert_col_3_5_19'\/><\/td><\/tr><tr><td id='likert_row_3_5_19' data-label='' class='gsurvey-likert-row-label'>Mercredi<\/td><td data-label='Journ\u00e9e' class='gsurvey-likert-choice'><input name='input_19.3' type='radio' value='glikertrowc22b20eb:glikertcol199c37ca18'  id='choice_5_19_3_1'    aria-labelledby='likert_row_3_5_19 likert_col_1_5_19'\/><\/td><td data-label='Soir\u00e9e' class='gsurvey-likert-choice'><input name='input_19.3' type='radio' value='glikertrowc22b20eb:glikertcol190c9f6a33'  id='choice_5_19_3_2'    aria-labelledby='likert_row_3_5_19 likert_col_2_5_19'\/><\/td><td data-label='Tous les deux' class='gsurvey-likert-choice'><input name='input_19.3' type='radio' value='glikertrowc22b20eb:glikertcol19fcf3de7f'  id='choice_5_19_3_3'    aria-labelledby='likert_row_3_5_19 likert_col_3_5_19'\/><\/td><\/tr><tr><td id='likert_row_4_5_19' data-label='' class='gsurvey-likert-row-label'>Jeudi<\/td><td data-label='Journ\u00e9e' class='gsurvey-likert-choice'><input name='input_19.4' type='radio' value='glikertrowae4076e3:glikertcol199c37ca18'  id='choice_5_19_4_1'    aria-labelledby='likert_row_4_5_19 likert_col_1_5_19'\/><\/td><td data-label='Soir\u00e9e' class='gsurvey-likert-choice'><input name='input_19.4' type='radio' value='glikertrowae4076e3:glikertcol190c9f6a33'  id='choice_5_19_4_2'    aria-labelledby='likert_row_4_5_19 likert_col_2_5_19'\/><\/td><td data-label='Tous les deux' class='gsurvey-likert-choice'><input name='input_19.4' type='radio' value='glikertrowae4076e3:glikertcol19fcf3de7f'  id='choice_5_19_4_3'    aria-labelledby='likert_row_4_5_19 likert_col_3_5_19'\/><\/td><\/tr><tr><td id='likert_row_5_5_19' data-label='' class='gsurvey-likert-row-label'>Vendredi<\/td><td data-label='Journ\u00e9e' class='gsurvey-likert-choice'><input name='input_19.5' type='radio' value='glikertrow8da897e9:glikertcol199c37ca18'  id='choice_5_19_5_1'    aria-labelledby='likert_row_5_5_19 likert_col_1_5_19'\/><\/td><td data-label='Soir\u00e9e' class='gsurvey-likert-choice'><input name='input_19.5' type='radio' value='glikertrow8da897e9:glikertcol190c9f6a33'  id='choice_5_19_5_2'    aria-labelledby='likert_row_5_5_19 likert_col_2_5_19'\/><\/td><td data-label='Tous les deux' class='gsurvey-likert-choice'><input name='input_19.5' type='radio' value='glikertrow8da897e9:glikertcol19fcf3de7f'  id='choice_5_19_5_3'    aria-labelledby='likert_row_5_5_19 likert_col_3_5_19'\/><\/td><\/tr><tr><td id='likert_row_6_5_19' data-label='' class='gsurvey-likert-row-label'>Samedi<\/td><td data-label='Journ\u00e9e' class='gsurvey-likert-choice'><input name='input_19.6' type='radio' value='glikertrowe7aa20b2:glikertcol199c37ca18'  id='choice_5_19_6_1'    aria-labelledby='likert_row_6_5_19 likert_col_1_5_19'\/><\/td><td data-label='Soir\u00e9e' class='gsurvey-likert-choice'><input name='input_19.6' type='radio' value='glikertrowe7aa20b2:glikertcol190c9f6a33'  id='choice_5_19_6_2'    aria-labelledby='likert_row_6_5_19 likert_col_2_5_19'\/><\/td><td data-label='Tous les deux' class='gsurvey-likert-choice'><input name='input_19.6' type='radio' value='glikertrowe7aa20b2:glikertcol19fcf3de7f'  id='choice_5_19_6_3'    aria-labelledby='likert_row_6_5_19 likert_col_3_5_19'\/><\/td><\/tr><tr><td id='likert_row_7_5_19' data-label='' class='gsurvey-likert-row-label'>Dimanche<\/td><td data-label='Journ\u00e9e' class='gsurvey-likert-choice'><input name='input_19.7' type='radio' value='glikertrow924aa5d9:glikertcol199c37ca18'  id='choice_5_19_7_1'    aria-labelledby='likert_row_7_5_19 likert_col_1_5_19'\/><\/td><td data-label='Soir\u00e9e' class='gsurvey-likert-choice'><input name='input_19.7' type='radio' value='glikertrow924aa5d9:glikertcol190c9f6a33'  id='choice_5_19_7_2'    aria-labelledby='likert_row_7_5_19 likert_col_2_5_19'\/><\/td><td data-label='Tous les deux' class='gsurvey-likert-choice'><input name='input_19.7' type='radio' value='glikertrow924aa5d9:glikertcol19fcf3de7f'  id='choice_5_19_7_3'    aria-labelledby='likert_row_7_5_19 likert_col_3_5_19'\/><\/td><\/tr><\/tbody><\/table><\/div><div class='gfield_description' id='gfield_description_5_19'>(Cochez toutes les cases)<\/div><\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_5' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Pr\u00e9c\u00e9dente'  \/> <input type='submit' id='gform_submit_button_5' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' 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