{"id":1665,"date":"2020-04-16T15:23:16","date_gmt":"2020-04-16T13:23:16","guid":{"rendered":"https:\/\/www.residence-jeunes.fr\/reserver-un-logement\/"},"modified":"2026-06-09T13:44:07","modified_gmt":"2026-06-09T11:44:07","slug":"reserver-un-logement","status":"publish","type":"page","link":"https:\/\/www.residence-jeunes.fr\/en\/reserver-un-logement\/","title":{"rendered":"Reserve a home"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1665\" class=\"elementor elementor-1665 elementor-698\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-aa64ce5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"aa64ce5\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1dc8b928\" data-id=\"1dc8b928\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6eeafded elementor-section-height-min-height elementor-reverse-mobile elementor-reverse-tablet elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"6eeafded\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-171dd731\" data-id=\"171dd731\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6c201dc elementor-widget elementor-widget-heading\" data-id=\"6c201dc\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;0.5&quot;,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:&quot;0&quot;,&quot;end&quot;:&quot;50&quot;}},&quot;motion_fx_opacity_effect&quot;:&quot;yes&quot;,&quot;motion_fx_opacity_range&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:&quot;0&quot;,&quot;end&quot;:&quot;50&quot;}},&quot;motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;mobile&quot;],&quot;motion_fx_opacity_direction&quot;:&quot;out-in&quot;,&quot;motion_fx_opacity_level&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]}}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Conditions of admission<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b7d83d8 elementor-widget elementor-widget-text-editor\" data-id=\"b7d83d8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>To qualify for a single room or a couple&#8217;s room at Saint Constance Residence, you must:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6211958 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"6211958\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-check\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">be an employee, student, apprentice or in training<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-check\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">be between 16 and 30 years old <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c877e99 elementor-mobile-align-center elementor-widget elementor-widget-button\" data-id=\"1c877e99\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md\" href=\"https:\/\/www.residence-jeunes.fr\/wp-content\/uploads\/2024\/06\/Conditions-dadmission-2024.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-file-pdf\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Consult the rates and the complete conditions of admission<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-31a8aa4c\" data-id=\"31a8aa4c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d4bb8f6 elementor-widget elementor-widget-heading\" data-id=\"d4bb8f6\" data-element_type=\"widget\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;0.5&quot;,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:&quot;0&quot;,&quot;end&quot;:&quot;50&quot;}},&quot;motion_fx_opacity_effect&quot;:&quot;yes&quot;,&quot;motion_fx_opacity_range&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:&quot;0&quot;,&quot;end&quot;:&quot;50&quot;}},&quot;motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;mobile&quot;],&quot;motion_fx_opacity_direction&quot;:&quot;out-in&quot;,&quot;motion_fx_opacity_level&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]}}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Filling out a file<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e6e36dd elementor-widget elementor-widget-text-editor\" data-id=\"7e6e36dd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The application can be downloaded and mailed or completed online using the form below.<\/p><p>You will be asked to provide the following documents:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-98d89e4 elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"98d89e4\" data-element_type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-check\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Registration form completed using the form below or downloaded or given by the reception<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-check\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Bank account identification<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-check\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">2 recent passport photos<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-check\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Photocopy of both sides of the identity card or passport or residence permit or receipt<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-check\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Notice of tax or non-taxation or, failing that, the last 3 pay slips<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-check\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Work contract or a certificate of schooling or notice of employment status<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.residence-jeunes.fr\/wp-content\/uploads\/2021\/09\/CAUTIONNEMENT-Anglais.pdf\" target=\"_blank\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-file-download\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">VISALE bond or guarantor signed<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.residence-jeunes.fr\/wp-content\/uploads\/2021\/09\/RGPD-USAGER-Anglais.pdf\" target=\"_blank\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-file-download\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">RGPD - Consent to the collection of personal data signed<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-31c4e7b1 elementor-section-height-min-height elementor-section-content-top elementor-section-items-top elementor-section-boxed elementor-section-height-default\" data-id=\"31c4e7b1\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;gradient&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-27c595a9\" data-id=\"27c595a9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-703c06a0 elementor-widget elementor-widget-heading\" data-id=\"703c06a0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">File on line<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aeaf011 elementor-widget elementor-widget-text-editor\" data-id=\"aeaf011\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Some information on this form is mandatory. They are marked by *. They are subject to computerized processing and are necessary for the instruction of your request for housing application. Only the staff of the Residence Jeunes Sainte-Constance and their possible subcontractors can have access to it. Your data is kept in France for a maximum period of eighteen (18) months. I can access, modify or delete my information upon request. See the <a href=\"https:\/\/www.residence-jeunes.fr\/mentions-legales\/\">legal mentions<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-baed4d7 elementor-widget elementor-widget-shortcode\" data-id=\"baed4d7\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div style=\"display:none\" class=\"fm-form-container fm-theme16\"><div id=\"fm-pages13\" class=\"fm-pages wdform_page_navigation fm-align-right\" show_title=\"false\" show_numbers=\"true\" type=\"steps\"><\/div><form name=\"form13\" action=\"\/en\/wp-json\/wp\/v2\/pages\/1665\" method=\"post\" id=\"form13\" class=\"fm-form form13  \" enctype=\"multipart\/form-data\"><input type=\"hidden\" id=\"counter13\" value=\"76\" name=\"counter13\" \/><input type=\"hidden\" id=\"Itemid13\" value=\"\" name=\"Itemid13\" \/><input type=\"hidden\" id=\"fm_shake13\" value=\"1\" name=\"fm_shake13\" \/><input type=\"text\" class=\"fm-hide\" id=\"fm_bot_validation13\" value=\"\" name=\"fm_bot_validation13\" \/><input type=\"text\" class=\"fm-hide\" id=\"fm_empty_field_validation13\" value=\"\" name=\"fm_empty_field_validation13\" data-value=\"a02f413c1a34c7cba354adea9dc62924\" \/><input type=\"hidden\" id=\"fm_form_nonce13\" name=\"fm_form_nonce13\" value=\"ee2fa60eed\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/1665\" \/><div class=\"wdform-page-and-images fm-form-builder\" style=\"border-width: 1px;\"><div id=\"13form_view1\" class=\"wdform_page\" page_title=\"Etat civil\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"true\"><div class=\"wdform_section\"><div class=\"wdform_column\"><div wdid=\"2\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><h3 style=\"font-size: 22px;\" data-mce-style=\"font-size: 22px;\">Your details<\/h3><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"3\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-row wd-align-items-center\" style=\"max-width: 250px;\">    <label  for=\"wdform_3_element13\" class=\"wdform-label\">Last Name:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-70\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_3_element13\"                           name=\"wdform_3_element13\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"4\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 undefined wd-flex-row wd-align-items-center\" style=\"max-width: 250px;\">    <label  for=\"wdform_4_element13\" class=\"wdform-label\">First Name:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-70\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_4_element13\"                           name=\"wdform_4_element13\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"5\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-wrap wd-flex-row\" style=\"max-width: 250px;\">    <label  class=\"wdform-label\">Gender:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-row wd-width-70\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_5_element13\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_5_element130\" name=\"wdform_5_element13\" value=\"Male\" onclick=\"set_default(&quot;wdform_5&quot;,&quot;0&quot;,&quot;13&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_5_element130\"><span><\/span>Male<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_5_element131\" name=\"wdform_5_element13\" value=\"Female\" onclick=\"set_default(&quot;wdform_5&quot;,&quot;1&quot;,&quot;13&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_5_element131\"><span><\/span>Female<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"6\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_select wd-flex-row\" style=\"max-width: 250px;\">    <label  for=\"wdform_6_element13\" class=\"wdform-label\">Marital status:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-70\" ><select class=\"wd-width-100\" id=\"wdform_6_element13\" name=\"wdform_6_element13\" ><option value=\"\" selected=\"selected\">Your choice<\/option><option value=\"C\u00e9libataire\" >Single<\/option><option value=\"Mari\u00e9(e)\" >Married<\/option><option value=\"Divorc\u00e9(e)\" >Divorced<\/option><option value=\"Veuf(ve)\" >Widowed<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"7\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_date_fields\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_date_fields wd-flex-row\" style=\"max-width: 250px;\">    <label  for=\"wdform_7_day13\" class=\"wdform-label\">Date of birth:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_date_fields wd-flex-row wd-width-70\" ><div class=\"wd-flex wd-flex-row wd-width-100 wd-align-items\"><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_7_day13\" name=\"wdform_7_day13\" style=\"width: 60px;\"  attribute=value><option value=\"\"><\/option><option value=\"01\" >01<\/option><option value=\"02\" >02<\/option><option value=\"03\" >03<\/option><option value=\"04\" >04<\/option><option value=\"05\" >05<\/option><option value=\"06\" >06<\/option><option value=\"07\" >07<\/option><option value=\"08\" >08<\/option><option value=\"09\" >09<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><label for=\"wdform_7_day13\" class=\"mini_label\">Day<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_7_month13\" name=\"wdform_7_month13\" style=\"width: 100px;\"  attribute=value><option value=\"\"><\/option><option value=\"01\"   >January<\/option><option value=\"02\" >February<\/option><option value=\"03\" >March<\/option><option value=\"04\"  >April<\/option><option value=\"05\"  >May<\/option><option value=\"06\"  >June<\/option><option value=\"07\"  >July<\/option><option value=\"08\"  >August<\/option><option value=\"09\"  >September<\/option><option value=\"10\"  >October<\/option><option value=\"11\" >November<\/option><option value=\"12\"  >December<\/option><\/select><label for=\"wdform_7_month13\" class=\"mini_label\">Month<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_7_year13\" name=\"wdform_7_year13\"  from=\"1989\" to=\"2005\" style=\"width: 80px;\"  attribute=value><option value=\"\"><\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><\/select><label for=\"wdform_7_year13\" class=\"mini_label\">Year<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"8\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 undefined wd-flex-row wd-align-items-center\" style=\"max-width: 250px;\">    <label  for=\"wdform_8_element13\" class=\"wdform-label\">Place of birth :<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-70\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_8_element13\"                           name=\"wdform_8_element13\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"9\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_select wd-flex-row\" style=\"max-width: 250px;\">    <label  for=\"wdform_9_element13\" class=\"wdform-label\">Nationality : <\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-70\" ><select class=\"wd-width-100\" id=\"wdform_9_element13\" name=\"wdform_9_element13\" ><option value=\"\" selected=\"selected\">Your choice<\/option><option value=\"Afghanne\" >Afghan<\/option><option value=\"Albanaise\" >Albanian<\/option><option value=\"Alg\u00e9rienne\" >Algerian<\/option><option value=\"Am\u00e9ricaine\" >American<\/option><option value=\"Angolaise\" >Angolan<\/option><option value=\"Argentine\" >Argentinian<\/option><option value=\"Arm\u00e9nienne\" >Armenian<\/option><option value=\"Australienne\" >Australian<\/option><option value=\"Autrichienne\" >Austrian<\/option><option value=\"Bangladaise\" >Bangladeshi<\/option><option value=\"Belge\" >Belgian<\/option><option value=\"B\u00e9ninoise\" >Beninese<\/option><option value=\"Bhoutanne\" >Bhutanese<\/option><option value=\"Bosniaque\" >Bosnian<\/option><option value=\"Botswanaise\" >Botswanan<\/option><option value=\"Br\u00e9silienne\" >Brazilian<\/option><option value=\"Britannique\" >British<\/option><option value=\"Bulgare\" >Bulgarian<\/option><option value=\"Burkinab\u00e8e\" >Burkinese<\/option><option value=\"Cambodgienne\" >Cambodian<\/option><option value=\"Camerounaise\" >Cameroonian<\/option><option value=\"Canadienne\" >Canadian<\/option><option value=\"Tchadienne\" >Chadian<\/option><option value=\"Chilienne\" >Chilean<\/option><option value=\"Chinoise\" >Chinese<\/option><option value=\"Colombienne\" >Colombian<\/option><option value=\"Congolaise\" >Congolese<\/option><option value=\"Cubaine\" >Cuban<\/option><option value=\"Tch\u00e8que\t\" >Czech<\/option><option value=\"Danoise\" >Danish<\/option><option value=\"Hollandaise\" >Dutch<\/option><option value=\"Egyptienne\" >Egyptian<\/option><option value=\"Estonienne\" >Estonian<\/option><option value=\"Finlandaise\" >Finnish<\/option><option value=\"Fran\u00e7aise\" >French<\/option><option value=\"Gabonaise\" >Gabonese<\/option><option value=\"Georgienne\" >Georgian<\/option><option value=\"Allemande\" >German<\/option><option value=\"Guin\u00e9enne\" >Ghanaian<\/option><option value=\"Grecque\" >Greek<\/option><option value=\"Ha\u00eftienne\" >Haitian<\/option><option value=\"Hongkongaise\" >Hongkong<\/option><option value=\"Hongroise\" >Hungarian<\/option><option value=\"Islandaise\" >Icelandic<\/option><option value=\"Indienne\" >Indian<\/option><option value=\"Indon\u00e9sienne\" >Indonesian<\/option><option value=\"Iranienne\" >Iranian<\/option><option value=\"Irakienne\" >Iraq<\/option><option value=\"Irlandaise\" >Irish<\/option><option value=\"Isra\u00e9lienne\" >Israeli<\/option><option value=\"Italienne\" >Italian<\/option><option value=\"Ivoirienne\" >Ivorian<\/option><option value=\"Jama\u00efcaine\" >Jamaican<\/option><option value=\"Japonaise\" >Japanese<\/option><option value=\"Kazakhe\" >Kazakh<\/option><option value=\"Kirghize\" >Kirghiz<\/option><option value=\"Kurde\" >Kurde<\/option><option value=\"Libanaise\" >Lebanese<\/option><option value=\"Lettonne\" >Letton<\/option><option value=\"Liechtensteinoise\" >Liechtenstein<\/option><option value=\"Lituanienne\" >Lithuanian<\/option><option value=\"Luxembourgeoise\" >Luxembourg<\/option><option value=\"Mac\u00e9donienne\" >Macedonian<\/option><option value=\"Malgache\" >Malagasy<\/option><option value=\"Malaisienne\" >Malaysian<\/option><option value=\"Malienne\" >Malian<\/option><option value=\"Maltaise\" >Maltese<\/option><option value=\"Mauritanienne\" >Mauritanian<\/option><option value=\"Mauricienne\" >Mauritian<\/option><option value=\"Mexicaine\" >Mexican<\/option><option value=\"Mon\u00e9gasque\" >Monacan<\/option><option value=\"Mongole\" >Mongolian<\/option><option value=\"Marocaine\" >Moroccan<\/option><option value=\"N\u00e9o-Z\u00e9landaise\" >New Zealand<\/option><option value=\"Nig\u00e9riane\" >Nigerian<\/option><option value=\"Nig\u00e9rienne\" >Nigerien<\/option><option value=\"Nord Cor\u00e9enne\" >North Korean<\/option><option value=\"Norv\u00e9gienne\" >Norwegian<\/option><option value=\"Pakistanaise\" >Pakistani<\/option><option value=\"Palestinienne\" >Palestinian<\/option><option value=\"P\u00e9ruvienne\" >Peruvian<\/option><option value=\"Philippine\" >Philippine<\/option><option value=\"Polonaise\" >Polish<\/option><option value=\"Portugaise\" >Portuguese<\/option><option value=\"Portoricaine\" >Puerto Rican<\/option><option value=\"Roumaine\" >Romanian<\/option><option value=\"Russe\" >Russian<\/option><option value=\"Ecossaise\" >Scottish<\/option><option value=\"S\u00e9n\u00e9galaise\" >Senegalese<\/option><option value=\"Serbe\" >Serb<\/option><option value=\"Serbo-croate\" >Serbo-Croatian<\/option><option value=\"Singapourienne\" >Singaporean<\/option><option value=\"Slovaque\" >Slovak<\/option><option value=\"Somalienne\" >Somali<\/option><option value=\"Sud-Africaine\" >South African<\/option><option value=\"Sud-Cor\u00e9enne\" >South Korean<\/option><option value=\"Sovi\u00e9tique\" >Soviet<\/option><option value=\"Espagnole\" >Spanish<\/option><option value=\"Sri-Lankaise\" >Sri Lankan<\/option><option value=\"Soudanaise\" >Sudanese<\/option><option value=\"Su\u00e9doise\" >Swedish<\/option><option value=\"Suisse\" >Swiss<\/option><option value=\"Syrienne\" >Syrian<\/option><option value=\"Ta\u00efwanaise\" >Taiwanese<\/option><option value=\"Tadjike\" >Tajik<\/option><option value=\"Tha\u00eflandaise\" >Thai<\/option><option value=\"Tunisienne\" >Tunisian<\/option><option value=\"Turque\" >Turkish<\/option><option value=\"Ukrainienne\" >Ukrainian<\/option><option value=\"Uruguayenne\" >Uruguayan<\/option><option value=\"V\u00e9n\u00e9zu\u00e9lienne\" >Venezuelan<\/option><option value=\"Vietnamienne\" >Vietnamese<\/option><option value=\"Autre\" >Other<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"10\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_select wd-flex-row\" style=\"max-width: 250px;\">    <label  for=\"wdform_10_element13\" class=\"wdform-label\">Geographic origin:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-70\" ><select class=\"wd-width-100\" id=\"wdform_10_element13\" name=\"wdform_10_element13\" ><option value=\"\" selected=\"selected\">Your choice<\/option><option value=\"Commune d&amp;#039;implantation du FJT\" >City of the FJT<\/option><option value=\"Agglom\u00e9ration\" >Metz and its suburbs<\/option><option value=\"D\u00e9partement 57\" >Moselle department (57)<\/option><option value=\"R\u00e9gion\" >Region<\/option><option value=\"Hors r\u00e9gion\" >Out of region<\/option><option value=\"Union Europ\u00e9enne\" >European Union<\/option><option value=\"Hors Union Europ\u00e9enne\" >Out of E.U<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer wd-width-100\"><div class=\"wd-width-100\"><div class=\"wd-width-100 wd-table\" style=\"padding-top:10px;\"><div class=\"wd-table-group\"><div id=\"13page_nav1\" class=\"wd-table-row\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><\/div><div id=\"page_numbers131\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers13\">1\/6<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_1\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Next<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images fm-form-builder\" style=\"border-width: 1px;\"><div id=\"13form_view2\" page_title=\"Vos coordonn\u00e9es\" class=\"wdform_page\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"true\"><div class=\"wdform_section\" style=\"position: relative; left: 0px; top: 0px;\"><div class=\"wdform_column\"><div wdid=\"11\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><h3 style=\"font-size: 22px;\">Your contact information<\/h3><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"59\" class=\"wdform_row\"><div type=\"type_address\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_address wd-flex-column\">    <label  for=\"wdform_59_street113\" class=\"wdform-label\">Address<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_address wd-flex-column wd-width-70\" ><span class=\"wd-width-100 wd-address\">                <input class=\"wd-width-100\" type=\"text\" id=\"wdform_59_street113\" name=\"wdform_59_street113\" value=\"\"  \/>                <label for=\"wdform_59_street113\" class=\"mini_label\">Street<\/label><\/span><span class=\"wd-width-100 wd-flex wd-flex-row wd-flex-wrap wd-justify-content\"><span class=\"wd-width-49 wd-address\">                <input class=\"wd-width-100\" type=\"text\" id=\"wdform_59_city13\" name=\"wdform_61_city13\" value=\"\"  \/>                <label for=\"wdform_59_city13\" class=\"mini_label\">City<\/label><\/span><span class=\"wd-width-49 wd-address\">              <input class=\"wd-width-100\" type=\"text\" id=\"wdform_59_postal13\" name=\"wdform_63_postal13\" value=\"\"  \/>              <label for=\"wdform_59_postal13\" class=\"mini_label\">Zip Code<\/label><\/span><span class=\"wd-width-49 wd-address\">              <select class=\"wd-width-100\"                      type=\"text\"                      id=\"wdform_59_country13\"                      name=\"wdform_64_country13\"                      onchange=\"wd_change_state_input('wdform_59', '13')\"                      ><option value=\"\" selected=\"selected\"><\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"Albania\" >Albania<\/option><option value=\"Algeria\" >Algeria<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Argentina\" >Argentina<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Australia\" >Australia<\/option><option value=\"Austria\" >Austria<\/option><option value=\"Azerbaijan\" >Azerbaijan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahrain\" >Bahrain<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbados\" >Barbados<\/option><option value=\"Belarus\" >Belarus<\/option><option value=\"Belgium\" >Belgium<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Benin\" >Benin<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Bolivia\" >Bolivia<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"Brunei\" >Brunei<\/option><option value=\"Bulgaria\" >Bulgaria<\/option><option value=\"Burkina\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cambodia\" >Cambodia<\/option><option value=\"Cameroon\" >Cameroon<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cape Verde\" >Cape Verde<\/option><option value=\"Central African Republic\" >Central African Republic<\/option><option value=\"Chad\" >Chad<\/option><option value=\"Chile\" >Chile<\/option><option value=\"China\" >China<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Congo\" >Congo<\/option><option value=\"Congo (Brazzaville)\" >Congo (Brazzaville)<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"Cote d'Ivoire\" >Cote d'Ivoire<\/option><option value=\"Croatia\" >Croatia<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Curacao\" >Curacao<\/option><option value=\"Cyprus\" >Cyprus<\/option><option value=\"Czech Republic\" >Czech Republic<\/option><option value=\"Denmark\" >Denmark<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominica\" >Dominica<\/option><option value=\"Dominican Republic\" >Dominican Republic<\/option><option value=\"East Timor (Timor Timur\" >East Timor (Timor Timur)<\/option><option value=\"Ecuador\" >Ecuador<\/option><option value=\"Egypt\" >Egypt<\/option><option value=\"El Salvador\" >El Salvador<\/option><option value=\"Equatorial\" >Equatorial Guinea<\/option><option value=\"Eritrea\" >Eritrea<\/option><option value=\"Estonia\" >Estonia<\/option><option value=\"Eswatini\" >Eswatini<\/option><option value=\"Ethiopia\" >Ethiopia<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia, The\" >Gambia, The<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guinea\" >Guinea<\/option><option value=\"Guinea-Bissau\" >Guinea-Bissau<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Haiti\" >Haiti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Ireland\" >Ireland<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Korea, North\" >Korea, North<\/option><option value=\"Korea, South\" >Korea, South<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libya\" >Libya<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Malaysia\" >Malaysia<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malta\" >Malta<\/option><option value=\"Marshall Islands\" >Marshall Islands<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Micronesia\" >Micronesia<\/option><option value=\"Moldova\" >Moldova<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Morocco\" >Morocco<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Myanmar\" >Myanmar<\/option><option value=\"Namibia\" >Namibia<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"Nepal\" >Nepal<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"New Zealand\" >New Zealand<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"North Macedonia\" >North Macedonia<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papua New Guinea\" >Papua New Guinea<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >Peru<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Puerto Rico\" >Puerto Rico<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"Romania\" >Romania<\/option><option value=\"Russia\" >Russia<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Vincent\" >Saint Vincent<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"San Marino\" >San Marino<\/option><option value=\"Sao Tome and Principe\" >Sao Tome and Principe<\/option><option value=\"Saudi Arabia\" >Saudi Arabia<\/option><option value=\"Senegal\" >Senegal<\/option><option value=\"Serbia\" >Serbia<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Slovakia\" >Slovakia<\/option><option value=\"Slovenia\" >Slovenia<\/option><option value=\"Solomon Islands\" >Solomon Islands<\/option><option value=\"Somalia\" >Somalia<\/option><option value=\"South Africa\" >South Africa<\/option><option value=\"South Sudan\" >South Sudan<\/option><option value=\"Spain\" >Spain<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Sudan\" >Sudan<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Syria\" >Syria<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Tanzania\" >Tanzania<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinidad and Tobago\" >Trinidad and Tobago<\/option><option value=\"Tunisia\" >Tunisia<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkmenistan<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Uganda\" >Uganda<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Arab Emirates\" >United Arab Emirates<\/option><option value=\"United Kingdom\" >United Kingdom<\/option><option value=\"United States\" >United States<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Vatican City\" >Vatican City<\/option><option value=\"Venezuela\" >Venezuela<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Wales\" >Wales<\/option><option value=\"Yemen\" >Yemen<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select>              <label for=\"wdform_59_country13\" class=\"mini_label\">Country<\/label><\/span><\/span><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"16\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_submitter_mail\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-row\" style=\"max-width: 250px;\">    <label  for=\"wdform_16_element13\" class=\"wdform-label\">Email address :<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-70\" ><input type=\"text\" class=\"wd-width-100\" id=\"wdform_16_element13\" name=\"wdform_16_element13\" value=\"\" title=\"\" placeholder=\"\"   onchange=\"wd_check_email('16', '13', 'This is not a valid email address.')\" \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"17\" class=\"wdform_row\"><div type=\"type_phone_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 \" style=\"max-width: 250px;\">    <label  for=\"wdform_17_element13\" class=\"wdform-label\">Phone number or mobile<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-width-70\" ><input type=\"text\"                       class=\"wd-width-100\"                       id=\"wdform_17_element13\"                       name=\"wdform_17_element13\"                       value=\"\"                       placeholder=\"\"  \/><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"13page_nav2\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_2\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Previous<\/span><\/div><div id=\"page_numbers132\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers13\">2\/6<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_2\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Next<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images fm-form-builder\" style=\"border-width: 1px;\"><div id=\"13form_view3\" page_title=\"Repr\u00e9sentant l\u00e9gal\" class=\"wdform_page\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"true\"><div class=\"wdform_section\"><div class=\"wdform_column\"><div wdid=\"18\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-wrap wd-flex-row\" style=\"max-width: 250px;\">    <label  class=\"wdform-label\">Are you under 18?:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-row wd-width-70\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_18_element13\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_18_element130\" name=\"wdform_18_element13\" value=\"oui\" onclick=\"set_default(&quot;wdform_18&quot;,&quot;0&quot;,&quot;13&quot;); \" checked=\"checked\"  \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_18_element130\"><span><\/span>Yes<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_18_element131\" name=\"wdform_18_element13\" value=\"non\" onclick=\"set_default(&quot;wdform_18&quot;,&quot;1&quot;,&quot;13&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_18_element131\"><span><\/span>No<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"19\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h3 style=\"font-size: 22px;\">Legal representative (if you are under 18)<\/h3><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"20\" class=\"wdform_row\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_select wd-flex-row\" style=\"max-width: 250px;\">    <label  for=\"wdform_20_element13\" class=\"wdform-label\">As:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-70\" ><select class=\"wd-width-100\" id=\"wdform_20_element13\" name=\"wdform_20_element13\" ><option value=\"\" selected=\"selected\">Your choice<\/option><option value=\"P\u00e8re\" >Father<\/option><option value=\"M\u00e8re\" >Mother<\/option><option value=\"Autre\" >Other<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"21\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-row wd-align-items-center\" style=\"max-width: 250px;\">    <label  for=\"wdform_21_element13\" class=\"wdform-label\">Representative's Last Name:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-70\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_21_element13\"                           name=\"wdform_21_element13\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"22\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 undefined wd-flex-row wd-align-items-center\" style=\"max-width: 250px;\">    <label  for=\"wdform_22_element13\" class=\"wdform-label\">Representative's First Name:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-70\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_22_element13\"                           name=\"wdform_22_element13\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"23\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_phone_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 \" style=\"max-width: 250px;\">    <label  for=\"wdform_23_element13\" class=\"wdform-label\">Representative's Phone Number:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-width-70\" ><input type=\"text\"                       class=\"wd-width-100\"                       id=\"wdform_23_element13\"                       name=\"wdform_23_element13\"                       value=\"\"                       placeholder=\"\"  \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"24\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 undefined wd-flex-row wd-align-items-center\" style=\"max-width: 250px;\">    <label  for=\"wdform_24_element13\" class=\"wdform-label\">Representative's Street:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-70\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_24_element13\"                           name=\"wdform_24_element13\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"25\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 undefined wd-flex-row wd-align-items-center\" style=\"max-width: 250px;\">    <label  for=\"wdform_25_element13\" class=\"wdform-label\">Representative's Zip Code:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-70\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_25_element13\"                           name=\"wdform_25_element13\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"26\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 undefined wd-flex-row wd-align-items-center\" style=\"max-width: 250px;\">    <label  for=\"wdform_26_element13\" class=\"wdform-label\">Representative's City:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex undefined wd-flex-row wd-align-items-center wd-width-70\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_26_element13\"                           name=\"wdform_26_element13\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"28\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_country\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_select wd-flex-row\" style=\"max-width: 250px;\">    <label  for=\"wdform_28_element13\" class=\"wdform-label\">Representative's Country:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-70\" ><select class=\"wd-width-100\" id=\"wdform_28_element13\" name=\"wdform_28_element13\" ><option value=\"\" ><\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"Albania\" >Albania<\/option><option value=\"Algeria\" >Algeria<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Argentina\" >Argentina<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Australia\" >Australia<\/option><option value=\"Austria\" >Austria<\/option><option value=\"Azerbaijan\" >Azerbaijan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahrain\" >Bahrain<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbados\" >Barbados<\/option><option value=\"Belarus\" >Belarus<\/option><option value=\"Belgium\" >Belgium<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Benin\" >Benin<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Bolivia\" >Bolivia<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"Brunei\" >Brunei<\/option><option value=\"Bulgaria\" >Bulgaria<\/option><option value=\"Burkina\" >Burkina<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cambodia\" >Cambodia<\/option><option value=\"Cameroon\" >Cameroon<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cape Verde\" >Cape Verde<\/option><option value=\"Central African Republic\" >Central African Republic<\/option><option value=\"Chad\" >Chad<\/option><option value=\"Chile\" >Chile<\/option><option value=\"China\" >China<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Congo\" >Congo<\/option><option value=\"Congo (Brazzaville)\" >Congo (Brazzaville)<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"Cote d&#039;Ivoire\" >Cote d&#039;Ivoire<\/option><option value=\"Croatia\" >Croatia<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Curacao\" >Curacao<\/option><option value=\"Cyprus\" >Cyprus<\/option><option value=\"Czech Republic\" >Czech Republic<\/option><option value=\"Denmark\" >Denmark<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominica\" >Dominica<\/option><option value=\"Dominican Republic\" >Dominican Republic<\/option><option value=\"East Timor (Timor Timur\" >East Timor (Timor Timur<\/option><option value=\"Ecuador\" >Ecuador<\/option><option value=\"Egypt\" >Egypt<\/option><option value=\"El Salvador\" >El Salvador<\/option><option value=\"Equatorial\" >Equatorial<\/option><option value=\"Eritrea\" >Eritrea<\/option><option value=\"Estonia\" >Estonia<\/option><option value=\"Eswatini\" >Eswatini<\/option><option value=\"Ethiopia\" >Ethiopia<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia, The\" >Gambia, The<\/option><option value=\"Georgia\" >Georgia<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guinea\" >Guinea<\/option><option value=\"Guinea-Bissau\" >Guinea-Bissau<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Haiti\" >Haiti<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran\" >Iran<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Ireland\" >Ireland<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Korea, North\" >Korea, North<\/option><option value=\"Korea, South\" >Korea, South<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Laos\" >Laos<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libya\" >Libya<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Malaysia\" >Malaysia<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Mali<\/option><option value=\"Malta\" >Malta<\/option><option value=\"Marshall Islands\" >Marshall Islands<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Micronesia\" >Micronesia<\/option><option value=\"Moldova\" >Moldova<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Morocco\" >Morocco<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Myanmar\" >Myanmar<\/option><option value=\"Namibia\" >Namibia<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"Nepal\" >Nepal<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"New Zealand\" >New Zealand<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"North Macedonia\" >North Macedonia<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papua New Guinea\" >Papua New Guinea<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >Peru<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Puerto Rico\" >Puerto Rico<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"Romania\" >Romania<\/option><option value=\"Russia\" >Russia<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Vincent\" >Saint Vincent<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"San Marino\" >San Marino<\/option><option value=\"Sao Tome and Principe\" >Sao Tome and Principe<\/option><option value=\"Saudi Arabia\" >Saudi Arabia<\/option><option value=\"Senegal\" >Senegal<\/option><option value=\"Serbia\" >Serbia<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Slovakia\" >Slovakia<\/option><option value=\"Slovenia\" >Slovenia<\/option><option value=\"Solomon Islands\" >Solomon Islands<\/option><option value=\"Somalia\" >Somalia<\/option><option value=\"South Africa\" >South Africa<\/option><option value=\"South Sudan\" >South Sudan<\/option><option value=\"Spain\" >Spain<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Sudan\" >Sudan<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Syria\" >Syria<\/option><option value=\"Taiwan\" >Taiwan<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Tanzania\" >Tanzania<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinidad and Tobago\" >Trinidad and Tobago<\/option><option value=\"Tunisia\" >Tunisia<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkmenistan<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Uganda\" >Uganda<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Arab Emirates\" >United Arab Emirates<\/option><option value=\"United Kingdom\" >United Kingdom<\/option><option value=\"United States\" >United States<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Vatican City\" >Vatican City<\/option><option value=\"Venezuela\" >Venezuela<\/option><option value=\"Vietnam\" >Vietnam<\/option><option value=\"Wales\" >Wales<\/option><option value=\"Yemen\" >Yemen<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"29\" class=\"wdform_row\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_select wd-flex-row\" style=\"max-width: 250px;\">    <label  for=\"wdform_29_element13\" class=\"wdform-label\">Representative's Professional Status:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-70\" ><select class=\"wd-width-100\" id=\"wdform_29_element13\" name=\"wdform_29_element13\" ><option value=\"Your choice\" selected=\"selected\">Your choice<\/option><option value=\"In training\" >In training<\/option><option value=\"Without employment\" >Without employment<\/option><option value=\"Pensioners\" >Pensioners<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"30\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_select wd-flex-row\" style=\"max-width: 250px;\">    <label  for=\"wdform_30_element13\" class=\"wdform-label\">Representative's socio-professional category:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-70\" ><select class=\"wd-width-100\" id=\"wdform_30_element13\" name=\"wdform_30_element13\" ><option value=\"Your choice\" selected=\"selected\">Your choice<\/option><option value=\"Farmers\" >Farmers<\/option><option value=\"Craftsmen, traders\" >Craftsmen, traders<\/option><option value=\"Liberal professions, Senior executives\" >Liberal professions, Senior executives<\/option><option value=\"Technicians and associate professionals\" >Technicians and associate professionals<\/option><option value=\"Employees\" >Employees<\/option><option value=\"Workers\" >Workers<\/option><option value=\"Other\" >Other<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"13page_nav3\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_3\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Previous<\/span><\/div><div id=\"page_numbers133\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers13\">3\/6<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_3\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Next<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images fm-form-builder\" style=\"border-width: 1px;\"><div id=\"13form_view4\" page_title=\"Informations statistiques\" class=\"wdform_page\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"true\"><div class=\"wdform_section\"><div class=\"wdform_column\"><div wdid=\"31\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h3 style=\"font-size: 22px;\">Details about your stay<\/h3><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"32\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_date_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-row\" style=\"max-width: 250px;\">    <label  for=\"wdform_32_element13\" class=\"wdform-label\">Date of arrival:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-70\" ><input class=\"wd-width-100\" autocomplete=\"off\" type=\"text\" id=\"wdform_32_element13\" name=\"wdform_32_element13\"   \/><span id=\"fm-calendar-32\" class=\"dashicons dashicons-calendar-alt wd-calendar-button wd-inline-block\"><\/span><input type=\"hidden\" format=\"dd\/mm\/yy\" id=\"wdform_32_button13\" value=\"today\" \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"33\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-wrap wd-flex-row\">    <label  class=\"wdform-label\">Date of departure:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-row wd-width-70\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_33_element13\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_33_element130\" name=\"wdform_33_element13\" value=\"Scheduled\" onclick=\"set_default(&quot;wdform_33&quot;,&quot;0&quot;,&quot;13&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_33_element130\"><span><\/span>Scheduled<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_33_element131\" name=\"wdform_33_element13\" value=\"Undefined\" onclick=\"set_default(&quot;wdform_33&quot;,&quot;1&quot;,&quot;13&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_33_element131\"><span><\/span>Undefined<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"34\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_date_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-row\" style=\"max-width: 250px;\">    <label  for=\"wdform_34_element13\" class=\"wdform-label\">Scheduled day of departure :<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-70\" ><input class=\"wd-width-100\" autocomplete=\"off\" type=\"text\" id=\"wdform_34_element13\" name=\"wdform_34_element13\"   \/><span id=\"fm-calendar-34\" class=\"dashicons dashicons-calendar-alt wd-calendar-button wd-inline-block\"><\/span><input type=\"hidden\" format=\"dd\/mm\/yy\" id=\"wdform_34_button13\" value=\"today\" \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"66\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><h3 style=\"font-size: 22px;\" data-mce-style=\"font-size: 22px;\">Type of housing<\/h3><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"56\" class=\"wdform_row\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_select wd-flex-row\" style=\"max-width: 250px;\">    <label  for=\"wdform_56_element13\" class=\"wdform-label\">Choice 1<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-70\" ><select class=\"wd-width-100\" id=\"wdform_56_element13\" name=\"wdform_56_element13\" ><option value=\"\" selected=\"selected\">Your choice<\/option><option value=\"Chambre 14.50m\u00b2\" >Room 14.50m\u00b2<\/option><option value=\"Chambre 16.50m\u00b2\" >Room 16.50m\u00b2<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"67\" class=\"wdform_row\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_select wd-flex-row\" style=\"max-width: 250px;\">    <label  for=\"wdform_67_element13\" class=\"wdform-label\">Choice 2 :<\/label><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-70\" ><select class=\"wd-width-100\" id=\"wdform_67_element13\" name=\"wdform_67_element13\" ><option value=\"\" selected=\"selected\">Your choice<\/option><option value=\"Chambre 14.50m\u00b2\" >Room 14.50m\u00b2<\/option><option value=\"Chambre 16.50m\u00b2\" >Room 16.50m\u00b2<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"68\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-wrap wd-flex-row\" style=\"max-width: 250px;\">    <label  class=\"wdform-label\">Room:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-row wd-width-70\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_68_element13\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_68_element130\" name=\"wdform_68_element13\" value=\"Smoker\" onclick=\"set_default(&quot;wdform_68&quot;,&quot;0&quot;,&quot;13&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_68_element130\"><span><\/span>Smoker<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_68_element131\" name=\"wdform_68_element13\" value=\"No Smoking\" onclick=\"set_default(&quot;wdform_68&quot;,&quot;1&quot;,&quot;13&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_68_element131\"><span><\/span>No Smoking<\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"13page_nav4\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_4\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Previous<\/span><\/div><div id=\"page_numbers134\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers13\">4\/6<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_4\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Next<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images fm-form-builder\" style=\"border-width: 1px;\"><div id=\"13form_view5\" page_title=\"D\u00e9tails du s\u00e9jour\" class=\"wdform_page\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"true\"><div class=\"wdform_section\"><div class=\"wdform_column\"><div wdid=\"36\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h3 style=\"font-size: 22px;\">Statistical Information<\/h3><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"37\" class=\"wdform_row\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_select wd-flex-row\" style=\"max-width: 280px;\">    <label  for=\"wdform_37_element13\" class=\"wdform-label\">Socio-professional status:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-70\" ><select class=\"wd-width-100\" id=\"wdform_37_element13\" name=\"wdform_37_element13\" ><option value=\"\" selected=\"selected\">Your choice<\/option><option value=\"Activit\u00e9 salari\u00e9e CDI\" >Paid employment permanent contract<\/option><option value=\"Activit\u00e9 salari\u00e9e CDD - Int\u00e9rimaires\" >Paid employment fixed-term contract<\/option><option value=\"Formation en alternance\" >Work-linked training<\/option><option value=\"Stage professionnel\" >Professional traineeship<\/option><option value=\"Apprentissage\" >Apprenticeship<\/option><option value=\"Recherche d&amp;#039;emploi\" >Jobseeker<\/option><option value=\"Etudiants\" >Students<\/option><option value=\"Lyc\u00e9ens\" >High School Students<\/option><option value=\"Autre situation\" >Other situation<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"38\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_select wd-flex-row\" style=\"max-width: 280px;\">    <label  for=\"wdform_38_element13\" class=\"wdform-label\">Grade level:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-70\" ><select class=\"wd-width-100\" id=\"wdform_38_element13\" name=\"wdform_38_element13\" ><option value=\"\" selected=\"selected\">Your choice<\/option><option value=\"Niveau 5\u00e8me - 4\u00e8me\" >Niveau 5\u00e8me - 4\u00e8me (mid - French secondary school curriculum)<\/option><option value=\"Niveau ou dipl\u00f4me BEPC\" >Niveau ou dipl\u00f4me BEPC (end of French secondary school diploma)<\/option><option value=\"Niveau ou dipl\u00f4me BEP\/CAP\" >Niveau ou dipl\u00f4me BEP\/CAP<\/option><option value=\"Niveau ou dipl\u00f4me BAC PRO\" >Niveau ou dipl\u00f4me BAC PRO (end of French high school diploma)<\/option><option value=\"Niveau ou dipl\u00f4me BAC +2\" >Niveau ou dipl\u00f4me BAC + 2<\/option><option value=\"Niveau ou dipl\u00f4me BAC +3\" >Niveau ou dipl\u00f4me BAC+3 et +<\/option><option value=\"Autre situation\" >Other situation<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"39\" class=\"wdform_row\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_select wd-flex-row\" style=\"max-width: 280px;\">    <label  for=\"wdform_39_element13\" class=\"wdform-label\">Monthly wage:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-70\" ><select class=\"wd-width-100\" id=\"wdform_39_element13\" name=\"wdform_39_element13\" ><option value=\"\" selected=\"selected\">Your choice<\/option><option value=\"De 0 \u00e0 250 \u20ac\" >0 to 250 \u20ac<\/option><option value=\"De 251 \u00e0 450 \u20ac\" >251 to 450 \u20ac<\/option><option value=\"De 451 \u00e0 610 \u20ac\" >451 to 610 \u20ac<\/option><option value=\"De 611 \u00e0 765 \u20ac\" >611 to 765 \u20ac<\/option><option value=\"De 766 \u00e0 915 \u20ac\" >766 to 915 \u20ac<\/option><option value=\"De 916 \u00e0 1065 \u20ac\" >916 to 1065 \u20ac<\/option><option value=\"Plus de 1065 \u20ac\" >More than 1065 \u20ac<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"40\" class=\"wdform_row\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_select wd-flex-row\" style=\"max-width: 280px;\">    <label  for=\"wdform_40_element13\" class=\"wdform-label\">Mode prior habitation:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-70\" ><select class=\"wd-width-100\" id=\"wdform_40_element13\" name=\"wdform_40_element13\" ><option value=\"\" selected=\"selected\">Your choice<\/option><option value=\"H\u00e9bergement chez les parents\" >Accommodation for parents<\/option><option value=\"H\u00e9bergement chez un tiers\" >Accommodation in third<\/option><option value=\"H\u00e9bergement pr\u00e9caire ou d&amp;#039;urgence\" >Temporary abode<\/option><option value=\"Logement autonome\" >Independant housing<\/option><option value=\"FJT\" >FJT<\/option><option value=\"Autres situations\" >Other situations<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"41\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_select wd-flex-row\" style=\"max-width: 280px;\">    <label  for=\"wdform_41_element13\" class=\"wdform-label\">Motivations of choice of accommodation in FJT:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-70\" ><select class=\"wd-width-100\" id=\"wdform_41_element13\" name=\"wdform_41_element13\" ><option value=\"\" selected=\"selected\">Your choice<\/option><option value=\"Facilit\u00e9 des formalit\u00e9s\" >Easy formalities<\/option><option value=\"Pr\u00e9sence d&amp;#039;autres jeunes\" >Presence of other young people<\/option><option value=\"Co\u00fbt peu \u00e9lev\u00e9\" >Cost low<\/option><option value=\"Sans autre solution\" >Without other solution<\/option><option value=\"Autre\" >Other<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"42\" class=\"wdform_row\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_select wd-flex-row\" style=\"max-width: 280px;\">    <label  for=\"wdform_42_element13\" class=\"wdform-label\">Motivations of entry:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-70\" ><select class=\"wd-width-100\" id=\"wdform_42_element13\" name=\"wdform_42_element13\" ><option value=\"\" selected=\"selected\">Your choice<\/option><option value=\"Rapprochement professionnel\" >Professional reconciliation...\u2026<\/option><option value=\"Rapprochement du lieu d&amp;#039;\u00e9tude\" >Reconciliation of place of study\u2026.<\/option><option value=\"Urgence (rupture familiale...)\" >Emergency (family breakdown\u2026)<\/option><option value=\"Sans autre solution\" >Independence Search<\/option><option value=\"Mesure \u00e9ducative\" >Educational measure<\/option><option value=\"Attente d&amp;#039;un logement\" >Housing waiting<\/option><option value=\"Autres situations\" >Other situations<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"43\" class=\"wdform_row\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 wdform_select wd-flex-row\" style=\"max-width: 280px;\">    <label  for=\"wdform_43_element13\" class=\"wdform-label\">How did you hear about us?:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-70\" ><select class=\"wd-width-100\" id=\"wdform_43_element13\" name=\"wdform_43_element13\" ><option value=\"\" selected=\"selected\">Your choice<\/option><option value=\"Internet\" >Internet<\/option><option value=\"Facebook\" >Facebook<\/option><option value=\"Bouche \u00e0 oreille\" >Word of mouth<\/option><option value=\"Organisme\" >Organization<\/option><option value=\"Autre\" >Other <\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"45\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-row wd-align-items-center\" style=\"max-width: 280px;\">    <label  for=\"wdform_45_element13\" class=\"wdform-label\">Specify:<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-70\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_45_element13\"                           name=\"wdform_45_element13\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"13page_nav5\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_5\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Previous<\/span><\/div><div id=\"page_numbers135\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers13\">5\/6<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_5\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Next<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform-page-and-images fm-form-builder\" style=\"border-width: 1px;\"><div id=\"13form_view6\" page_title=\"Pi\u00e8ces compl\u00e9mentaires\" class=\"wdform_page\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"true\"><div class=\"wdform_section\"><div class=\"wdform_column\"><div wdid=\"48\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><h3 style=\"font-size: 22px;\">Additional documents<\/h3><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"47\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_file_upload\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-column\" style=\"max-width: 300px;\">    <label  for=\"wdform_47_element13\" class=\"wdform-label\">Bank account identification (4Mo max):<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-column wd-width-70\" ><label class=\"file-upload\"><div class=\"file-picker\"><\/div><input type=\"file\" id=\"wdform_47_element13\" name=\"wdform_47_file13[]\"   \/><\/label><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"49\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_file_upload\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-column\" style=\"max-width: 300px;\">    <label  for=\"wdform_49_element13\" class=\"wdform-label\">2 recent passport photos (4Mo max):<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-column wd-width-70\" ><label class=\"file-upload\"><div class=\"file-picker\"><\/div><input type=\"file\" id=\"wdform_49_element13\" name=\"wdform_49_file13[]\" multiple='multiple'  \/><\/label><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"52\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_file_upload\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-column\" style=\"max-width: 300px;\">    <label  for=\"wdform_52_element13\" class=\"wdform-label\">Notice of tax or non-taxation or, failing that, the last 3 pay slips (4Mo max):<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-column wd-width-70\" ><label class=\"file-upload\"><div class=\"file-picker\"><\/div><input type=\"file\" id=\"wdform_52_element13\" name=\"wdform_52_file13[]\" multiple='multiple'  \/><\/label><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"50\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_file_upload\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-column\" style=\"max-width: 300px;\">    <label  for=\"wdform_50_element13\" class=\"wdform-label\">Photocopy of both sides of the identity card or passport or residence permit or receipt (4Mo max):<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-column wd-width-70\" ><label class=\"file-upload\"><div class=\"file-picker\"><\/div><input type=\"file\" id=\"wdform_50_element13\" name=\"wdform_50_file13[]\"   \/><\/label><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"53\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_file_upload\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-column\" style=\"max-width: 300px;\">    <label  for=\"wdform_53_element13\" class=\"wdform-label\">Work contract or a certificate of schooling or notice of employment status (4Mo max):<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-column wd-width-70\" ><label class=\"file-upload\"><div class=\"file-picker\"><\/div><input type=\"file\" id=\"wdform_53_element13\" name=\"wdform_53_file13[]\"   \/><\/label><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"73\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><p><strong>The following documents must be filled out and signed. They can be downloaded from the top of this page.<\/strong><\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"69\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_file_upload\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-column\" style=\"max-width: 300px;\">    <label  for=\"wdform_69_element13\" class=\"wdform-label\">VISALE bond or guarantor signed  (4Mo max): <\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-column wd-width-70\" ><label class=\"file-upload\"><div class=\"file-picker\"><\/div><input type=\"file\" id=\"wdform_69_element13\" name=\"wdform_69_file13[]\"   \/><\/label><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"70\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_file_upload\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-column\" style=\"max-width: 300px;\">    <label  for=\"wdform_70_element13\" class=\"wdform-label\">RGPD - Consent to the collection of personal data signed \u00e9 (4Mo max):<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-column wd-width-70\" ><label class=\"file-upload\"><div class=\"file-picker\"><\/div><input type=\"file\" id=\"wdform_70_element13\" name=\"wdform_70_file13[]\"   \/><\/label><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"46\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_textarea\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30 \" style=\"max-width: 280px;\">    <label  for=\"wdform_46_element13\" class=\"wdform-label\">Your message:<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-width-70\" style=\"max-width: 200px;\"><textarea class=\"wd-width-100\"                      id=\"wdform_46_element13\"                      name=\"wdform_46_element13\"                      placeholder=\"\"                      style=\"height: 100px;\"                      ><\/textarea><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"58\" class=\"wdform_row\"><div type=\"type_arithmetic_captcha\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-row wd-align-items-center\">    <label  for=\"wd_arithmetic_captcha_input13\" class=\"wdform-label\">Thank you to fill the result: <\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-70\" ><img decoding=\"async\" type=\"captcha\"                          operations_count=\"1\"                          operations=\"+, -\"                          src=\"https:\/\/www.residence-jeunes.fr\/wp-admin\/admin-ajax.php?action=formmakerwdmathcaptcha&operations_count=1&operations=%2B%2C+-&i=13\"                          id=\"wd_arithmetic_captcha13\"                          class=\"arithmetic_captcha_img\"                           \/><div class=\"captcha_refresh\" id=\"_element_refresh13\" ><\/div><input type=\"text\"                              class=\"arithmetic_captcha_input\"                              id=\"wd_arithmetic_captcha_input13\"                              name=\"arithmetic_captcha_input\"                              onkeypress=\"return check_isnum(event)\"                              style=\"width: 60px;\"                               \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"57\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><p>(1) By submitting my information, I agree to be contacted electronically or by telephone by Etap&#039;HABITAT and I accept that this information is used in connection with my request and the commercial relationship that may result. I can modify or delete my information on request. <a href=\"https:\/\/www.residence-jeunes.fr\/mentions-legales\/\" title=\"Mentions l\u00e9gales\" data-mce-href=\"https:\/\/www.residence-jeunes.fr\/mentions-legales\/\" target=\"_blank\">Learn more<\/a>.<\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"1\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_gdpr_compliance_checkbox\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-element-section wd-flex  wd-flex-row wd-justify-content-left wd-width-100\" ><label for=\"fm_privacy_policy13\" class=\"wdform-label\">                                       <input id=\"fm_privacy_policy13\" name=\"fm_privacy_policy13\" class=\"wd-flex-row fm-gdpr-checkbox\" onclick=\"fm_privacy_policy_check(this)\" type=\"checkbox\" value=\"1\">I understand and accept (1)<\/label><\/div><\/div><div type=\"type_submit_reset\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-element-section wd-flex  wd-flex-row wd-justify-content-left wd-width-100\" ><button disabled=\"disabled\" type=\"button\" class=\"button-submit\" onclick=\"fm_submit_form('13');\"  data-ajax=\"0\"><span class=\"fm-submit-loading spinner fm-ico-spinner\"><\/span>Send the file<\/button><button  type=\"button\" class=\"button-reset wd-hidden\" onclick=\"fm_reset_form(13);\" >Annuler<\/button><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"13page_nav6\" style=\"display: table-row;\"><div valign=\"middle\" align=\"left\" style=\"display: inline-block; width: 40%;\"><span id=\"page_previous_6\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Previous<\/span><\/div><div id=\"page_numbers136\" valign=\"middle\" align=\"center\" style=\"display: inline-block; width: 20%;\"><span class=\"page_numbers13\">6\/6<\/span><\/div><div valign=\"middle\" align=\"right\" style=\"display: inline-block; width: 40%;\"><span id=\"page_next_6\" class=\"wdform-page-button\" style=\"cursor: pointer;\">Next<\/span><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_preload\"><\/div><\/form><\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Conditions of admission To qualify for a single room or a couple&#8217;s room at Saint Constance Residence, you must: be an employee, student, apprentice or in training be between 16 and 30 years old Consult the rates and the complete conditions of admission Filling out a file The application can be downloaded and mailed or [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1665","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.residence-jeunes.fr\/en\/wp-json\/wp\/v2\/pages\/1665","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.residence-jeunes.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.residence-jeunes.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.residence-jeunes.fr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.residence-jeunes.fr\/en\/wp-json\/wp\/v2\/comments?post=1665"}],"version-history":[{"count":3,"href":"https:\/\/www.residence-jeunes.fr\/en\/wp-json\/wp\/v2\/pages\/1665\/revisions"}],"predecessor-version":[{"id":3778,"href":"https:\/\/www.residence-jeunes.fr\/en\/wp-json\/wp\/v2\/pages\/1665\/revisions\/3778"}],"wp:attachment":[{"href":"https:\/\/www.residence-jeunes.fr\/en\/wp-json\/wp\/v2\/media?parent=1665"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}