{"id":16,"date":"2022-09-14T13:06:17","date_gmt":"2022-09-14T11:06:17","guid":{"rendered":"http:\/\/villelepassage.cluster1.easy-hebergement.net\/formulairesbp\/?page_id=16"},"modified":"2022-09-14T13:57:10","modified_gmt":"2022-09-14T11:57:10","slug":"formulaire-de-depot","status":"publish","type":"page","link":"http:\/\/villelepassage.cluster1.easy-hebergement.net\/formulairesbp\/","title":{"rendered":"Formulaire de depot"},"content":{"rendered":"<h1 style=\"text-align: center;\">Formulaire de d\u00e9p\u00f4t<\/h1>\n<p style=\"text-align: center;\">UN PROJET= UN FORMULAIRE<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<div class=\"forminator-ui forminator-custom-form forminator-custom-form-19 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-19\" data-uid=\"6a6892e59a773\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-19\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-19 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"19\"\n\t\t\t\t\n\t\t\t\tdata-design=\"default\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\tenctype=\"multipart\/form-data\"\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"6a6892e59a773\"\n\t\t\t><div class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\"><h2>MES COORDONNEES<\/h2>\n<p>(Toutes les mentions sont obligatoires pour la prise en compte de votre projet)<\/p>\n<hr><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-19__field--select-1_6a6892e59a773-label\" class=\"forminator-label\">Porteur de projet <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-19__field--select-1_6a6892e59a773\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-placeholder=\"Ce projet est port\u00e9 par\" data-search=\"false\"><option value=\"\">Ce projet est port\u00e9 par<\/option><option value=\"Une-personne\"  data-calculation=\"0\">Une personne<\/option><option value=\"Un-groupe-de-personnes\"  data-calculation=\"0\">Un groupe de personnes<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1\" class=\"forminator-label\">Nom <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><div id=\"name-2\" class=\"forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2\" class=\"forminator-label\">Pr\u00e9nom <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"\" id=\"forminator-field-name-2\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1\" class=\"forminator-label\">Courriel <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" \/><\/div><\/div><div id=\"date-1\" class=\"forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker-_6a6892e59a773\" class=\"forminator-label\">Date de naissance <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><label for=\"forminator-field-date-1-picker-_6a6892e59a773\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><\/label><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"\" id=\"forminator-field-date-1-picker-_6a6892e59a773\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd\/mm\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1\" class=\"forminator-label\">Num\u00e9ro de t\u00e9l\u00e9phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><div id=\"textarea-1\" class=\"forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1\" class=\"forminator-label\">Adresse <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\"><h2>MON QUARTIER<\/h2>\n<hr><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-19__field--select-2_6a6892e59a773-label\" class=\"forminator-label\">Je choisis le quartier auquel j&#039;appartiens <span class=\"forminator-required\">*<\/span><\/label><select id=\"forminator-form-19__field--select-2_6a6892e59a773\" class=\"forminator-select--field forminator-select2\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-placeholder=\"Je choisis le quartier auquel j&#039;appartiens\" data-search=\"false\"><option value=\"\">Je choisis le quartier auquel j&#039;appartiens<\/option><option value=\"Quartier-Bellevue---Route-du-Peyr\u00e9\"  data-calculation=\"0\">Quartier Bellevue - Route du Peyr\u00e9<\/option><option value=\"Quartier-Le-Bourg-Monbusq\"  data-calculation=\"0\">Quartier Le Bourg-Monbusq<\/option><option value=\"Quartier-Ganet\"  data-calculation=\"0\">Quartier Ganet<\/option><option value=\"Quartier-Dolmayrac---Hauts-de-Garonne\"  data-calculation=\"0\">Quartier Dolmayrac - Hauts de Garonne<\/option><option value=\"Quartier-Tounis---Rochebrune\"  data-calculation=\"0\">Quartier Tounis - Rochebrune<\/option><option value=\"Quartier-C\u0153ur-de-Ville\"  data-calculation=\"0\">Quartier C\u0153ur de Ville<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\"><p><a href=\"http:\/\/www.bp-lepassage.fr\/mon-quartier2022\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-size: 20px\"><strong>*Je v\u00e9rifie le quartier auquel j'appartiens<\/strong><\/span><\/a> \u00a0<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\"><h2>MON PROJET<\/h2>\n<hr><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1\" class=\"forminator-label\">Son nom <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"Je donne un nom \u00e0 mon projet\" id=\"forminator-field-text-1\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2\" class=\"forminator-label\">Sa localisation <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-2\" placeholder=\"je pr\u00e9cise la localisation de mon projet dans mon quartier\" id=\"forminator-field-textarea-2\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:100px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3\" class=\"forminator-label\">Description du projet <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-3\" placeholder=\"Je d\u00e9taille pr\u00e9cis\u00e9ment mon projet et explique en quoi il est d&#039;int\u00e9r\u00eat g\u00e9n\u00e9ral et \u00e0 vis\u00e9e collective (Je peux joindre un croquis, une photo au pr\u00e9sent formulaire). Votre projet doit correspondre aux crit\u00e8res du r\u00e8glement du Budget Participatif, consultable sur www.bp-lepassage.fr ou \u00e0 l\u2019accueil de la Mairie.\" id=\"forminator-field-textarea-3\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:350px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1\" class=\"forminator-label\">Joindre un fichier (Taille max 4Mo)<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.css,.htm,.html,.vtt,.dfxp,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.js,.pdf,.class,.tar,.zip,.gz,.gzip,.rar,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages\"><button id=\"forminator-field-upload-1_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1\">Choisissez un fichier<\/button><span data-empty-text=\"Aucun fichier s\u00e9lectionn\u00e9\">Aucun fichier s\u00e9lectionn\u00e9<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Supprimer le fichier t\u00e9l\u00e9vers\u00e9<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\"><p>Besoin d\u2019un accompagnement pour d\u00e9tailler votre projet ? Contactez le service Relations avec les habitants et D\u00e9mocratie Participative par mail : communication@ville-lepassage.fr ou au 05 53 77 18 77.<\/p>\n<p>Les informations recueillies dans ce formulaire sont collect\u00e9es par la Mairie du Passage d\u2019Agen dans le cadre du Budget Participatif. Elles sont trait\u00e9es conform\u00e9ment au R\u00e8glement G\u00e9n\u00e9ral sur la Protection des Donn\u00e9es (RGPD) et ne seront utilis\u00e9es que pour l\u2019instruction et le suivi de votre projet.<\/p><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Envoyer le formulaire<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"6faf0c3636\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/formulairesbp\/wp-json\/wp\/v2\/pages\/16\" \/><input type=\"hidden\" name=\"form_id\" value=\"19\"><input type=\"hidden\" name=\"page_id\" value=\"16\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"http:\/\/villelepassage.cluster1.easy-hebergement.net\/formulairesbp\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form>\n","protected":false},"excerpt":{"rendered":"<p>Formulaire de d\u00e9p\u00f4t UN PROJET= UN FORMULAIRE &nbsp; &nbsp;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/pagetemplate_page.php","meta":{"footnotes":""},"class_list":["post-16","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/villelepassage.cluster1.easy-hebergement.net\/formulairesbp\/wp-json\/wp\/v2\/pages\/16","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/villelepassage.cluster1.easy-hebergement.net\/formulairesbp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/villelepassage.cluster1.easy-hebergement.net\/formulairesbp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/villelepassage.cluster1.easy-hebergement.net\/formulairesbp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/villelepassage.cluster1.easy-hebergement.net\/formulairesbp\/wp-json\/wp\/v2\/comments?post=16"}],"version-history":[{"count":2,"href":"http:\/\/villelepassage.cluster1.easy-hebergement.net\/formulairesbp\/wp-json\/wp\/v2\/pages\/16\/revisions"}],"predecessor-version":[{"id":21,"href":"http:\/\/villelepassage.cluster1.easy-hebergement.net\/formulairesbp\/wp-json\/wp\/v2\/pages\/16\/revisions\/21"}],"wp:attachment":[{"href":"http:\/\/villelepassage.cluster1.easy-hebergement.net\/formulairesbp\/wp-json\/wp\/v2\/media?parent=16"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}