{"id":6122,"date":"2023-03-14T13:41:50","date_gmt":"2023-03-14T13:41:50","guid":{"rendered":"https:\/\/www.afecvigo.es\/web\/?page_id=6122"},"modified":"2023-03-14T13:43:39","modified_gmt":"2023-03-14T13:43:39","slug":"formulario-solicitud-colaborador-docente-otros","status":"publish","type":"page","link":"https:\/\/www.afecvigo.es\/web\/?page_id=6122","title":{"rendered":"Formulario Solicitud Colaborador Docente Otros"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6122\" class=\"elementor elementor-6122\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ccbb6f3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ccbb6f3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e965181\" data-id=\"e965181\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7a7646b hide_impreso elementor-widget elementor-widget-heading\" data-id=\"7a7646b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Solicitude Colaborador Docente<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\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-7d35b6f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7d35b6f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3b9a907 format_div\" data-id=\"3b9a907\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4ca5f41 format_div elementor-widget elementor-widget-shortcode\" data-id=\"4ca5f41\" 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<div class=\"elementor-shortcode\"><div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f6121-o1\" lang=\"gl-ES\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/web\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F6122#wpcf7-f6121-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\" id=\"formulario_imprimir\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"6121\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.6.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"gl_ES\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f6121-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"col-md-12 format_div\" id=\"contenedor\">\n<h3 style=\"text-align: center;\" class=\"solo_impreso\"><strong>SOLICITUD RESPONSABLE DE DOCENCIA <\/strong><\/h3>\n<table style=\"width: 100%; border-collapse:collapse; border-spacing:0; margin-left: auto; margin-right: auto;\">\n<tbody>\n<tr>\n<td style=\"border: solid 1px black;\">\n                    <strong>DATOS PERSONALES<\/strong>\n                <\/td>\n<\/tr>\n<tr>\n<td style=\"border: solid 1px black;\">\n                    <label>Nombre y Apellidos:<\/label><br \/>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"nombre_apellidos\"><input type=\"text\" name=\"nombre_apellidos\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required sin_borde\" id=\"nombre_apellidos\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n                <\/td>\n<\/tr>\n<tr>\n<td style=\"border: solid 1px black;\">\n                    <label>DNI:<\/label><br \/>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"dni\"><input type=\"text\" name=\"dni\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required sin_borde\" id=\"dni\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n                <\/td>\n<\/tr>\n<tr>\n<td style=\"border: solid 1px black;\">\n                    <label>Direcci\u00f3n:<\/label><br \/>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"direccion\"><input type=\"text\" name=\"direccion\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required sin_borde\" id=\"direccion\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n                <\/td>\n<\/tr>\n<tr>\n<td style=\"border: solid 1px black;\">\n                    <label>Tel\u00e9fono de contacto:<\/label><br \/>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"telefono_contacto\"><input type=\"text\" name=\"telefono_contacto\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required sin_borde\" id=\"telefono_contacto\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n                <\/td>\n<\/tr>\n<tr>\n<td style=\"border: solid 1px black;\">\n                    <label>Tel\u00e9fono m\u00f3vil:<\/label><br \/>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"telefono_movil\"><input type=\"text\" name=\"telefono_movil\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text sin_borde\" id=\"telefono_movil\" aria-invalid=\"false\" \/><\/span>\n                <\/td>\n<\/tr>\n<tr>\n<td style=\"border: solid 1px black;\">\n                    <label>Titulaci\u00f3n:<\/label><br \/>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"titulacion\"><input type=\"text\" name=\"titulacion\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required sin_borde\" id=\"titulacion\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n                <\/td>\n<\/tr>\n<tr>\n<td style=\"border: solid 1px black;\">\n                    <label>Especialidad(especificar):<\/label><br \/>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"especialidad\"><input type=\"text\" name=\"especialidad\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required sin_borde\" id=\"especialidad\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n                <\/td>\n<\/tr>\n<tr>\n<td style=\"border: solid 1px black;\">\n                    <label>Centro de trabajo (especificar):<\/label><br \/>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"centro_trabajo\"><input type=\"text\" name=\"centro_trabajo\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required sin_borde\" id=\"centro_trabajo\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n                <\/td>\n<\/tr>\n<tr>\n<td style=\"border: solid 1px black;\">\n                    <label>Desde (mes y a\u00f1o):<\/label><br \/>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"centro_trabajo_desde\"><input type=\"text\" name=\"centro_trabajo_desde\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required sin_borde\" id=\"centro_trabajo_desde\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n                <\/td>\n<\/tr>\n<tr>\n<td style=\"border: solid 1px black;\">\n                    <label>Colaborador docente para (Medicina\/Enfermer\u00eda):<\/label><br \/>\n                    <span class=\"wpcf7-form-control-wrap\" data-name=\"colaborador_para\"><input type=\"text\" name=\"colaborador_para\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required sin_borde\" id=\"colaborador_para\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n                <\/td>\n<\/tr>\n<tr class=\"solo_impreso\">\n<td style=\"border: solid 1px black;\">\n                Solicita ser nombrado Colaborador Docente para la formaci\u00f3n de  residentes en la especialidad de Enfermer\u00eda\/Medicina Familiar y Comunitaria de Vigo, comprometi\u00e9ndose a cumplir las tareas y obligaciones, que el programa de la especialidad recoge.\n                <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div style=\"width: 100%; margin-left: auto; margin-right: auto;\" class=\"hide_impreso\">\n        <input type=\"submit\" value=\"Imprimir y Enviar\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" id=\"confirm_form\" \/>\n    <\/div>\n<div class=\"solo_impreso\">\n<p style=\"margin-bottom: 40px; margin-top: 150px;\">Fecha: .........\/...................................\/.............<\/p>\n<table style=\"width: 35%; border-collapse:collapse; border-spacing:0;\">\n<tbody>\n<tr>\n<td style=\"border: solid 1px black; height: 140px; \"><\/td>\n<\/tr>\n<tr>\n<td style=\"border: solid 1px black;\">Firmado: <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Solicitude Colaborador Docente<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"plantilla_formulario.php","meta":{"footnotes":""},"class_list":["post-6122","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.afecvigo.es\/web\/index.php?rest_route=\/wp\/v2\/pages\/6122","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.afecvigo.es\/web\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.afecvigo.es\/web\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.afecvigo.es\/web\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.afecvigo.es\/web\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6122"}],"version-history":[{"count":4,"href":"https:\/\/www.afecvigo.es\/web\/index.php?rest_route=\/wp\/v2\/pages\/6122\/revisions"}],"predecessor-version":[{"id":6126,"href":"https:\/\/www.afecvigo.es\/web\/index.php?rest_route=\/wp\/v2\/pages\/6122\/revisions\/6126"}],"wp:attachment":[{"href":"https:\/\/www.afecvigo.es\/web\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6122"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}