{"id":228,"date":"2026-06-12T15:13:04","date_gmt":"2026-06-12T13:13:04","guid":{"rendered":"https:\/\/tpap.stephane-godin.fr\/?page_id=228"},"modified":"2026-07-11T17:07:53","modified_gmt":"2026-07-11T15:07:53","slug":"formulaire","status":"publish","type":"page","link":"https:\/\/tpap.stephane-godin.fr\/index.php\/formulaire\/","title":{"rendered":"Formulaire"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"228\" class=\"elementor elementor-228\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1b69d932 e-flex e-con-boxed e-con e-parent\" data-id=\"1b69d932\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6295d6e8 elementor-widget elementor-widget-text-editor\" data-id=\"6295d6e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d2f7394 e-con e-atomic-element e-flexbox-base e-9e7999d \" data-id=\"d2f7394\" data-element_type=\"e-flexbox\" data-e-type=\"e-flexbox\" data-interaction-id=\"d2f7394\">\n    \t\t<div class=\"elementor-element elementor-element-2c72141 elementor-widget__width-initial elementor-widget elementor-widget-html\" data-id=\"2c72141\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<div class=\"tpap-form-wrapper\">\r\n\r\n    <form id=\"FormCandidature\" name=\"FormCandidature\" method=\"POST\" enctype=\"multipart\/form-data\" class=\"form-container\">\r\n\r\n        <input type=\"hidden\" name=\"_captcha\" value=\"false\">\r\n\r\n        <p class=\"text-center-form\">Soumettez votre dossier de candidature ci-dessous :<\/p>\r\n\r\n        <div class=\"form-row\">\r\n            <div class=\"form-group\">\r\n                <label for=\"nom\">Nom *<\/label>\r\n                <input type=\"text\" id=\"nom\" name=\"nom\" required minlength=\"2\" maxlength=\"50\" pattern=\"[A-Za-z\u00c0-\u00d6\u00d8-\u00f6\u00f8-\u00ff\\s\\-']+\" title=\"Lettres, espaces et tirets uniquement\" placeholder=\"Dupont\">\r\n            <\/div>\r\n\r\n            <div class=\"form-group\">\r\n                <label for=\"prenom\">Pr\u00e9nom *<\/label>\r\n                <input type=\"text\" id=\"prenom\" name=\"prenom\" required minlength=\"2\" maxlength=\"50\" pattern=\"[A-Za-z\u00c0-\u00d6\u00d8-\u00f6\u00f8-\u00ff\\s\\-']+\" title=\"Lettres, espaces et tirets uniquement\" placeholder=\"Jean\">\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"form-row\">\r\n            <div class=\"form-group\">\r\n                <label for=\"email\">Email *<\/label>\r\n                <input type=\"email\" id=\"email\" name=\"email\" required maxlength=\"100\" placeholder=\"jean.dupont@email.com\" inputmode=\"email\">\r\n            <\/div>\r\n\r\n            <div class=\"form-group\">\r\n                <label for=\"tel\">T\u00e9l\u00e9phone Portable *<\/label>\r\n                <input type=\"tel\" id=\"tel\" name=\"tel\" required\r\n                    pattern=\"^(?:0[67](?:[\\s.]?\\d{2}){4})$\"\r\n                    minlength=\"10\"\r\n                    maxlength=\"17\"\r\n                    placeholder=\"06 07 08 09 10\"\r\n                    inputmode=\"tel\"\r\n                    title=\"Format mobile requis : 06 ou 07 suivis de 8 chiffres\">\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"form-group\">\r\n            <label for=\"adresse\">Adresse postale compl\u00e8te *<\/label>\r\n            <textarea id=\"adresse\" name=\"adresse\" rows=\"3\" required placeholder=\"Votre adresse compl\u00e8te pour l'\u00e9tablissement du contrat...\"><\/textarea>\r\n        <\/div>\r\n\r\n        <div class=\"form-row\">\r\n            <div class=\"form-group\">\r\n                <label for=\"diplome\">Copie du dipl\u00f4me de psychologue *<\/label>\r\n                <span class=\"champ-aide\">Formats accept\u00e9s : PDF, JPG, PNG (Max 4 Mo)<\/span>\r\n                <input type=\"file\" id=\"diplome\" name=\"diplome\" accept=\".pdf,.jpg,.jpeg,.png\" required class=\"force-click\" max-size=\"4194304\">\r\n            <\/div>\r\n\r\n            <div class=\"form-group\">\r\n                <label for=\"cni\">Copie de la carte d'identit\u00e9 *<\/label>\r\n                <span class=\"champ-aide\">Formats accept\u00e9s : PDF, JPG, PNG (Max 4 Mo)<\/span>\r\n                <input type=\"file\" id=\"cni\" name=\"cni\" accept=\".pdf,.jpg,.jpeg,.png\" required class=\"force-click\" max-size=\"4194304\">\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"form-group\">\r\n            <label for=\"parcours\">Parcours th\u00e9rapeutique pr\u00e9c\u00e9dent & objectifs (Optionnel)<\/label>\r\n            <span class=\"champ-aide\">Indiquez si possible : dur\u00e9e, type de th\u00e9rapie, apports et probl\u00e9matiques \u00e0 solder (Maximum 1 page).<\/span>\r\n            <textarea id=\"parcours\" name=\"parcours\" rows=\"5\" placeholder=\"D\u00e9crivez succinctement vos ant\u00e9c\u00e9dents th\u00e9rapeutiques...\"><\/textarea>\r\n        <\/div>\r\n\r\n        <div class=\"form-group\">\r\n            <label for=\"langue\">Langue souhait\u00e9e pour la formation *<\/label>\r\n            <select name=\"langue\" id=\"langue\" required>\r\n                <option value=\"Fran\u00e7ais\" selected>Fran\u00e7ais<\/option>\r\n                <option value=\"Anglais\">Anglais (English)<\/option>\r\n            <\/select>\r\n        <\/div>\r\n\r\n        <fieldset class=\"form-group\">\r\n            <legend>Engagements & Cadre financier *<\/legend>\r\n            <div class=\"inline-options\">\r\n                <label class=\"label-clickable\">\r\n                    <input type=\"checkbox\" name=\"engagement_contrat\" value=\"Accepte\" required class=\"force-click\"> \r\n                    <span>Je comprends qu'apr\u00e8s admission, un contrat de formation me sera envoy\u00e9 et que mon inscription sur liste d'attente sera effective apr\u00e8s sa signature.<\/span>\r\n                <\/label>\r\n                <label class=\"label-clickable\">\r\n                    <input type=\"checkbox\" name=\"engagement_acompte\" value=\"Accepte\" required class=\"force-click\"> \r\n                    <span>J'accepte que la r\u00e9servation d'un cr\u00e9neau n\u00e9cessite le versement non remboursable de 216\u20ac TTC (2 s\u00e9ances), restitu\u00e9 uniquement si l'absence vient du formateur.<\/span>\r\n                <\/label>\r\n                <label class=\"label-clickable\">\r\n                    <input type=\"checkbox\" name=\"engagement_paiement\" value=\"Accepte\" required class=\"force-click\"> \r\n                    <span>Je prends note que les r\u00e8glements des s\u00e9ances s'effectuent avant chaque session par ch\u00e8que ou virement bancaire.<\/span>\r\n                <\/label>\r\n            <\/div>\r\n        <\/fieldset>\r\n\r\n        <div class=\"info-lieu-form\">\r\n            \ud83d\udccd <strong>Lieu de formation :<\/strong> Le Mans (proche gare TGV).\r\n        <\/div>\r\n\r\n        <div class=\"form-group text-center-form\">\r\n            <button type=\"submit\" name=\"Valider\" id=\"Valider\">Envoyer ma candidature<\/button>\r\n        <\/div>\r\n    <\/form>\r\n<\/div>\r\n\r\n<script>\r\ndocument.getElementById('FormCandidature').addEventListener('submit', function(e) {\r\n    e.preventDefault();\r\n    \r\n    const bouton = document.getElementById('Valider');\r\n    bouton.textContent = \"Envoi en cours...\";\r\n    bouton.disabled = true;\r\n\r\n    const formData = new FormData(this);\r\n\r\n    fetch('https:\/\/formsubmit.co\/ajax\/stephane.godin.pyjc@orange.fr', {\r\n        method: 'POST',\r\n        body: formData\r\n    })\r\n    .then(function() {\r\n        window.location.href = '\/index.php\/merci\/';\r\n    })\r\n    .catch(function(error) {\r\n        window.location.href = '\/index.php\/merci\/';\r\n    });\r\n});\r\n<\/script>\r\n\r\n<style>\r\n.tpap-form-wrapper {\r\n    width: 100%;\r\n    clear: both;\r\n    display: block;\r\n    padding: 70px 0;\r\n}\r\n\r\n.text-center-form {\r\n    text-align: center;\r\n    font-family: Arial, sans-serif;\r\n    color: #333;\r\n}\r\n\r\n.form-container {\r\n    display: flex;\r\n    flex-direction: column;\r\n    gap: 20px;\r\n    max-width: 700px;\r\n    margin: 0 auto !important;\r\n    padding: 20px;\r\n    border: 1px solid black;\r\n    border-radius: 8px;\r\n    background-color: #fafafa;\r\n    font-family: Arial, sans-serif;\r\n    box-sizing: border-box;\r\n}\r\n\r\n.form-group {\r\n    display: flex;\r\n    flex-direction: column;\r\n}\r\n\r\n.form-row {\r\n    display: flex;\r\n    flex-wrap: wrap;\r\n    gap: 15px;\r\n}\r\n\r\n.form-row .form-group {\r\n    flex: 1;\r\n    min-width: 200px;\r\n}\r\n\r\n.form-container label,\r\n.form-container legend {\r\n    font-weight: bold;\r\n    margin-bottom: 5px;\r\n    text-align: left;\r\n    color: #000;\r\n}\r\n\r\n.champ-aide {\r\n    font-weight: normal;\r\n    font-size: 0.85em;\r\n    color: #555;\r\n    margin-bottom: 5px;\r\n    font-style: italic;\r\n}\r\n\r\n.inline-options {\r\n    display: flex;\r\n    flex-direction: column;\r\n    gap: 12px;\r\n    margin-top: 5px;\r\n}\r\n\r\n.label-clickable {\r\n    font-weight: normal !important;\r\n    cursor: pointer !important;\r\n    line-height: 1.4;\r\n    display: flex !important;\r\n    align-items: flex-start;\r\n    gap: 10px;\r\n    pointer-events: auto !important;\r\n}\r\n\r\n.label-clickable span {\r\n    font-weight: normal !important;\r\n    text-align: left;\r\n    cursor: pointer !important;\r\n}\r\n\r\n.force-click {\r\n    pointer-events: auto !important; \r\n    cursor: pointer !important;\r\n    display: inline-block !important;\r\n}\r\n\r\n.inline-options input[type=\"checkbox\"].force-click {\r\n    margin-top: 3px;\r\n    flex-shrink: 0;\r\n    width: 16px !important;\r\n    height: 16px !important;\r\n    opacity: 1 !important;\r\n    appearance: checkbox !important;\r\n    -webkit-appearance: checkbox !important;\r\n}\r\n\r\n.form-container fieldset {\r\n    border: 1px solid #ccc;\r\n    border-radius: 6px;\r\n    padding: 12px;\r\n    background-color: #fff;\r\n}\r\n\r\n.form-container legend {\r\n    padding: 0 8px;\r\n}\r\n\r\n.form-container input[type=\"text\"],\r\n.form-container input[type=\"email\"],\r\n.form-container input[type=\"tel\"],\r\n.form-container select,\r\n.form-container textarea,\r\n.form-container input[type=\"file\"] {\r\n    padding: 6px;\r\n    border-radius: 4px;\r\n    border: 1px solid #ccc;\r\n    font: inherit;\r\n    background-color: #fff;\r\n    width: 100%;\r\n    box-sizing: border-box;\r\n    pointer-events: auto !important;\r\n}\r\n\r\n.form-container textarea {\r\n    resize: vertical;\r\n}\r\n\r\n.form-container button {\r\n    padding: 10px 18px;\r\n    background-color: #00797a; \r\n    color: #fff;\r\n    border: none;\r\n    border-radius: 4px;\r\n    cursor: pointer;\r\n    font-size: 16px;\r\n    font-weight: bold;\r\n    transition: background-color 0.2s ease;\r\n    pointer-events: auto !important;\r\n}\r\n\r\n.form-container button:hover {\r\n    background-color: #005f60;\r\n}\r\n\r\n.info-lieu-form {\r\n    font-size: 0.95em;\r\n    background-color: #e6f2f2;\r\n    padding: 10px;\r\n    border-left: 4px solid #00797a;\r\n    border-radius: 4px;\r\n    text-align: left;\r\n}\r\n<\/style>\t\t\t\t<\/div>\n\t\t\n<\/div>\n\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Soumettez votre dossier de candidature ci-dessous : Nom * Pr\u00e9nom * Email * T\u00e9l\u00e9phone Portable * Adresse postale compl\u00e8te * Copie du dipl\u00f4me de psychologue * Formats accept\u00e9s : PDF, JPG, PNG (Max 4 Mo) Copie de la carte d&rsquo;identit\u00e9 * Formats accept\u00e9s : PDF, JPG, PNG (Max 4 Mo) Parcours th\u00e9rapeutique pr\u00e9c\u00e9dent &#038; objectifs [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-228","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/tpap.stephane-godin.fr\/index.php\/wp-json\/wp\/v2\/pages\/228","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tpap.stephane-godin.fr\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/tpap.stephane-godin.fr\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/tpap.stephane-godin.fr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tpap.stephane-godin.fr\/index.php\/wp-json\/wp\/v2\/comments?post=228"}],"version-history":[{"count":64,"href":"https:\/\/tpap.stephane-godin.fr\/index.php\/wp-json\/wp\/v2\/pages\/228\/revisions"}],"predecessor-version":[{"id":395,"href":"https:\/\/tpap.stephane-godin.fr\/index.php\/wp-json\/wp\/v2\/pages\/228\/revisions\/395"}],"wp:attachment":[{"href":"https:\/\/tpap.stephane-godin.fr\/index.php\/wp-json\/wp\/v2\/media?parent=228"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}