{"id":6251,"date":"2020-01-09T08:15:19","date_gmt":"2020-01-09T08:15:19","guid":{"rendered":"http:\/\/hkotf.org\/en\/senior_toolkit_application_form\/"},"modified":"2020-06-17T04:36:18","modified_gmt":"2020-06-17T04:36:18","slug":"senior_toolkit_application_form","status":"publish","type":"page","link":"https:\/\/hkotf.org\/en\/senior_toolkit_application_form\/","title":{"rendered":"Organ Donation: The Legacy of Love Application Form"},"content":{"rendered":"[vc_row type=&#8221;in_container&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; overlay_strength=&#8221;0.3&#8243;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; width=&#8221;1\/1&#8243;][vc_text_separator title=&#8221;Online Application for Teaching Toolkit &#8220;Organ Donation: The Legacy of Love&#8220;&#8221; border_width=&#8221;3&#8243;]<div class=\"wpcf7 no-js\" id=\"wpcf7-f6254-o1\" lang=\"zh-TW\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/6251#wpcf7-f6254-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u806f\u7d61\u8868\u55ae\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"6254\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.7.2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"zh_TW\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f6254-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n<p style=\"padding-bottom: 0px\"><strong>Name*:<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"register_name_chi\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"register_name_chi\" \/><\/span>\n<\/p>\n<p style=\"padding-bottom: 0px\"><strong>Age*:<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"register_age_chi\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"register_age_chi\" value=\"18 or below\" tabindex=\"\" \/><span class=\"wpcf7-list-item-label\">18 or below<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"register_age_chi\" value=\"19-30\" tabindex=\"\" \/><span class=\"wpcf7-list-item-label\">19-30<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"register_age_chi\" value=\"31-40\" tabindex=\"\" \/><span class=\"wpcf7-list-item-label\">31-40<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"register_age_chi\" value=\"41-50\" tabindex=\"\" \/><span class=\"wpcf7-list-item-label\">41-50<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"register_age_chi\" value=\"51-60\" tabindex=\"\" \/><span class=\"wpcf7-list-item-label\">51-60<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"register_age_chi\" value=\"61 or above\" tabindex=\"\" \/><span class=\"wpcf7-list-item-label\">61 or above<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p style=\"padding-bottom: 0px\"><strong>Occupation*:<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"register_occupation_chi\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"register_occupation_chi\" \/><\/span>\n<\/p>\n<p style=\"padding-bottom: 0px\"><strong> Organization*:<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"organization_chi\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"organization_chi\" value=\"School\" tabindex=\"\" \/><span class=\"wpcf7-list-item-label\">School<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"organization_chi\" value=\"NGO\" tabindex=\"\" \/><span class=\"wpcf7-list-item-label\">NGO<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"organization_chi\" value=\"Government Dept.\" tabindex=\"\" \/><span class=\"wpcf7-list-item-label\">Government Dept.<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"organization_chi\" value=\"Private Corporation\" tabindex=\"\" \/><span class=\"wpcf7-list-item-label\">Private Corporation<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"organization_chi\" value=\"Others\" tabindex=\"\" \/><span class=\"wpcf7-list-item-label\">Others<\/span><\/span><\/span><\/span>\n<\/p>\n<p style=\"padding-bottom: 0px\"><strong> Name of School\/organization:<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"other_organization_chi\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"other_organization_chi\" \/><\/span>\n<\/p>\n<p style=\"padding-bottom: 0px\"><strong>Please specify the quantity:<br \/>\n<\/strong>\n<\/p>\n<p style=\"padding-bottom: 0px\"><strong>Chinese verison:<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"number-of-printed-Chi\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"number-of-printed-Chi\" \/><\/span>\n<\/p>\n<p style=\"padding-bottom: 0px\"><strong>English verison:<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"number-of-printed-Eng\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-number\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"number-of-printed-Eng\" \/><\/span>\n<\/p>\n<p style=\"padding-bottom: 0px\"><strong>Contact No.*:<br \/>\n(We will contact you for collection arrangement later.)<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"register_number_chi\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"register_number_chi\" \/><\/span>\n<\/p>\n<p style=\"padding-bottom: 0px\"><strong>Uses of toolkit*:<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"use_of_toolkit_chi\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"use_of_toolkit_chi\" value=\"Education\" tabindex=\"\" \/><span class=\"wpcf7-list-item-label\">Education<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"use_of_toolkit_chi\" value=\"Share with family and friends\" tabindex=\"\" \/><span class=\"wpcf7-list-item-label\">Share with family and friends<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"use_of_toolkit_chi\" value=\"Personal use\" tabindex=\"\" \/><span class=\"wpcf7-list-item-label\">Personal use<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"use_of_toolkit_chi\" value=\"Other uses\" tabindex=\"\" \/><span class=\"wpcf7-list-item-label\">Other uses<\/span><\/span><\/span><\/span>\n<\/p>\n<p style=\"padding-bottom: 0px\"><strong>For \u201cOther uses\u201d, please specify:<\/strong>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"others_use_toolkit_chi\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"others_use_toolkit_chi\" \/><\/span>\n<\/p>\n<p><strong>Disclaimer: The copyright of this Toolkit is owned by Hong Kong Organ Transplant Foundation (HKOTF). This Toolkit will be used solely for education purpose at school. Prior approval from HKOTF has to be sought for reproducing, publishing, retransmitting, disseminating, copying or adapting the contents of the publications for commercial, education in public or other purposes.\"<\/strong>\n<\/p>\n<p><input class=\"wpcf7-form-control has-spinner wpcf7-submit\" type=\"submit\" value=\"Submit\" \/>\n<\/p>\n\n<p style=\"display: none !important;\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"106\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>[vc_column_text]\n<p style=\"padding-left: 30px;\"><em>*Mandatory Fields<\/em><\/p>\n<p style=\"padding-left: 30px;\"><em>Remark 1:\u00a0Your personal data will be kept strictly confidential by Hong Kong Organ Transplant Foundation (HKOTF) and will be used for the purpose of delivering teaching toolkits, compiling statistics, and communicating with you on matters and activities of HKOTF.\u00a0<\/em><\/p>\n[\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>[vc_row type=&#8221;in_container&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; overlay_strength=&#8221;0.3&#8243;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; width=&#8221;1\/1&#8243;][vc_text_separator title=&#8221;Online Application for Teaching Toolkit &#8220;Organ Donation: The Legacy of Love&#8220;&#8221; border_width=&#8221;3&#8243;][vc_column_text] *Mandatory Fields Remark 1:\u00a0Your personal data will&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/hkotf.org\/en\/wp-json\/wp\/v2\/pages\/6251"}],"collection":[{"href":"https:\/\/hkotf.org\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hkotf.org\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hkotf.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hkotf.org\/en\/wp-json\/wp\/v2\/comments?post=6251"}],"version-history":[{"count":5,"href":"https:\/\/hkotf.org\/en\/wp-json\/wp\/v2\/pages\/6251\/revisions"}],"predecessor-version":[{"id":8250,"href":"https:\/\/hkotf.org\/en\/wp-json\/wp\/v2\/pages\/6251\/revisions\/8250"}],"wp:attachment":[{"href":"https:\/\/hkotf.org\/en\/wp-json\/wp\/v2\/media?parent=6251"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}