{"id":1393,"date":"2017-05-10T17:51:33","date_gmt":"2017-05-10T21:51:33","guid":{"rendered":"https:\/\/crir.ca\/?page_id=1393"},"modified":"2018-08-22T13:13:30","modified_gmt":"2018-08-22T17:13:30","slug":"application-or-renewal-clinician-health-care-professional-form","status":"publish","type":"page","link":"https:\/\/crir.ca\/en\/members-and-health-care-professional\/how-to-become-a-member\/application-or-renewal-clinician-health-care-professional-form\/","title":{"rendered":"Application or renewal &#8211; Clinician\/Healthcare Professional form"},"content":{"rendered":"<p class=\"highlight-box\"><strong>Before completing this form, make sure you have all the necessary information\/documents.<\/strong><\/p>\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_3' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/en\/wp-json\/wp\/v2\/pages\/1393' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_3_87\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_87'>Name<\/label><div class='ginput_container'><input name='input_87' id='input_3_87' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_3_87'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_3_13\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Identification<\/h3><\/li><li id=\"field_3_80\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Click the type of demand<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_80'><li class='gchoice gchoice_3_80_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_80.1' type='checkbox'  value='Nomination'  id='choice_3_80_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_80_1' id='label_3_80_1' class='gform-field-label gform-field-label--type-inline'>Nomination<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_80_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_80.2' type='checkbox'  value='Renewal'  id='choice_3_80_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_80_2' id='label_3_80_2' class='gform-field-label gform-field-label--type-inline'>Renewal<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_2\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_2'>Last name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_3_2' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_3\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_3'>First name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_3_3' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_4\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_4'>Title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_4' id='input_3_4' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Audiologist' >Audiologist<\/option><option value='Dietitian' >Dietitian<\/option><option value='Occupational therapist' >Occupational therapist<\/option><option value='Nurse' >Nurse<\/option><option value='Engineer' >Engineer<\/option><option value='Respiratory therapist' >Respiratory therapist<\/option><option value='Linguist' >Linguist<\/option><option value='Doctor (MD)' >Doctor<\/option><option value='Neuropsychologist' >Neuropsychologist<\/option><option value='Nutritionist' >Nutritionist<\/option><option value='Optometrist' >Optometrist<\/option><option value='Speech-language pathologist' >Speech-language pathologist<\/option><option value='Physiatrist' >Physiatrist<\/option><option value='Physiotherapist' >Physiotherapist<\/option><option value='Psychologist' >Psychologist<\/option><option value='Psychiatrist' >Psychiatrist<\/option><option value='Orientation\/mobility specialist' >Orientation\/mobility specialist<\/option><option value='Social worker' >Social worker<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_3_5\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_5'>Specify (other title)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_3_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_6\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_6'>Institution<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_3_6' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='CIUSSS Centre-Sud-de-l\u2019\u00eele-de-Montr\u00e9al \u2013 IURDPM \u2013 Gingras Pavilion' >CIUSSS Centre-Sud-de-l\u2019\u00eele-de-Montr\u00e9al \u2013 IURDPM \u2013 Gingras Pavilion<\/option><option value='CIUSSS Centre-Sud-de-l\u2019\u00eele-de-Montr\u00e9al \u2013 IURDPM \u2013 Laurier Pavilion' >CIUSSS Centre-Sud-de-l\u2019\u00eele-de-Montr\u00e9al \u2013 IURDPM \u2013 Laurier Pavilion<\/option><option value='CIUSSS Centre-Sud-de-l\u2019\u00eele-de-Montr\u00e9al \u2013 IURDPM \u2013 Lindsay Pavilion' >CIUSSS Centre-Sud-de-l\u2019\u00eele-de-Montr\u00e9al \u2013 IURDPM \u2013 Lindsay Pavilion<\/option><option value='CIUSSS West-Central Montreal \u2013 CRLLM \u2013 Constance-Lethbridge site' >CIUSSS West-Central Montreal \u2013 CRLLM \u2013 Constance-Lethbridge site<\/option><option value='CIUSSS West-Central Montreal \u2013 CRLLM \u2013 Layton-Mackay site' >CIUSSS West-Central Montreal \u2013 CRLLM \u2013 Layton-Mackay site<\/option><option value='CISSS de la Mont\u00e9r\u00e9gie-Centre \u2013 Institut Nazareth et Louis-Braille (INLB)' >CISSS de la Mont\u00e9r\u00e9gie-Centre \u2013 Institut Nazareth et Louis-Braille (INLB)<\/option><option value='CISSS de Laval \u2013 Jewish Rehabilitation Hospital (JRH)' >CISSS de Laval \u2013 Jewish Rehabilitation Hospital (JRH)<\/option><option value='CISSS de la Mont\u00e9r\u00e9gie-Centre \u2013 Institut Nazareth et Louis-Braille (INLB)' >CISSS de la Mont\u00e9r\u00e9gie-Centre \u2013 Institut Nazareth et Louis-Braille (INLB)<\/option><option value='CISSS de Lanaudi\u00e8re \u2013 CRDP' >CISSS de Lanaudi\u00e8re \u2013 CRDP<\/option><option value='CISSS des Laurentides \u2013 CRDP' >CISSS des Laurentides \u2013 CRDP<\/option><\/select><\/div><\/li><li id=\"field_3_84\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_84'>What is the name of your clinical program?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_3_84'>Maximum of 4 answers (one answer per line).<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_84' id='input_3_84' class='textarea medium'  aria-describedby=\"gfield_description_3_84\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_10\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_10'>Phone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_10' id='input_3_10' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_12\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_12'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_12' id='input_3_12' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_3_14\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Education<\/h3><\/li><li id=\"field_3_86\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Training for the current position. The training courses can be viewed on your Clinicians\/Healtcare member page on the CRIR website.<\/li><li id=\"field_3_75\" class=\"gfield gfield--type-list field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Formations<\/label><style type=\"text\/css\">\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons {\n\t\t\t\t\t\t\tvertical-align: middle !important;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons img {\n\t\t\t\t\t\t\tbackground-color: transparent !important;\n\t\t\t\t\t\t\tbackground-position: 0 0;\n\t\t\t\t\t\t\tbackground-size: 16px 16px !important;\n\t\t\t\t\t\t\tbackground-repeat: no-repeat;\n\t\t\t\t\t\t\tborder: none !important;\n\t\t\t\t\t\t\twidth: 16px !important;\n\t\t\t\t\t\t\theight: 16px !important;\n\t\t\t\t\t\t\topacity: 0.5;\n\t\t\t\t\t\t\ttransition: opacity .5s ease-out;\n\t\t\t\t\t\t    -moz-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -webkit-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -o-transition: opacity .5s ease-out;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons a:hover img {\n\t\t\t\t\t\t\topacity: 1.0;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\t<\/style><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_75_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_75_col_2' class='gfield_list_col_even' \/><col id='gfield_list_75_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_75_col_4' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Formation<\/th><th scope=\"col\">Discipline\/University\r\n<\/th><th scope=\"col\">Year<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_75_cell1' data-label='Formation'><select title='Formation'name='input_75[]'   aria-invalid='false'   aria-label='Formation, Row 1' data-aria-label-template='Formation, Row {0}'><option value='Formation coll\u00e9giale\/Collegial training' >Formation coll\u00e9giale\/Collegial training<\/option><option value='Baccalaur\u00e9at\/Baccalaureat' >Baccalaur\u00e9at\/Baccalaureat<\/option><option value='Ma\u00eetrise professionnelle\/Professionnal Master' >Ma\u00eetrise professionnelle\/Professionnal Master<\/option><option value='Ma\u00eetrise\/Master' >Ma\u00eetrise\/Master<\/option><option value='Doctorat\/Doctorate' >Doctorat\/Doctorate<\/option><option value='Postdoctorat\/Post doctorate' >Postdoctorat\/Post doctorate<\/option><\/select><\/td><td class='gfield_list_cell gfield_list_75_cell2' data-label='Discipline\/University\r\n'><input aria-invalid='false'   aria-label='Discipline\/University\r\n, Row 1' data-aria-label-template='Discipline\/University\r\n, Row {0}' type='text' name='input_75[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_75_cell3' data-label='Year'><input aria-invalid='false'   aria-label='Year, Row 1' data-aria-label-template='Year, Row {0}' type='text' name='input_75[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/crir.ca\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/crir.ca\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_3_16\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Areas of expertise<\/h3><\/li><li id=\"field_3_17\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_17'>Areas of expertise (specialization)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_17' id='input_3_17' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_18\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Professional experiences<\/h3><\/li><li id=\"field_3_71\" class=\"gfield gfield--type-list gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Professional experiences<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_71_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_71_col_2' class='gfield_list_col_even' \/><col id='gfield_list_71_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_71_col_4' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">Institution<\/th><th scope=\"col\">Department<\/th><th scope=\"col\">Date<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_71_cell1' data-label='Institution'><input aria-invalid='false' aria-required=\"true\"  aria-label='Institution, Row 1' data-aria-label-template='Institution, Row {0}' type='text' name='input_71[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_71_cell2' data-label='Department'><input aria-invalid='false' aria-required=\"true\"  aria-label='Department, Row 1' data-aria-label-template='Department, Row {0}' type='text' name='input_71[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_71_cell3' data-label='Date'><input aria-invalid='false' aria-required=\"true\"  aria-label='Date, Row 1' data-aria-label-template='Date, Row {0}' type='text' name='input_71[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/crir.ca\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/crir.ca\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_3_20\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Research interests<\/h3><\/li><li id=\"field_3_43\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_43'>List of research interests<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_43' id='input_3_43' class='textarea medium'  aria-describedby=\"gfield_description_3_43\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_43'>Please indicate here your interest in adaptation-rehabilitation research.<\/div><\/li><li id=\"field_3_24\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Collaborations<\/h3><\/li><li id=\"field_3_77\" class=\"gfield gfield--type-list field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Collaborations<\/label><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_77_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_77_col_2' class='gfield_list_col_even' \/><col id='gfield_list_77_col_3' class='gfield_list_col_odd' \/><\/colgroup><thead><tr><th scope=\"col\">Name of researcher<\/th><th scope=\"col\">Project title<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_77_cell1' data-label='Name of researcher'><input aria-invalid='false'   aria-label='Name of researcher, Row 1' data-aria-label-template='Name of researcher, Row {0}' type='text' name='input_77[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_77_cell2' data-label='Project title'><input aria-invalid='false'   aria-label='Project title, Row 1' data-aria-label-template='Project title, Row {0}' type='text' name='input_77[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)' onkeypress='gformAddListItem(this, 0)'><img src='https:\/\/crir.ca\/wp-content\/plugins\/gravityforms\/images\/list-add.svg' alt='' title='Add a new row' \/><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 0)' onkeypress='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\"><img src='https:\/\/crir.ca\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg' alt='' title='Remove this row' \/><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_3_26\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Additional comments<\/h3><\/li><li id=\"field_3_27\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_27'>Interest<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_27' id='input_3_27' class='textarea medium'  aria-describedby=\"gfield_description_3_27\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_27'>Please indicate here your interest in remaining at CRIR, if this is a renewal application.<\/div><\/li><li id=\"field_3_28\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Publications \/ congress presentations<\/h3><\/li><li id=\"field_3_29\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_29'>Publications \/ congress presentations<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_29' id='input_3_29' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_30\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Other accomplishements<\/h3><\/li><li id=\"field_3_31\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_31'>Other accomplishements<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_31' id='input_3_31' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_32\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Support<\/h3><\/li><li id=\"field_3_33\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_33'>Name of principal collaborating researcher<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_3_33' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_45\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_45'>E-mail of principal collaborating researcher<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_45' id='input_3_45' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_3_50\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_50' id='input_3_50' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='69f222fd31ffd' \/><\/div><\/li><li id=\"field_3_34\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_34'>Name of your immediate superior<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_3_34' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_46\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_46'>E-mail from your immediate superior<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_46' id='input_3_46' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_3_51\" class=\"gfield gfield--type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_51' id='input_3_51' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='69f222fd32186' \/><\/div><\/li><li id=\"field_3_52\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_3_52'>Use this section to attach documents<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_3_52' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_3_52&quot;,&quot;container&quot;:&quot;gform_multifile_upload_3_52&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_3_52&quot;,&quot;filelist&quot;:&quot;gform_preview_3_52&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/crir.ca\\\/en\\\/?gf_page=fb87ee62b8af291&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/crir.ca\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/crir.ca\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed 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gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_3_52' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_3_52\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_52'>Max. file size: 128 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_3_52'><\/ul> <div id='gform_preview_3_52' class='ginput_preview_list'><\/div><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_3' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' 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