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CFTA MONTFORT SUR MEU mfr MFR montfort
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id="txt_adresse_1" value="" class="form_txt" /></td> </tr> <tr> <td align="right" valign="middle" class="INTERF_demandeDInfos_label"> </td> <td align="left" valign="middle" class="fomulaire td_adresse_txt"><input type="text" name="txt_adresse_2" id="txt_adresse_2" value="" class="form_txt" /></td> </tr> <tr> <td nowrap="nowrap" align="right" valign="middle" class="INTERF_demandeDInfos_label"><span class="INTERF_demandeDInfos_champsObligatoires">*</span>Code postal</td> <td align="left" valign="middle" class="fomulaire td_adresse_cp"><input type="text" name="txt_cp" required id="txt_cp" pattern ="[0-9]{5}" value="" class="form_txt" style="width:45px;" /></td> </tr> <tr> <td nowrap="nowrap" align="right" valign="middle" class="INTERF_demandeDInfos_label"><span class="INTERF_demandeDInfos_champsObligatoires">*</span>Ville </td> <td align="left" valign="middle" class="fomulaire td_adresse_ville"><input type="text" name="txt_ville" required id="txt_ville" value="" class="form_txt" style="width:200px;" /></td> </tr> <tr> <td nowrap="nowrap" align="right" valign="middle" class="INTERF_demandeDInfos_label"><span class="INTERF_demandeDInfos_champsObligatoires">*</span>T茅l茅phone </td> <td align="left" valign="middle" class="fomulaire td_telephone"><input type="text" required name="txt_tel_1" id="txt_tel_1" value="" class="form_txt" required style="width:123px;" /> <!--<input type="text" name="txt_tel_2" id="txt_tel_2" value="" class="form_txt" style="width:122px;" />--></td> </tr> <tr> <td nowrap="nowrap" align="right" valign="middle" class="INTERF_demandeDInfos_label"><span class="INTERF_demandeDInfos_champsObligatoires">*</span>eMail</td> <td align="left" valign="middle" class="fomulaire td_email"><input type="text" required name="txt_eMail" id="txt_eMail" value="" class="form_txt" /></td> </tr> <tr> <td nowrap="nowrap" align="right" valign="middle" class="INTERF_demandeDInfos_label"><span class="INTERF_demandeDInfos_champsObligatoires">*</span>Statut actuel </td> <td align="left" valign="middle" class="fomulaire td_statut"><select required name="slct_statutActuel" id="slct_statutActuel" class="form_slct_1" /> <option value="">-----------------</option> <option value="SCOLAIRE">Scolaire - Etudiant</option><option value="APPRENTI">Apprenti</option><option value="DEMANDEUR">Demandeur d'emploi</option><option value="SALARIE">Salari茅</option><option value="AUTRE">Autre</option> </select> </td> </tr> <tr> <td nowrap="nowrap" align="right" valign="middle" class="INTERF_demandeDInfos_label">Précisez </td> <td align="left" valign="middle" class="fomulaire td_statut_precis"><input type="text" name="txt_situActuelle" id="txt_situActuelle" value="" class="form_txt" /></td> </tr> <tr> <td align="center" valign="middle" colspan="2"><span class="INTERF_demandeDInfos_champsObligatoires"> Les informations demand茅es avec un ast茅risque * dans le pr茅sent formulaire de contact sont obligatoires. </span><br/> Leur d茅faut de r茅ponse entra卯nera l鈥檌mpossibilit茅 de traiter votre dossier correctement et votre candidature d鈥檃boutir. Nous vous remercions pour votre compr茅hension. </td> </tr> <tr class="info_responsable"> <td colspan="2" align="left" valign="middle" class="INTERF_demandeDInfos_enTeteParag info_responsable"><span> Personne responsable (si moins de 18 ans) </span></td> </tr> <tr class="info_responsable"> <td colspan="2" class="INTERF_SPACER_demandeDInfos"></td> </tr> <tr class="info_responsable"> <td nowrap="nowrap" align="right" valign="middle" class="INTERF_demandeDInfos_label">Nom</td> <td align="left" valign="middle"><input type="text" name="txt_respNom" id="txt_respNom" value="" class="form_txt" /></td> </tr> <tr class="info_responsable"> <td nowrap="nowrap" align="right" valign="middle" class="INTERF_demandeDInfos_label">Prénom</td> <td align="left" valign="middle"><input type="text" name="txt_respPrenom" id="txt_respPrenom" value="" class="form_txt" /></td> </tr> <tr class="info_responsable"> <td nowrap="nowrap" align="right" valign="middle" class="INTERF_demandeDInfos_label">Rôle</td> <td align="left" valign="middle"><input type="text" name="txt_respRole" id="txt_respRole" value="" class="form_txt" /></td> </tr> <tr> <td colspan="2" align="left" valign="middle" class="INTERF_demandeDInfos_enTeteParag"> Comment nous avez-vous connu? </td> </tr> <tr> <td colspan="2" class="INTERF_SPACER_demandeDInfos"></td> </tr> <tr> <td nowrap="nowrap" align="right" valign="middle" class="INTERF_demandeDInfos_label"> </td> <td align="left" valign="middle"><select name="slct_FROM" id="slct_FROM" class="form_slct_1" /> <option value="">-----------</option> <option value="Par relation">Par relation</option><option value="CIO">CIO</option><option value="Publicit茅">Publicit茅</option><option value="ONISEP">ONISEP</option><option value="Facebook">Facebook</option><option value="Instagram">Instagram</option><option value="Coll猫ge ou lyc茅e">Coll猫ge ou lyc茅e</option> </select> </td> </tr> <tr> <td colspan="2" align="left" valign="middle" class="INTERF_demandeDInfos_enTeteParag"> Les formations qui m'intéressent</td> </tr> <tr> <td colspan="2" class="INTERF_SPACER_demandeDInfos"></td> </tr> <tr> <td align="right" valign="middle" colspan="2"> <table width="100%" border="0" cellspacing="2" cellpadding="0"> <tr><td width="20%" class="liste_gauche"></td><td class="liste_droite"> <table width="100%" border="0" cellspacing="2" cellpadding="0"> <tr class="formation_13"> <td align="center" valign="top"><input name="checkbox_formation_1" id="checkbox_formation_1" type="checkbox" value="13" checked="checked" /></td> <td align="left" class="INTERF_demandeDInfos_listeDesFormations"><label for="checkbox_formation_1">BAC PRO Conduite et Gestion de l'Entreprise Agricole - Support agricole - RNCP 38316</label></td> </tr> <tr class="formation_14"> <td align="center" valign="top"><input name="checkbox_formation_2" id="checkbox_formation_2" type="checkbox" value="14" /></td> <td align="left" class="INTERF_demandeDInfos_listeDesFormations"><label for="checkbox_formation_2">BAC PRO Conduite et Gestion de l'Entreprise Agricole - Support équin - RNCP 38316</label></td> </tr> <tr class="formation_18"> <td align="center" valign="top"><input name="checkbox_formation_3" id="checkbox_formation_3" type="checkbox" value="18" /></td> <td align="left" class="INTERF_demandeDInfos_listeDesFormations"><label for="checkbox_formation_3">BTS ACSE - Formation initiale - RNCP 38650</label></td> </tr> <tr class="formation_23"> <td align="center" valign="top"><input name="checkbox_formation_4" id="checkbox_formation_4" type="checkbox" value="23" /></td> <td align="left" class="INTERF_demandeDInfos_listeDesFormations"><label for="checkbox_formation_4">BTS ACSE - Formation par apprentissage - RNCP 38650</label></td> </tr> <tr class="formation_21"> <td align="center" valign="top"><input name="checkbox_formation_5" id="checkbox_formation_5" type="checkbox" value="21" /></td> <td align="left" class="INTERF_demandeDInfos_listeDesFormations"><label for="checkbox_formation_5">Conducteur de travaux en ETA - BAC +2 - RNCP 37839</label></td> </tr> <tr class="formation_20"> <td align="center" valign="top"><input name="checkbox_formation_6" id="checkbox_formation_6" type="checkbox" value="20" /></td> <td align="left" class="INTERF_demandeDInfos_listeDesFormations"><label for="checkbox_formation_6">Bachelor Commerce, Vente et Marketing "Agrofourniture" BAC +3 - RNCP 34164</label></td> </tr> <tr class="formation_22"> <td align="center" valign="top"><input name="checkbox_formation_7" id="checkbox_formation_7" type="checkbox" value="22" /></td> <td align="left" class="INTERF_demandeDInfos_listeDesFormations"><label for="checkbox_formation_7">Licence Pro Gestion des Entreprises de l'Agroéquipement - BAC +3 - RNCP 30086</label></td> </tr> </table><input type="hidden" name="iCount" id="iCount" value="7" /></td></tr></table></td> </tr> <tr> <td colspan="2" align="left" valign="middle" class="INTERF_demandeDInfos_enTeteParag"> Remarque</td> </tr> <tr> <td colspan="2" class="INTERF_SPACER_demandeDInfos"></td> </tr><tr> <td align="center" valign="middle" colspan="2" ><textarea name="txtArea_OBS" id="txtArea_OBS" class="form_txtArea"></textarea></td> </tr> <tr> <td colspan="2" align="center" valign="middle" class="txt_rgpd"> 芦 Les informations recueillies par CFTA Montfort en qualit茅 de responsable de traitement font l鈥檕bjet d鈥檜n traitement destin茅 脿 la gestion de vos demandes d鈥檌nformation sur la base de l鈥檌nt茅r锚t l茅gitime de CFTA Montfort 脿 r茅pondre 脿 celles-ci. Vos donn茅es seront conserv茅es pendant la dur茅e n茅cessaire 脿 la gestion de la demande, en conformit茅 avec les textes l茅gislatifs et r猫glementaires applicables. Ces informations sont destin茅es aux services de CFTA Montfort et ses sous-traitants strictement habilit茅s.<br/> Conform茅ment au R猫glement (UE) 2016/679 du Parlement europ茅en et du Conseil du 27 avril 2016, relatif 脿 la protection des personnes physiques 脿 l鈥櫭ゞard du traitement de donn茅es 脿 caract猫re personnel et 脿 la libre circulation de ces donn茅es (RGPD) et 脿 la loi no 78-17 du 6 janvier 1978 relative 脿 l鈥檌nformatique, aux fichiers et aux libert茅s (Loi 芦 Informatique et Libert茅s 禄) modifi茅e, vous disposez d'un droit d鈥檃cc猫s, de rectification, d鈥檈ffacement et de portabilit茅 (lorsqu鈥檌l s鈥檃pplique) 脿 l鈥櫭ゞard des donn茅es vous concernant, ainsi que d鈥檜n droit de limitation et d鈥檕pposition pour motifs l茅gitimes 脿 leur traitement. Vous pouvez les exercer en contactant CFTA Montfort 脿 l鈥檃dresse ci-dessous. Vous disposez 茅galement du droit d'introduire, 脿 tout moment, une r茅clamation aupr猫s de la CNIL (Commission Nationale de l鈥橧nformatique et des Libert茅s). 禄</td> </tr> <tr> <td align="center" valign="middle" colspan="2" class="INTERF_demandeDInfos_label termes"><div><input type="checkbox" class="checkbox" required name="terms"> J'accepte les conditions d茅crites ci-dessus <span class="INTERF_demandeDInfos_champsObligatoires">*</span></div></td> </tr> <tr> <td colspan="2" align="center" valign="middle"><button type="submit" class="fom_contact bouton ">Envoyer</button></td> </tr> </table> </form></div> </td> </tr> </table> <script type="text/javascript"> (tarteaucitron.job = tarteaucitron.job || []).push("recaptcha"); </script> <!--<script src="https://www.google.com/recaptcha/api.js" async defer> </script>--> <script type="text/javascript"> document.getElementById("form_demandeDInfos").addEventListener("submit",(function (event) { event.preventDefault(); var emailInput = document.getElementById("txt_eMail"); var email = emailInput.value; var emailRegex = /^[a-zA-Z0-9._%+-]+@[a-zA-Z0-9.-]+\.[a-zA-Z]{2,}$/; if (!emailRegex.test(email)) { alert("Veuillez saisir une adresse e-mail valide."); } else { grecaptcha.reset(); grecaptcha.execute();} })); function formSubmit(response) { document.getElementById("form_demandeDInfos").submit(); } </script> </div> </div> <div id="page-footer"></div> </td> </tr> </table> </div> <div id="RL_div_footer_master" > <div id="RL_div_M_identite_MFR" class=""> <span class="info_coordonnee">CFTA MONTFORT - 7 Abbaye St Jacques - BP 56252 - 35160 Montfort Sur Meu<br /></span><span class="info_telephone">Tél. <a href="tel:02 99 09 02 33 " class="INTERF_liensInfoMaison lien_tel">02 99 09 02 33 </a> - Email <a href="mailto:cfta.montfort@mfr.asso.fr" class="INTERF_liensInfoMaison lien_mail">cfta.montfort@mfr.asso.fr</a></span><div class='partenaires' > <img src='medias/Image/partenaires/aventure.jpg' /> <img src='medias/Image/partenaires/docke.jpg' /> <img src='medias/Image/partenaires/qualiopi.jpg' /> <img src='medias/Image/partenaires/region-bretagne.jpg' /> <img src='medias/Image/partenaires/Erasmus.jpg' /> <img src='medias/Image/partenaires/mobility.jpg' /> </div></div> <div id="RL_div_mentions" class="INTERF_mentions_txt"> <form action="https://admin.cfta-montfort.fr" method="post" name="formAdmin"> © 2020-2024 CFTA Montfort - Derni猫re M脿J : 07-02-2023 | <a href="mentions.html" class="INTERF_mentions_txt">Politique de Confidentialit茅</a> | <a href="mailto:cfta.montfort@mfr.asso.fr" class="INTERF_mentions_txt">Webmaster</a> <input type='hidden' value='https://www.cfta-montfort.fr' name='urlSite'> | <a href="http://www.gestibase.com" class="INTERF_mentions_txt" title="Gestibase : Cr茅ateur de iSolutions" target="_blank">Gestibase</a> | <a href="#" class="INTERF_mentions_txt" title="Gestions des Cookies" onclick="tarteaucitron.userInterface.openPanel();return false;" target="_blank">Cookies</a> | <a href="http://www.clicfacture.com/" class="INTERF_mentions_txt" title="Logiciel de facturation et de devis en ligne" target="_blank">Logiciel de Facturation</a> | <a href="javascript:" onClick="window.document.formAdmin.submit(); return false;" class="INTERF_mentions_txt">admin</a> </form> </div> </div> </div> </div><div id="footer_fin"></div> <!-- Google tag (gtag.js) --> <script async src="https://www.googletagmanager.com/gtag/js?id=G-N9SGD4257L"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-N9SGD4257L'); </script><script type='text/javascript' > document.addEvent('scroll', function(event) { var height_scroll =window.getScrollTop(); if ($('RL_div_body_master').hasClass('scrolled')==false && height_scroll>200){ $('RL_div_body_master').addClass('scrolled');} if (height_scroll>200 && height_scroll<500){ $('RL_div_body_master').addClass('scrolled'); $('RL_div_body_master').removeClass('milieu');} else if (height_scroll>500 && height_scroll<800){ $('RL_div_body_master').addClass('milieu'); $('RL_div_body_master').removeClass('bas');} else if (height_scroll>800){ $('RL_div_body_master').addClass('bas'); $('RL_div_body_master').removeClass('milieu');} else{ $('RL_div_body_master').removeClass('scrolled');} }); var mySmoothScroll = new Fx.SmoothScroll({ links: '.smoothAnchors', wheelStops: false }); </script> </body> </html>