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<!DOCTYPE html><html lang="en" class="view view--full-width view--workvisit-translated-request" ><head><meta charset="utf-8"><title>Contact Form To Invite A Minister For Events And Working Visits | Ministerie van Infrastructuur en Waterstaat</title><link rel="stylesheet" href="/static/rijkshuisstijl/bundles/rh-css.css"><link rel="manifest" href="/static/meta/manifest.webmanifest"><link rel="shortcut icon" href="/static/ico/favicon.ico" type="image/x-icon"><link rel="icon" href="/static/ico/favicon.png" type="image/png"><link rel="icon" sizes="32x32" href="/static/ico/favicon-32.png" type="image/png"><link rel="icon" sizes="64x64" href="/static/ico/favicon-64.png" type="image/png"><link rel="icon" sizes="96x96" href="/static/ico/favicon-96.png" type="image/png"><link rel="icon" sizes="196x196" href="/static/ico/favicon-196.png" type="image/png"><link rel="apple-touch-icon" sizes="152x152" href="/static/ico/apple-touch-icon.png"><link rel="apple-touch-icon" sizes="60x60" 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class="skiplink" href="#skiplink-target">Direct naar de inhoud.</a><header class="header header--version-2"><a class="logo logo--version-2" href="/" lang="nl"><picture class="image"><img class="image__image" src="/static/rijkshuisstijl/components/logo/ienw-logo.svg" alt="Logo Rijksoverheid, Ministerie van Infrastructuur en Waterstaat | To the homepage" /></picture></a></header><main class="view__content"><span class="skiplink-target" id="skiplink-target"></span><div class="layout"><header class="form__header"><a class="button button--secondary" href="/werkbezoeken/uitnodiging" id="translated-button" title="Nederlands"><span class="button__label">Nederlands</span></a></header><form class="form workvisit-form" id="workvisit-form" method="post" enctype="multipart/form-data" novalidate><header class="form__header"><h1 class="form__title">Contact form to invite a minister for events and working visits</h1></header><div class="form__body"><input type="hidden" name="csrfmiddlewaretoken" value="0AeuIcTAJtljgMAlVNCtgMsxdRrVdIb6q8L6tEsS3Jhtvgu3VBlO3G9YTCn4YkU9"><h2 class="form__caption" id="whom-do-you-invite" aria-hidden="true">Whom do you invite?</h2><p class="form__required-label">* mandatory fields</p><fieldset class="form__fieldset"><legend class="form__legend">Whom do you invite?</legend><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_official_0">Please select *</label></header><div class="form-control__body"><div class="form-control__choices"><div class="radio"><input class="input" type="radio" name="official" value="14" class="input form-control--choices-stacked" class="form-control--choices-stacked" required id="id_official_0" ><div class="radio__checkmark"></div><label class="label" for="id_official_0">Barry Madlener</label><button class="button button--icon button--no-text button--no-text button--primary button--small toggle" data-toggle-target="#textbox-official-14" data-toggle-modifier="closed" ><span class="button__icon"><span class="icon icon--vraagteken">vraagteken</span></span></button></div><div class="textbox textbox--closed textbox--info" id="textbox-official-14"><button class="button button--icon button--no-text button--primary button--small toggle" title="Sluiten" data-toggle-target="#textbox-official-14" data-toggle-modifier="closed" ><span class="button__icon"><span class="icon icon--close"title="Sluiten">Sluiten</span></span></button><h4 class="textbox__title">Tasks minister Madlener</h4><div class="wysiwyg"><a class="link" href="https://www.rijksoverheid.nl/regering/bewindspersonen/barry-madlener">More information about Minister Barry Madlener</a></div></div><div class="radio"><input class="input" type="radio" name="official" value="15" class="input form-control--choices-stacked" class="form-control--choices-stacked" required id="id_official_1" ><div class="radio__checkmark"></div><label class="label" for="id_official_1">Chris Jansen</label><button class="button button--icon button--no-text button--no-text button--primary button--small toggle" data-toggle-target="#textbox-official-15" data-toggle-modifier="closed" ><span class="button__icon"><span class="icon icon--vraagteken">vraagteken</span></span></button></div><div class="textbox textbox--closed textbox--info" id="textbox-official-15"><button class="button button--icon button--no-text button--primary button--small toggle" title="Sluiten" data-toggle-target="#textbox-official-15" data-toggle-modifier="closed" ><span class="button__icon"><span class="icon icon--close"title="Sluiten">Sluiten</span></span></button><h4 class="textbox__title">Tasks secretary of state Jansen</h4><div class="wysiwyg"><a class="link" href="https://www.rijksoverheid.nl/regering/bewindspersonen/chris-jansen">More information about Secretary of State Chris Jansen</a></div></div></div><div id="id_official_errors"></div></div></div></fieldset><h2 class="form__caption" id="general-information-about-the-event" aria-hidden="true">General information about the event</h2><fieldset class="form__fieldset"><legend class="form__legend">General information about the event</legend><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_event_name">Event name *</label></header><div class="form-control__body"><input type="text" name="event_name" class="input" title="Dit veld is verplicht." required id="id_event_name" ><div id="id_event_name_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_event_theme">Event theme</label></header><div class="form-control__body"><select name="event_theme" class="select" title="Dit veld is verplicht." id="id_event_theme" ><option value="" class="select__option" selected >---------</option><option value="4" class="select__option" >Bereikbaarheid en wegen</option><option value="11" class="select__option" >Circulaire economie</option><option value="15" class="select__option" >Duurzame mobiliteit</option><option value="7" class="select__option" >Externe veiligheid</option><option value="1" class="select__option" >Fiets</option><option value="12" class="select__option" >Innovatie</option><option value="16" class="select__option" >Luchtkwaliteit</option><option value="8" class="select__option" >Luchtvaart</option><option value="10" class="select__option" >Maritiem</option><option value="5" class="select__option" >Milieu</option><option value="6" class="select__option" >Openbaar vervoer en spoor</option><option value="2" class="select__option" >Overige thema's minister</option><option value="13" class="select__option" >Overige thema's staatssecretaris</option><option value="17" class="select__option" >Overig; nader te bepalen</option><option value="9" class="select__option" >Verkeersveiligheid</option><option value="3" class="select__option" >Water en klimaatadaptatie</option><option value="CUSTOM" class="select__option" >Other</option></select><div id="id_event_theme_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_event_theme_custom">namely *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_event_theme_custom">What is the main theme of this event?</label></div><input type="text" name="event_theme_custom" class="input" maxlength="255" data-mark-required="True" title="Dit veld is verplicht." id="id_event_theme_custom" ><div id="id_event_theme_custom_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_event_schedule">Programme *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_event_schedule">Please give a detailed description of the proposed schedule for the event.</label></div><span class="help-text"><button class="button button--icon button--no-text button--primary button--small button--explanation toggle" title="More information" data-toggle-target="#textbox-event_schedule" data-toggle-modifier="closed" ><span class="button__icon"><span class="fas fa-info"></span></span></button></span><div class="textbox textbox--closed textbox--info" id="textbox-event_schedule"><button class="button button--icon button--no-text button--primary button--small toggle" title="Sluiten" data-toggle-target="#textbox-event_schedule" data-toggle-modifier="closed" ><span class="button__icon"><span class="icon icon--close"title="Sluiten">Sluiten</span></span></button><h4 class="textbox__title">Programme</h4><div class="wysiwyg"><p>A clear and detailed program description helps. We would rather receive too much information than too little. This increases the chance that the minister can accept your invitation.</p></div></div><textarea name="event_schedule" class="textarea" cols="40" rows="10" placeholder="08:00-08:30 - Reception 08:30-08:45 - Acitivty 1 08:45-09:00 - Activity 2 09:00-09:15 - Closing" required id="id_event_schedule" ></textarea><div id="id_event_schedule_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_target_audience">Target audience *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_target_audience">Who will attent the event?</label></div><textarea name="target_audience" class="textarea" cols="40" rows="10" required id="id_target_audience" ></textarea><div id="id_target_audience_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_event_url">Website</label></header><div class="form-control__body"><input type="text" name="event_url" class="input" maxlength="1000" id="id_event_url" ><div id="id_event_url_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_visitor_count_0">Number of attendees *</label></header><div class="form-control__body"><div class="form-control__choices"><div class="radio"><input class="input" type="radio" name="visitor_count" value="1_25" class="input form-control--choices-stacked" class="form-control--choices-stacked" required id="id_visitor_count_0" ><div class="radio__checkmark"></div><label class="label" for="id_visitor_count_0">1-25</label></div><div class="radio"><input class="input" type="radio" name="visitor_count" value="25_50" class="input form-control--choices-stacked" class="form-control--choices-stacked" required id="id_visitor_count_1" ><div class="radio__checkmark"></div><label class="label" for="id_visitor_count_1">26-50</label></div><div class="radio"><input class="input" type="radio" name="visitor_count" value="50_100" class="input form-control--choices-stacked" class="form-control--choices-stacked" required id="id_visitor_count_2" ><div class="radio__checkmark"></div><label class="label" for="id_visitor_count_2">51-100</label></div><div class="radio"><input class="input" type="radio" name="visitor_count" value="100_200" class="input form-control--choices-stacked" class="form-control--choices-stacked" required id="id_visitor_count_3" ><div class="radio__checkmark"></div><label class="label" for="id_visitor_count_3">101-200</label></div><div class="radio"><input class="input" type="radio" name="visitor_count" value="CUSTOM" class="input form-control--choices-stacked" class="form-control--choices-stacked" required id="id_visitor_count_4" ><div class="radio__checkmark"></div><label class="label" for="id_visitor_count_4">More</label></div></div><div id="id_visitor_count_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_visitor_count_custom">namely *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_visitor_count_custom">Estimated number of visitors (example: 500)</label></div><input type="number" name="visitor_count_custom" class="input" data-mark-required="True" title="Dit veld is verplicht." id="id_visitor_count_custom" ><div id="id_visitor_count_custom_errors"></div></div></div></fieldset><h2 class="form__caption" id="information-about-the-location-of-the-event" aria-hidden="true">Information about the location of the event</h2><fieldset class="form__fieldset"><legend class="form__legend">Information about the location of the event</legend><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_event_international_0">Country *</label></header><div class="form-control__body"><div class="form-control__choices"><div class="radio"><input class="input" type="radio" name="event_international" value="False" class="input" required="required" data-mark-required="True" title="Dit veld is verplicht." id="id_event_international_0" ><div class="radio__checkmark"></div><label class="label" for="id_event_international_0">The Netherlands</label></div><div class="radio"><input class="input" type="radio" name="event_international" value="True" class="input" required="required" data-mark-required="True" title="Dit veld is verplicht." id="id_event_international_1" ><div class="radio__checkmark"></div><label class="label" for="id_event_international_1">Other Country</label></div></div><div id="id_event_international_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_event_country">namely *</label></header><div class="form-control__body"><input type="text" name="event_country" class="input" maxlength="255" data-mark-required="True" title="Dit veld is verplicht." id="id_event_country" ><div id="id_event_country_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_event_location">Venue *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_event_location">What is the name of the venue?</label></div><input type="text" name="event_location" class="input" maxlength="255" required id="id_event_location" ><div id="id_event_location_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_event_postal_code">Postal Code</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_event_postal_code">Example: 1234AA</label></div><input type="text" name="event_postal_code" class="input" maxlength="255" id="id_event_postal_code" ><div id="id_event_postal_code_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_event_street_number">House/building number</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_event_street_number">Example: 12-B</label></div><input type="text" name="event_street_number" class="input" maxlength="255" id="id_event_street_number" ><div id="id_event_street_number_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_event_street">Street name</label></header><div class="form-control__body"><input type="text" name="event_street" class="input" maxlength="255" id="id_event_street" ><div id="id_event_street_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_event_city">City *</label></header><div class="form-control__body"><input type="text" name="event_city" class="input" maxlength="255" required id="id_event_city" ><div id="id_event_city_errors"></div></div></div></fieldset><h2 class="form__caption" id="information-about-the-timing-of-the-event" aria-hidden="true">Information about the timing of the event</h2><fieldset class="form__fieldset"><legend class="form__legend">Information about the timing of the event</legend><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_date_strict_0">Type werkbezoek *</label></header><div class="form-control__body"><div class="form-control__choices"><div class="radio"><input class="input" type="radio" name="date_strict" value="date" class="input" title="Dit veld is verplicht." required id="id_date_strict_0" ><div class="radio__checkmark"></div><label class="label" for="id_date_strict_0">Single-day event</label></div><div class="radio"><input class="input" type="radio" name="date_strict" value="multiple_dates" class="input" title="Dit veld is verplicht." required id="id_date_strict_1" ><div class="radio__checkmark"></div><label class="label" for="id_date_strict_1">Multiple days event</label></div><div class="radio"><input class="input" type="radio" name="date_strict" value="indicative" class="input" title="Dit veld is verplicht." required id="id_date_strict_2" ><div class="radio__checkmark"></div><label class="label" for="id_date_strict_2">Indicative period</label></div></div><div id="id_date_strict_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_date">Date of the event *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_date">Enter the date in the field below according to the following format DD-MM-YYYY</label></div><input type="date" name="date" class="input" data-mark-required="True" title="Dit veld is verplicht." id="id_date" ><div id="id_date_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_period_start">Period starting date *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_period_start">Enter the date in the field below according to the following format DD-MM-YYYY.</label></div><input type="date" name="period_start" class="input" data-mark-required="True" title="Dit veld is verplicht." id="id_period_start" ><div id="id_period_start_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_period_end">Period end date *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_period_end">Enter the date in the field below according to the following format DD-MM-YYYY.</label></div><input type="date" name="period_end" class="input" data-mark-required="True" title="Dit veld is verplicht." id="id_period_end" ><div id="id_period_end_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_time_start">Starting time *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_time_start">Example: 12:00</label></div><input type="time" name="time_start" class="input" data-mark-required="True" title="Dit veld is verplicht." id="id_time_start" ><div id="id_time_start_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_time_end">End time *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_time_end">Example: 13:00</label></div><input type="time" name="time_end" class="input" data-mark-required="True" title="Dit veld is verplicht." id="id_time_end" ><div id="id_time_end_errors"></div></div></div></fieldset><h2 class="form__caption" id="information-about-your-request" aria-hidden="true">Information about your request</h2><fieldset class="form__fieldset"><legend class="form__legend">Information about your request</legend><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label">Requested role of the Minister/State Secretary *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" >What activities does your request entail?</label></div><div class="form-control__choices"><div class="checkbox"><input class="input" type="checkbox" name="official_role" value="1" class="input" title="Dit veld is verplicht." id="id_official_role_0" ><div class="checkbox__checkmark"></div><label class="label" for="id_official_role_0">Attend panel discussion</label></div><div class="checkbox"><input class="input" type="checkbox" name="official_role" value="3" class="input" title="Dit veld is verplicht." id="id_official_role_1" ><div class="checkbox__checkmark"></div><label class="label" for="id_official_role_1">Bilateral meeting</label></div><div class="checkbox"><input class="input" type="checkbox" name="official_role" value="2" class="input" title="Dit veld is verplicht." id="id_official_role_2" ><div class="checkbox__checkmark"></div><label class="label" for="id_official_role_2">Keynote Speech</label></div><div class="checkbox"><input class="input" type="checkbox" name="official_role" value="7" class="input" title="Dit veld is verplicht." id="id_official_role_3" ><div class="checkbox__checkmark"></div><label class="label" for="id_official_role_3">Other</label></div><div class="checkbox"><input class="input" type="checkbox" name="official_role" value="CUSTOM" class="input" title="Dit veld is verplicht." id="id_official_role_4" ><div class="checkbox__checkmark"></div><label class="label" for="id_official_role_4">Other</label></div></div><div id="id_official_role_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_official_role_custom">namely *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_official_role_custom">Rol of the Minister/Secretary (maximum of 150 words).</label></div><textarea name="official_role_custom" class="textarea textarea--word-count" cols="40" rows="10" class="textarea--word-count" data-min-words="1" data-max-words="150" data-mark-required="True" title="Dit veld is verplicht." id="id_official_role_custom" ></textarea><div id="id_official_role_custom_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_motivation">Motives *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_motivation">Motiveer hier waarom u de bewindspersoon uitnodigt en waarom deze op uw uitnodiging in zou moeten gaan, gebruik minimal 50 en maximaal 100 woorden.</label></div><textarea name="motivation" class="textarea textarea--word-count" cols="40" rows="10" class="textarea--word-count" data-label-too-long="your limit of {maxCount} words is reached" required id="id_motivation" ></textarea><div id="id_motivation_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_speakers_0">Other speakers? *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_speakers_0">Will there be other people delivering a speech or presentation?</label></div><div class="form-control__choices"><div class="radio"><input class="input" type="radio" name="speakers" value="False" class="input" required id="id_speakers_0" ><div class="radio__checkmark"></div><label class="label" for="id_speakers_0">no</label></div><div class="radio"><input class="input" type="radio" name="speakers" value="True" class="input" required id="id_speakers_1" ><div class="radio__checkmark"></div><label class="label" for="id_speakers_1">yes</label></div></div><div id="id_speakers_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_speakers_description">namely *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_speakers_description">Please indicate only the ones that have confirmed their attendance.</label></div><textarea name="speakers_description" class="textarea" cols="40" rows="10" data-mark-required="True" title="Dit veld is verplicht." id="id_speakers_description" ></textarea><div id="id_speakers_description_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_language_0">Language *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_language_0">What is the main language spoken at the event</label></div><div class="form-control__choices"><div class="radio"><input class="input" type="radio" name="language" value="dutch" class="input" required id="id_language_0" ><div class="radio__checkmark"></div><label class="label" for="id_language_0">dutch</label></div><div class="radio"><input class="input" type="radio" name="language" value="english" class="input" required id="id_language_1" ><div class="radio__checkmark"></div><label class="label" for="id_language_1">english</label></div><div class="radio"><input class="input" type="radio" name="language" value="CUSTOM" class="input" required id="id_language_2" ><div class="radio__checkmark"></div><label class="label" for="id_language_2">Other, namely</label></div></div><div id="id_language_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_language_custom">namely *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_language_custom">Language</label></div><input type="text" name="language_custom" class="input" maxlength="255" data-mark-required="True" title="Dit veld is verplicht." id="id_language_custom" ><div id="id_language_custom_errors"></div></div></div></fieldset><h2 class="form__caption" id="other-relevant-information-about-the-event" aria-hidden="true">Other relevant information about the event</h2><fieldset class="form__fieldset"><legend class="form__legend">Other relevant information about the event</legend><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_public_0">Public or private *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_public_0">Is it a public or a private event?</label></div><div class="form-control__choices"><div class="radio"><input class="input" type="radio" name="public" value="True" class="input" required id="id_public_0" ><div class="radio__checkmark"></div><label class="label" for="id_public_0">public</label></div><div class="radio"><input class="input" type="radio" name="public" value="False" class="input" required id="id_public_1" ><div class="radio__checkmark"></div><label class="label" for="id_public_1">private</label></div></div><div id="id_public_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_entry_free_0">Entrance *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_entry_free_0">Can people attent the event free of charge?</label></div><div class="form-control__choices"><div class="radio"><input class="input" type="radio" name="entry_free" value="True" class="input" required id="id_entry_free_0" ><div class="radio__checkmark"></div><label class="label" for="id_entry_free_0">free</label></div><div class="radio"><input class="input" type="radio" name="entry_free" value="False" class="input" required id="id_entry_free_1" ><div class="radio__checkmark"></div><label class="label" for="id_entry_free_1">Paid event</label></div></div><div id="id_entry_free_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_entry_fee">Entrance fee *</label></header><div class="form-control__body"><input type="text" name="entry_fee" class="input" maxlength="255" placeholder="€" data-mark-required="True" title="Dit veld is verplicht." id="id_entry_fee" ><div id="id_entry_fee_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_media_involved_0">Press *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_media_involved_0">Will there be media coverage of this event? Do you invite media to this event?</label></div><div class="form-control__choices"><div class="radio"><input class="input" type="radio" name="media_involved" value="True" class="input" required id="id_media_involved_0" ><div class="radio__checkmark"></div><label class="label" for="id_media_involved_0">yes</label></div><div class="radio"><input class="input" type="radio" name="media_involved" value="False" class="input" required id="id_media_involved_1" ><div class="radio__checkmark"></div><label class="label" for="id_media_involved_1">no</label></div></div><div id="id_media_involved_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_media_invited">namely *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_media_invited">What media will be invited?</label></div><input type="text" name="media_invited" class="input" maxlength="255" data-mark-required="True" title="Dit veld is verplicht." id="id_media_invited" ><div id="id_media_invited_errors"></div></div></div></fieldset><h2 class="form__caption" id="how-can-we-contact-you" aria-hidden="true">How can we contact you?</h2><fieldset class="form__fieldset"><legend class="form__legend">How can we contact you?</legend><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_applicant_first_name">First name</label></header><div class="form-control__body"><input type="text" name="applicant_first_name" class="input" maxlength="255" autocomplete="given-name" id="id_applicant_first_name" ><div id="id_applicant_first_name_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_applicant_infix">Affix</label></header><div class="form-control__body"><input type="text" name="applicant_infix" class="input" maxlength="255" autocomplete="additional-name" id="id_applicant_infix" ><div id="id_applicant_infix_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_applicant_last_name">Last name *</label></header><div class="form-control__body"><input type="text" name="applicant_last_name" class="input" maxlength="255" autocomplete="family-name" required id="id_applicant_last_name" ><div id="id_applicant_last_name_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_applicant_job_title">Job title *</label></header><div class="form-control__body"><input type="text" name="applicant_job_title" class="input" maxlength="255" required id="id_applicant_job_title" ><div id="id_applicant_job_title_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_applicant_organisation">Organization/Company *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_applicant_organisation">If there is no company or organization on behalf of which you’re sending this invite, please fill in ‘Individual’</label></div><input type="text" name="applicant_organisation" class="input" maxlength="255" autocomplete="organization" required id="id_applicant_organisation" ><div id="id_applicant_organisation_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_applicant_phone">Phone *</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_applicant_phone">Example: 0612345678</label></div><input type="text" name="applicant_phone" class="input" maxlength="255" autocomplete="tel" required id="id_applicant_phone" ><div id="id_applicant_phone_errors"></div></div></div><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_applicant_email">E-mail *</label></header><div class="form-control__body"><input type="email" name="applicant_email" class="input" maxlength="254" autocomplete="email" required id="id_applicant_email" ><div id="id_applicant_email_errors"></div></div></div></fieldset><h2 class="form__caption" id="attachment" aria-hidden="true">Attachment</h2><fieldset class="form__fieldset"><legend class="form__legend">Attachment</legend><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_attachments">Files</label></header><div class="form-control__body"><div class="dff-uploader"><div class="dff-container" data-translations="{"Cancel": "Annuleren", "Delete": "Verwijderen", "Delete failed": "Verwijderen mislukt", "Upload failed": "Upload mislukt", "Drop your files here": "Sleep uw bestanden", "Invalid file type": "Invalid file type. Try again"}"><input type="file" name="attachments" multiple="multiple" id="id_attachments"><label class="input__filepicker" >Choose file</label></div></div><div id="id_attachments_errors"></div></div></div><input type="hidden" name="form_id" value="567db34a-1051-47bd-a9d4-6838d5a8b681" class="input" id="id_form_id" ><div id="id_form_id_errors"></div><input type="hidden" name="upload_url" value="/upload/upload/" class="input" id="id_upload_url" ><div id="id_upload_url_errors"></div></fieldset><fieldset class="form__fieldset"><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_accept_privacy_statement">Privacy statement</label></header><div class="form-control__body"><div class="help-text"><label class="help-text__body" for="id_accept_privacy_statement">You must accept the Privacy Statement.</label></div><div class="checkbox"><input class="input" type="checkbox" name="accept_privacy_statement" class="input" id="id_accept_privacy_statement" ><div class="checkbox__checkmark"></div></div><div id="id_accept_privacy_statement_errors"></div></div></div></fieldset><fieldset class="form__fieldset"><div class="form-control form-control--choices-stacked"><header class="form-control__header"><label class="label" for="id_captcha">What is 9 * 5? *</label></header><div class="form-control__body"><input type="number" name="captcha" class="input" title="Dit veld is verplicht." required id="id_captcha" ><div id="id_captcha_errors"></div></div></div><div class="form__actions form__actions--left"><button class="button button--primary" title="Send" type="submit" form="workvisit-form"><span class="button__label">Send</span></button></div></fieldset></div></form><br/></div><script id="dateStrictOptions" type="application/json">{"true": ["date", "multiple_dates"], "false": ["indicative", "date"]}</script></main><script type="text/javascript"> (function(window, document, dataLayerName, id) { window[dataLayerName]=window[dataLayerName]||[],window[dataLayerName].push({start:(new Date).getTime(),event:"stg.start"});var scripts=document.getElementsByTagName('script')[0],tags=document.createElement('script'); function stgCreateCookie(a,b,c){var d="";if(c){var e=new Date;e.setTime(e.getTime()+24*c*60*60*1e3),d="; expires="+e.toUTCString()}document.cookie=a+"="+b+d+"; path=/"} var isStgDebug=(window.location.href.match("stg_debug")||document.cookie.match("stg_debug"))&&!window.location.href.match("stg_disable_debug");stgCreateCookie("stg_debug",isStgDebug?1:"",isStgDebug?14:-1); var qP=[];dataLayerName!=="dataLayer"&&qP.push("data_layer_name="+dataLayerName),isStgDebug&&qP.push("stg_debug");var qPString=qP.length>0?("?"+qP.join("&")):""; tags.async=!0,tags.src="//statistiek.rijksoverheid.nl/containers/"+id+".js"+qPString,scripts.parentNode.insertBefore(tags,scripts); !function(a,n,i){a[n]=a[n]||{};for(var c=0;c<i.length;c++)!function(i){a[n][i]=a[n][i]||{},a[n][i].api=a[n][i].api||function(){var a=[].slice.call(arguments,0);"string"==typeof a[0]&&window[dataLayerName].push({event:n+"."+i+":"+a[0],parameters:[].slice.call(arguments,1)})}}(i[c])}(window,"ppms",["tm","cm"]); })(window, document, 'dataLayer', '8b38d3ab-575c-45ef-9321-b3efefc7ed21'); </script><noscript><iframe src="//statistiek.rijksoverheid.nl/containers/8b38d3ab-575c-45ef-9321-b3efefc7ed21/noscript.html" height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript><script type="text/javascript"> var customUrl = window.location.href.replace(window.location.search, ''); var _paq = _paq || []; _paq.push(['setCustomUrl', customUrl]); </script></body></html>