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{"id":28,"date":"2020-06-05T09:28:01","date_gmt":"2020-06-05T09:28:01","guid":{"rendered":"https:\/\/ndsa.uk\/tool-up\/?page_id=28"},"modified":"2021-01-24T22:44:00","modified_gmt":"2021-01-24T22:44:00","slug":"registration-form","status":"publish","type":"page","link":"https:\/\/dev.ndsa.uk\/tool-up\/registration-form\/","title":{"rendered":"Registration Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"28\" class=\"elementor elementor-28\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4f925e6c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4f925e6c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-362c1753\" data-id=\"362c1753\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-15f014f8 elementor-widget elementor-widget-text-editor\" data-id=\"15f014f8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\">\n\t\t\t\t<p><!-- wp:html --><\/p>\n<p>This is the registration form to join our Tool Up Mentoring into Employment programme for Autistic people in the capacity of person to be mentored or to receive training as a mentor. Mentors don\u2019t need to be autistic, but we welcome autistic mentors. If you are neurodivergent, but not autistic, register your interest and we will try to run a project for neurodivergent people later in the year.<\/p>\n<p><span style=\"color: #666666; font-family: Roboto;\">We are looking for mentors from a broad range of industries and are pairing mentors and mentees based on personal fit. However due to high demand mentees may be placed on a waiting list. We are looking for mentors of all walks of life including farmers, game designers, sound editors\/designers, animators, journalists and creative writers.<\/span><\/p>\n<p><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight );\">To provide you with a good experience and to maximize chances of success we need to ask you a few questions about your circumstances and your preferences. We also need participants\u2019 information to conduct the evaluation of the success of this pilot project to make such projects available for more people.<\/span><\/p>\n<p><!-- \/wp:html --><\/p>\n<p><!-- wp:shortcode --><br \/><div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f69-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/tool-up\/wp-json\/wp\/v2\/pages\/28#wpcf7-f69-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"69\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.4.2\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f69-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"jumbotron\">\n<label> Username:*<br \/>\n<span class=\"wpcf7-form-control-wrap Username\"><input type=\"text\" name=\"Username\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required regForm-UserName\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><\/p>\n<p><label> Password:*<br \/>\n<span class=\"wpcf7-form-control-wrap Password\"><input type=\"text\" name=\"Password\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required regForm-FirstName\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><\/p>\n<p><label> First name:*<br \/>\n<span class=\"wpcf7-form-control-wrap Firstname\"><input type=\"text\" name=\"Firstname\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required regForm-FirstName\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><\/p>\n<p><label> Last name:*<br \/>\n<span class=\"wpcf7-form-control-wrap Lastname\"><input type=\"text\" name=\"Lastname\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required regForm-LastName\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><\/p>\n<p><label> Email address:*<br \/>\n<span class=\"wpcf7-form-control-wrap Email\"><input type=\"email\" name=\"Email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email regForm-Email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><\/p>\n<p><label> UK address:*<br \/>\n<span class=\"wpcf7-form-control-wrap UKaddress\"><textarea name=\"UKaddress\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required regForm-Address\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><\/label><\/p>\n<p>Please note &#8211; None of the information on this form except the username will be publicly visible.<\/p>\n<p><label> Please choose one of the two following options*: <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap PleaseChooseOneOfTheTwoFollowingOptions\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox regForm-CheckBoxes-1\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"PleaseChooseOneOfTheTwoFollowingOptions\" value=\"You wish to register to the Tool Up Mentoring programme to receive mentoring\" \/><span class=\"wpcf7-list-item-label\">You wish to register to the Tool Up Mentoring programme to receive mentoring<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"PleaseChooseOneOfTheTwoFollowingOptions\" value=\"You wish to register to the Tool Up programme to receive training and become a mentor.\" \/><span class=\"wpcf7-list-item-label\">You wish to register to the Tool Up programme to receive training and become a mentor.<\/span><\/label><\/span><\/span><\/span><\/p>\n<p><strong>We need more information to pair you with a suitable mentor\/mentee.<\/strong><\/p>\n<p><label> We welcome NT and autistic mentors. You are*: <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap WeWelcomeNTAndAutisticMentorsYouAre\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-exclusive-checkbox regForm-Identify\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"WeWelcomeNTAndAutisticMentorsYouAre\" value=\"Diagnosed autistic\" \/><span class=\"wpcf7-list-item-label\">Diagnosed autistic<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"WeWelcomeNTAndAutisticMentorsYouAre\" value=\"Undergoing diagnosis\" \/><span class=\"wpcf7-list-item-label\">Undergoing diagnosis<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"WeWelcomeNTAndAutisticMentorsYouAre\" value=\"Self identify as autistic\" \/><span class=\"wpcf7-list-item-label\">Self identify as autistic<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"WeWelcomeNTAndAutisticMentorsYouAre\" value=\"Not autistic\" \/><span class=\"wpcf7-list-item-label\">Not autistic<\/span><\/label><\/span><\/span><\/span><\/p>\n<p><label>Do you have any other conditions:<br \/>\n<span class=\"wpcf7-form-control-wrap Conditions\"><textarea name=\"Conditions\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required regForm-Conditions\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><\/label><\/p>\n<p><label>Your gender:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap YourGender\"><span class=\"wpcf7-form-control wpcf7-radio regForm-Gender\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"YourGender\" value=\"Female\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"YourGender\" value=\"Male\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"YourGender\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/label><\/span><\/span><\/span><\/p>\n<p><label>Your preference for a mentor\/mentee:<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap YourPreference\"><span class=\"wpcf7-form-control wpcf7-radio regForm-Mentor\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"YourPreference\" value=\"Female\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"YourPreference\" value=\"Male\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"YourPreference\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"YourPreference\" value=\"No preference\" \/><span class=\"wpcf7-list-item-label\">No preference<\/span><\/label><\/span><\/span><\/span><\/p>\n<p><label>The industry career in which you work\/wish to work if you know it, but don\u2019t worry if you don\u2019t:*<br \/>\n<span class=\"wpcf7-form-control-wrap IndustryCareer\"><textarea name=\"IndustryCareer\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required regForm-IndustryCareer\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><\/label><\/p>\n<p>Your information will be treated confidentially for the purpose of this project as described above. The data controller is Neurodiverse Self Advocacy Partnership CIC.<\/p>\n<p>Your data will be stored in UK on our server. Anonymised data (without your name and address) will be processed by researchers including Dr Damian Milton and Susan Ridout for the evaluation of results.<\/p>\n<p>Your data will not be made available to anyone else except in cases defined in law with a court order. Your data will be stored for one year, anonymised data will be stored for 3 years for evaluation. You have the right to the copy of your data.<\/p>\n<p><span class=\"wpcf7-form-control-wrap ProcessingOfMyData\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required regForm-DataProcessing\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"ProcessingOfMyData[]\" value=\"I agree to the processing of my data as described above.\" \/><span class=\"wpcf7-list-item-label\">I agree to the processing of my data as described above.<\/span><\/label><\/span><\/span><\/span><\/p>\n<p><input type=\"submit\" value=\"Submit\" class=\"wpcf7-form-control wpcf7-submit\" \/>\n<\/p><\/div>\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=\"147\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div><br \/><!-- \/wp:shortcode --><\/p>\n<p><!-- wp:paragraph --><\/p>\n<p><!-- \/wp:paragraph --><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1db3f6d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1db3f6d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1385e4e\" data-id=\"1385e4e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bc54c96 elementor-widget elementor-widget-html\" data-id=\"bc54c96\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<script>\n        window.location.replace(\"https:\/\/neurodiverseselfadvocacy.org.uk\/register\");\n<\/script>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>This is the registration form to join our Tool Up Mentoring into Employment programme for Autistic people in the capacity of person to be mentored or to receive training as a mentor. Mentors don\u2019t need to be autistic, but we welcome autistic mentors. If you are neurodivergent, but not autistic, &hellip; <\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"pmpro_default_level":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0},"_links":{"self":[{"href":"https:\/\/dev.ndsa.uk\/tool-up\/wp-json\/wp\/v2\/pages\/28"}],"collection":[{"href":"https:\/\/dev.ndsa.uk\/tool-up\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dev.ndsa.uk\/tool-up\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dev.ndsa.uk\/tool-up\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/dev.ndsa.uk\/tool-up\/wp-json\/wp\/v2\/comments?post=28"}],"version-history":[{"count":19,"href":"https:\/\/dev.ndsa.uk\/tool-up\/wp-json\/wp\/v2\/pages\/28\/revisions"}],"predecessor-version":[{"id":2511,"href":"https:\/\/dev.ndsa.uk\/tool-up\/wp-json\/wp\/v2\/pages\/28\/revisions\/2511"}],"wp:attachment":[{"href":"https:\/\/dev.ndsa.uk\/tool-up\/wp-json\/wp\/v2\/media?parent=28"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}