{"id":1646,"date":"2018-08-02T13:21:17","date_gmt":"2018-08-02T11:21:17","guid":{"rendered":"https:\/\/vscr.at\/?page_id=1646\/"},"modified":"2019-02-08T14:36:37","modified_gmt":"2019-02-08T13:36:37","slug":"registration-for-module-1","status":"publish","type":"page","link":"https:\/\/vscr.at\/en\/registration-for-module-1\/","title":{"rendered":"Registration for Module 1"},"content":{"rendered":"<h2>ACADEMIC DIPLOMA<br \/>\nHEALTH OUTCOME RESEARCH<br \/>\nHEALTH ECONOMY<\/h2>\n<h3><em>Vienna, 27\u201329 May 2019<\/em><\/h3>\n\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_19' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_19'  action='\/en\/wp-json\/wp\/v2\/pages\/1646'>\n                        <div class='gform_heading'>\n                            <h3 class='gform_title'>Registration form for MODULE 1<\/h3>\n                            <span class='gform_description'>Evidence based decision making for pricing and reimbursement: From theory to practice<\/span>\n                        <\/div>\n                        <div class='gform_body'><ul id='gform_fields_19' class='gform_fields left_label form_sublabel_below description_below'><li id='field_19_13' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Gender<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_19_13'><li class='gchoice_19_13_0'><input name='input_13' type='radio' value='Male'  id='choice_19_13_0' tabindex='1'    \/><label for='choice_19_13_0' id='label_19_13_0'>Male<\/label><\/li><li class='gchoice_19_13_1'><input name='input_13' type='radio' value='Female'  id='choice_19_13_1' tabindex='2'    \/><label for='choice_19_13_1' id='label_19_13_1'>Female<\/label><\/li><\/ul><\/div><\/li><li id='field_19_1' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_19_1' >Surname<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_19_1' type='text' value='' class='medium'  tabindex='3'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_19_2' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_19_2' >First name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_19_2' type='text' value='' class='medium'  tabindex='4'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_19_4' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_19_4' >Date of birth<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_4' id='input_19_4' type='text' value='' class='datepicker medium dmy_dot datepicker_no_icon' tabindex='5'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_19_4' class='gform_hidden' value='https:\/\/vscr.at\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_19_5' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_19_5' >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_19_5' type='text' value='' class='medium' tabindex='6'   \/>\n                        <\/div><\/li><li id='field_19_6' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_19_6' >Academic Title(s)<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_19_6' type='text' value='' class='medium'  tabindex='7'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_19_7' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_19_7' >Specialty<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_19_7' type='text' value='' class='medium'  tabindex='8'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_19_8' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_19_8' >Hospital \/ Academic Center \/ Institution \/ Company<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_19_8' type='text' value='' class='medium'  tabindex='9'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_19_11' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_19_11' >Position \/ Function<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_19_11' type='text' value='' class='medium'  tabindex='10'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_19_10' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_19_10' >Contact Address<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_19_10' class='textarea medium' tabindex='11'   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_19_12' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_19_12' >Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_12' id='input_19_12' type='text' value='' class='medium' tabindex='12'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_19_14' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Your setting is (please tick what describes it best)<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_19_14'><li class='gchoice_19_14_0'><input name='input_14' type='radio' value='University-based or university-affiliated'  id='choice_19_14_0' tabindex='13'  onclick='gf_apply_rules(19,[18]);' onkeypress='gf_apply_rules(19,[18]);'  \/><label for='choice_19_14_0' id='label_19_14_0'>University-based or university-affiliated<\/label><\/li><li class='gchoice_19_14_1'><input name='input_14' type='radio' value='Governmental'  id='choice_19_14_1' tabindex='14'  onclick='gf_apply_rules(19,[18]);' onkeypress='gf_apply_rules(19,[18]);'  \/><label for='choice_19_14_1' id='label_19_14_1'>Governmental<\/label><\/li><li class='gchoice_19_14_2'><input name='input_14' type='radio' value='HTA organization or similiar'  id='choice_19_14_2' tabindex='15'  onclick='gf_apply_rules(19,[18]);' onkeypress='gf_apply_rules(19,[18]);'  \/><label for='choice_19_14_2' id='label_19_14_2'>HTA organization or similiar<\/label><\/li><li class='gchoice_19_14_3'><input name='input_14' type='radio' value='Pharma industry'  id='choice_19_14_3' tabindex='16'  onclick='gf_apply_rules(19,[18]);' onkeypress='gf_apply_rules(19,[18]);'  \/><label for='choice_19_14_3' id='label_19_14_3'>Pharma industry<\/label><\/li><li class='gchoice_19_14_4'><input name='input_14' type='radio' value='Medical device industry'  id='choice_19_14_4' tabindex='17'  onclick='gf_apply_rules(19,[18]);' onkeypress='gf_apply_rules(19,[18]);'  \/><label for='choice_19_14_4' id='label_19_14_4'>Medical device industry<\/label><\/li><li class='gchoice_19_14_5'><input name='input_14' type='radio' value='gf_other_choice'  id='choice_19_14_5' tabindex='18'  onclick='gf_apply_rules(19,[18]);' onkeypress='gf_apply_rules(19,[18]);' onfocus=\"jQuery(this).next('input').focus();\" \/><input id='input_19_14_other' name='input_14_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", 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tabindex='21'    \/><label for='choice_19_18_2' id='label_19_18_2'>Market Access<\/label><\/li><li class='gchoice_19_18_3'><input name='input_18' type='radio' value='gf_other_choice'  id='choice_19_18_3' tabindex='22'   onfocus=\"jQuery(this).next('input').focus();\" \/><input id='input_19_18_other' name='input_18_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }' tabindex='22'   \/><\/li><\/ul><\/div><\/li><li id='field_19_15' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_19_15' >Further comments on your current and future professional activities\/career (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_15' id='input_19_15' class='textarea medium' tabindex='23'    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_19_16' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Have you already participated in any VSCR or SFU training?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_19_16'><li class='gchoice_19_16_0'><input name='input_16' type='radio' value='Yes'  id='choice_19_16_0' tabindex='24'  onclick='gf_apply_rules(19,[17]);' onkeypress='gf_apply_rules(19,[17]);'  \/><label for='choice_19_16_0' id='label_19_16_0'>Yes<\/label><\/li><li class='gchoice_19_16_1'><input name='input_16' type='radio' value='No'  id='choice_19_16_1' tabindex='25'  onclick='gf_apply_rules(19,[17]);' onkeypress='gf_apply_rules(19,[17]);'  \/><label for='choice_19_16_1' id='label_19_16_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_19_17' class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_19_17' >If yes, please specify in which one and when<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_17' id='input_19_17' class='textarea medium' tabindex='26'    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_19_19' class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Declaration - Data protection<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_19_19'><li class='gchoice_19_19_1'>\n\t\t\t\t\t\t\t\t<input name='input_19.1' type='checkbox'  value='Yes, I accept that the personal data I have provided above will be processed for organizational and administrative\u00a0purposes. I also accept that my name and address information will be communicated to fellow students, teaching\u00a0staff and persons responsible for academic services. I agree that my name and photograph material in which I\u00a0appear may be used for VSCR-SFU marketing activities. I may at any time withdraw this consent by giving notice in writing\u00a0to the program director. Upon submission of the application form, I agree that the application form becomes binding. By submitting this form, I\u00a0confirm the accuracy and completeness of my statements and taking note of the attached terms of payment and\u00a0cancellation conditions.'  id='choice_19_19_1' tabindex='27'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_19_19_1' id='label_19_19_1'>Yes, I accept that the personal data I have provided above will be processed for organizational and administrative\u00a0purposes. I also accept that my name and address information will be communicated to fellow students, teaching\u00a0staff and persons responsible for academic services. I agree that my name and photograph material in which I\u00a0appear may be used for VSCR-SFU marketing activities. I may at any time withdraw this consent by giving notice in writing\u00a0to the program director. Upon submission of the application form, I agree that the application form becomes binding. 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if(!window['gf_number_format'])window['gf_number_format'] = 'decimal_dot';jQuery(document).ready(function(){gf_apply_rules(19, [18,17], true);jQuery('#gform_wrapper_19').show();jQuery(document).trigger('gform_post_conditional_logic', [19, null, true]);} );} } } );jQuery(document).bind('gform_post_conditional_logic', function(event, formId, fields, isInit){} );<\/script><script type='text\/javascript'> jQuery(document).ready(function(){jQuery(document).trigger('gform_post_render', [19, 1]) } ); <\/script>\n<hr \/>\n<h3>Terms of payment<\/h3>\n<p>Tuition fees include course fee, study materials and refreshments during the course.<\/p>\n<p><strong>Price for 3 days (module 1)<\/strong> EUR 3,450.00<br \/>\n<span style=\"color: #ff0000; font-size: 120%;\"><strong>Early booking until 30 March 2019<\/strong>\u00a0EUR 2,990.00<\/span><\/p>\n<p><strong>Group discount for 3 days (module 1) for industry:<\/strong><br \/>\nUp to 3 employees (per person) \u00a0 EUR 2,500.00<br \/>\nUp to 7 employees (per person) \u00a0 EUR 1,990.00<br \/>\nUp to 10 employees (per person) EUR 1,520.00<\/p>\n<p><strong>Price for 3 days (module 1) for governmental,<br \/>\nnon profit- and academic institution<\/strong> EUR 1,990.00<\/p>\n<p><a href=\"https:\/\/vscr.at\/wp-content\/uploads\/VSCR_Terms-of-Payment-0519_Web_040219.pdf\" target=\"_blank\" rel=\"noopener\">Find more details on our terms of payment \u00bb<\/a><\/p>\n<p>Limited of number of scholarships are available each year, please inquire at <a href=\"mailto:office@vscr.at\"><strong>office@vscr.at<\/strong><\/a>.<br \/>\nThe course fees are to be paid into the account of VSCR:<br \/>\n<strong>IBAN:<\/strong> AT74 3818 6010 0036 7912<br \/>\n<strong>BIC:<\/strong> RZSTAT2G186<\/p>\n","protected":false},"excerpt":{"rendered":"<p>ACADEMIC DIPLOMA HEALTH OUTCOME RESEARCH HEALTH ECONOMY Vienna, 27\u201329 May 2019 Terms of payment Tuition fees include course fee, study materials and refreshments during the course. 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