{"id":2318,"date":"2019-11-06T15:29:58","date_gmt":"2019-11-06T14:29:58","guid":{"rendered":"https:\/\/vscr.at\/public-health\/registration-for-advanced-courses\/"},"modified":"2023-02-24T18:21:25","modified_gmt":"2023-02-24T17:21:25","slug":"registration-for-module-ii","status":"publish","type":"page","link":"https:\/\/vscr.at\/en\/public-health\/registration-for-module-ii\/","title":{"rendered":"Registration for MODULE II"},"content":{"rendered":"<h2>ACADEMIC DIPLOMA-<\/h2>\n<h2>MODULE II-\u00a0FROM OUTCOME DATA TO VALUE DOSSIERS: AN INTRODUCTION INTO THE BASICS OF SUCCESSFUL HTA SUBMISSIONS<\/h2>\n<h3>Module II\u00a0 \u00a0tba<\/h3>\n<script>\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<\/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_32' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Registration form MODULE II<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_32'  action='\/en\/wp-json\/wp\/v2\/pages\/2318' data-formid='32' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_32' class='gform_fields left_label form_sublabel_below description_below validation_below'><li id=\"field_32_21\" 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_32_21'>Instagram<\/label><div class='ginput_container'><input name='input_21' id='input_32_21' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_32_21'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_32_13\" class=\"gfield gfield--type-radio 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' >Gender<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_32_13'>\n\t\t\t<li class='gchoice gchoice_32_13_0'>\n\t\t\t\t<input name='input_13' type='radio' value='Male'  id='choice_32_13_0'    \/>\n\t\t\t\t<label for='choice_32_13_0' id='label_32_13_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_32_13_1'>\n\t\t\t\t<input name='input_13' type='radio' value='Female'  id='choice_32_13_1'    \/>\n\t\t\t\t<label for='choice_32_13_1' id='label_32_13_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_32_1\" 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_32_1'>Surname<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_32_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_32_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_32_2'>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_2' id='input_32_2' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_32_4\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon 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_32_4'>Date of birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_4' id='input_32_4' type='text' value='' class='datepicker gform-datepicker dmy_dot datepicker_no_icon gdatepicker-no-icon'   placeholder='dd.mm.yyyy' aria-describedby=\"input_32_4_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_32_4_date_format' class='screen-reader-text'>DD dot MM dot YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_32_4' class='gform_hidden' value='https:\/\/vscr.at\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_32_5\" 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_32_5'>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_5' id='input_32_5' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_32_6\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_6'>Academic Title(s)<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_32_6' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_32_7\" 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_32_7'>Specialty<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_32_7' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_32_8\" 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_32_8'>Hospital \/ Academic Center \/ Institution \/ Company<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_32_8' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_32_11\" 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_32_11'>Position \/ Function<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_32_11' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_32_10\" 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_32_10'>Contact Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_32_10' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_32_12\" 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_32_12'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_12' id='input_32_12' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_32_14\" class=\"gfield gfield--type-radio 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' >Your setting is (please tick what describes it best)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_32_14'>\n\t\t\t<li class='gchoice gchoice_32_14_0'>\n\t\t\t\t<input name='input_14' type='radio' value='University-based or university-affiliated'  id='choice_32_14_0'    \/>\n\t\t\t\t<label for='choice_32_14_0' id='label_32_14_0' class='gform-field-label gform-field-label--type-inline'>University-based or university-affiliated<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_32_14_1'>\n\t\t\t\t<input name='input_14' type='radio' value='Governmental'  id='choice_32_14_1'    \/>\n\t\t\t\t<label for='choice_32_14_1' id='label_32_14_1' class='gform-field-label gform-field-label--type-inline'>Governmental<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_32_14_2'>\n\t\t\t\t<input name='input_14' type='radio' value='HTA organization or similiar'  id='choice_32_14_2'    \/>\n\t\t\t\t<label for='choice_32_14_2' id='label_32_14_2' class='gform-field-label gform-field-label--type-inline'>HTA organization or similiar<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_32_14_3'>\n\t\t\t\t<input name='input_14' type='radio' value='Pharma industry'  id='choice_32_14_3'    \/>\n\t\t\t\t<label for='choice_32_14_3' id='label_32_14_3' class='gform-field-label gform-field-label--type-inline'>Pharma industry<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_32_14_4'>\n\t\t\t\t<input name='input_14' type='radio' value='Medical device industry'  id='choice_32_14_4'    \/>\n\t\t\t\t<label for='choice_32_14_4' id='label_32_14_4' class='gform-field-label gform-field-label--type-inline'>Medical device industry<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_32_14_5'>\n\t\t\t\t<input name='input_14' type='radio' value='gf_other_choice'  id='choice_32_14_5'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_32_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(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_32_15\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_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_32_15' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_32_16\" class=\"gfield gfield--type-radio 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' >Have you already participated in any VSCR or SFU training?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_32_16'>\n\t\t\t<li class='gchoice gchoice_32_16_0'>\n\t\t\t\t<input name='input_16' type='radio' value='Yes'  id='choice_32_16_0'    \/>\n\t\t\t\t<label for='choice_32_16_0' id='label_32_16_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_32_16_1'>\n\t\t\t\t<input name='input_16' type='radio' value='No'  id='choice_32_16_1'    \/>\n\t\t\t\t<label for='choice_32_16_1' id='label_32_16_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_32_17\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_17'>If yes, please specify in which one and when<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_17' id='input_32_17' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_32_20\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >How did you get attracted to this course?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_32_20'>\n\t\t\t<li class='gchoice gchoice_32_20_0'>\n\t\t\t\t<input name='input_20' type='radio' value='via VSCR website'  id='choice_32_20_0'    \/>\n\t\t\t\t<label for='choice_32_20_0' id='label_32_20_0' class='gform-field-label gform-field-label--type-inline'>via VSCR website<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_32_20_1'>\n\t\t\t\t<input name='input_20' type='radio' value='recommendation of previous participants'  id='choice_32_20_1'    \/>\n\t\t\t\t<label for='choice_32_20_1' id='label_32_20_1' class='gform-field-label gform-field-label--type-inline'>recommendation of previous participants<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_32_20_2'>\n\t\t\t\t<input name='input_20' type='radio' value='via DIA Global'  id='choice_32_20_2'    \/>\n\t\t\t\t<label for='choice_32_20_2' id='label_32_20_2' class='gform-field-label gform-field-label--type-inline'>via DIA Global<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_32_19\" 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' >Declaration - Data protection<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_32_19'><li class='gchoice gchoice_32_19_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-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 purposes. I also accept that my name and address information will be communicated to fellow students, teaching staff and persons responsible for academic services. I agree that my name and photograph material in which I appear may be used for VSCR-SFU marketing activities. I may at any time withdraw this consent by giving notice in writing to the program director. Upon submission of the application form, I agree that the application form becomes binding. By submitting this form, I confirm the accuracy and completeness of my statements and taking note of the attached terms of payment and cancellation conditions.'  id='choice_32_19_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_32_19_1' id='label_32_19_1' class='gform-field-label gform-field-label--type-inline'>Yes, I accept that the personal data I have provided above will be processed for organizational and administrative purposes. I also accept that my name and address information will be communicated to fellow students, teaching staff and persons responsible for academic services. I agree that my name and photograph material in which I appear may be used for VSCR-SFU marketing activities. I may at any time withdraw this consent by giving notice in writing to the program director. Upon submission of the application form, I agree that the application form becomes binding. 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