{"id":151,"date":"2026-10-05T14:19:05","date_gmt":"2026-10-05T12:19:05","guid":{"rendered":"https:\/\/rops-bialystok.pl\/formularzrops\/?page_id=151"},"modified":"2026-10-06T08:02:04","modified_gmt":"2026-10-06T06:02:04","slug":"formularz-zgloszeniowy-na-kongres-uslysz-nas-inaczej-w-bielsku-podlaskim","status":"publish","type":"page","link":"https:\/\/rops-bialystok.pl\/formularzrops\/index.php\/formularz-zgloszeniowy-na-kongres-uslysz-nas-inaczej-w-bielsku-podlaskim\/","title":{"rendered":"Formularz zg\u0142oszeniowy na kongres \u201eUs\u0142ysz nas inaczej\u201d w Bielsku Podlaskim"},"content":{"rendered":"<div class=\"forminator-ui forminator-custom-form forminator-custom-form-150 forminator-design--material  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-150\" data-uid=\"6ac902fb5167b\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-150\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-150 forminator-design--material  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"150\"\n\t\t\t\t data-color-option=\"default\" data-design=\"material\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ac902fb5167b\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6ac902fb5167b\" id=\"forminator-field-name-1_6ac902fb5167b-label\" class=\"forminator-label\">Imi\u0119 i Nazwisko <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6ac902fb5167b\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_6ac902fb5167b\" id=\"forminator-field-name-2_6ac902fb5167b-label\" class=\"forminator-label\">Nazwa instytucji <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"\" id=\"forminator-field-name-2_6ac902fb5167b\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6 \"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-street_address_6ac902fb5167b\" id=\"forminator-field-address-1-street_address_6ac902fb5167b-label\" class=\"forminator-label\">Ulica <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-street_address\" placeholder=\"\" id=\"forminator-field-address-1-street_address_6ac902fb5167b\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-city_6ac902fb5167b\" id=\"forminator-field-address-1-city_6ac902fb5167b-label\" class=\"forminator-label\">Miejscowo\u015b\u0107 <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"\" id=\"forminator-field-address-1-city_6ac902fb5167b\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"false\"><div id=\"address-1-zip\" class=\"forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-zip_6ac902fb5167b\" id=\"forminator-field-address-1-zip_6ac902fb5167b-label\" class=\"forminator-label\">Kod pocztowy <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-zip\" placeholder=\"\" id=\"forminator-field-address-1-zip_6ac902fb5167b\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_6ac902fb5167b\" id=\"forminator-field-name-3_6ac902fb5167b-label\" class=\"forminator-label\">Stanowisko s\u0142u\u017cbowe <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"\" id=\"forminator-field-name-3_6ac902fb5167b\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6ac902fb5167b\" id=\"forminator-field-email-1_6ac902fb5167b-label\" class=\"forminator-label\">Adres email <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6ac902fb5167b\" class=\"forminator-input forminator-email--field\" data-required=\"true\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6ac902fb5167b\" id=\"forminator-field-phone-1_6ac902fb5167b-label\" class=\"forminator-label\">Numer telefonu <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_6ac902fb5167b\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6ac902fb5167b\" id=\"forminator-field-textarea-1_6ac902fb5167b-label\" class=\"forminator-label\">Informacja zwrotna o zapewnieniu dost\u0119pno\u015bci<\/label><span id=\"forminator-field-textarea-1_6ac902fb5167b-description\" class=\"forminator-description\">W przypadku os\u00f3b ze szczeg\u00f3lnymi potrzebami w rozumieniu ustawy z dnia 19 lipca 2019 r. o zapewnieniu dost\u0119pno\u015bci osobom ze szczeg\u00f3\u0142ami potrzebami, prosz\u0119 o wskazanie proponowanych usprawnie\u0144, celem zapewnienia dost\u0119pno\u015bci podczas organizacji Kongresu<\/span><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_6ac902fb5167b\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" aria-describedby=\"forminator-field-textarea-1_6ac902fb5167b-description\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_6ac902fb5167b\" id=\"forminator-field-consent-1_6ac902fb5167b-label\" class=\"forminator-label\">Zgoda <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_6ac902fb5167b__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_6ac902fb5167b\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_6ac902fb5167b-label\" aria-describedby=\"forminator-field-consent-1_6ac902fb5167b__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_6ac902fb5167b__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Tak, zgadzam si\u0119 z zasadami przetwarzania danych osobowych w Regionalnym O\u015brodku Polityki Spo\u0142ecznej w Bia\u0142ymstoku <a href=\"https:\/\/bip-rops.podlaskie.eu\/inspektor-danych-osobowych\/klauzula_informacyjna_ochrony_danych_osobowych.html\">(<strong>Klauzula Informacyjna<\/strong>) <\/a>tym samym wyra\u017cam zgod\u0119 na przetwarzanie moich danych osobowych na potrzeby rekrutacyjne niezb\u0119dne do wi\u0119cia udzia\u0142u w kongresie.<\/p><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\"><span>Wy\u015blij<\/span><span aria-hidden=\"true\"><\/span><\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"ba09f6ea9a\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/formularzrops\/index.php\/wp-json\/wp\/v2\/pages\/151\" \/><input type=\"hidden\" name=\"form_id\" value=\"150\"><input type=\"hidden\" name=\"page_id\" value=\"151\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/rops-bialystok.pl\/formularzrops\/index.php\/formularz-zgloszeniowy-na-kongres-uslysz-nas-inaczej-w-bielsku-podlaskim\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_9\" class=\"forminator-hidden\" aria-hidden=\"true\">Prosz\u0119 nie wype\u0142nia\u0107 tego pola. <input id=\"input_9\" type=\"text\" name=\"input_9\" value=\"\" autocomplete=\"off\"><\/label><\/form>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; &nbsp; &nbsp; &nbsp;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-151","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rops-bialystok.pl\/formularzrops\/index.php\/wp-json\/wp\/v2\/pages\/151","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rops-bialystok.pl\/formularzrops\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rops-bialystok.pl\/formularzrops\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rops-bialystok.pl\/formularzrops\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rops-bialystok.pl\/formularzrops\/index.php\/wp-json\/wp\/v2\/comments?post=151"}],"version-history":[{"count":7,"href":"https:\/\/rops-bialystok.pl\/formularzrops\/index.php\/wp-json\/wp\/v2\/pages\/151\/revisions"}],"predecessor-version":[{"id":161,"href":"https:\/\/rops-bialystok.pl\/formularzrops\/index.php\/wp-json\/wp\/v2\/pages\/151\/revisions\/161"}],"wp:attachment":[{"href":"https:\/\/rops-bialystok.pl\/formularzrops\/index.php\/wp-json\/wp\/v2\/media?parent=151"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}