{"id":3841,"date":"2026-10-28T23:44:35","date_gmt":"2026-10-28T23:44:35","guid":{"rendered":"https:\/\/medyrah.com\/registration\/"},"modified":"2026-11-02T01:27:11","modified_gmt":"2026-11-02T01:27:11","slug":"registration","status":"publish","type":"page","link":"https:\/\/medyrah.com\/en\/registration\/","title":{"rendered":"Registration"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background hundred-percent-fullwidth non-hundred-percent-height-scrolling medyrah-register-alt-hero\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:calc( 100% + 0px ) !important;max-width:calc( 100% + 0px ) !important;margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:25px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:25px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1 medyrah-register-alt-hero-label\"><p>GLOBAL HEALTH COMMUNITY<\/p>\n<\/div><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-one medyrah-register-alt-hero-title\" style=\"--awb-margin-top-small:8px;--awb-margin-right-small:0px;--awb-margin-bottom-small:16px;--awb-margin-left-small:0px;\"><h1 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:64;line-height:1.2;\">Your next<br \/>step<br \/><span class=\"medyrah-hero-last-line\">starts <em>here.<\/em><\/span><\/h1><\/div><div class=\"fusion-text fusion-text-2 medyrah-register-alt-hero-description\"><p>Join an international network created to connect healthcare talent, training, and new opportunities.<\/p>\n<\/div><div class=\"fusion-text fusion-text-3\"><p><a class=\"medyrah-register-scroll\" href=\"#elige-perfil\">SIGN UP \u2193<\/a><\/p>\n<\/div><div class=\"medyrah-register-hero-mark\" aria-hidden=\"true\">\n  \n    \n    \n    \n  \n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background hundred-percent-fullwidth non-hundred-percent-height-scrolling medyrah-register-alt-intro\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" id=\"elige-perfil\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:calc( 100% + 0px ) !important;max-width:calc( 100% + 0px ) !important;margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:25px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:25px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-4 medyrah-register-alt-eyebrow\"><p>FIRST PHASE<\/p>\n<\/div><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-two medyrah-register-alt-title\" style=\"--awb-margin-top-small:8px;--awb-margin-right-small:0px;--awb-margin-bottom-small:16px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:44;line-height:1.26;\">Choose your profile<\/h2><\/div><div class=\"fusion-text fusion-text-5 medyrah-register-alt-description\"><p>Select your profile and complete your application. Medyrah will review your details and inform you of the outcome by email.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container has-pattern-background has-mask-background hundred-percent-fullwidth non-hundred-percent-height-scrolling medyrah-register-alt-form\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:calc( 100% + 0px ) !important;max-width:calc( 100% + 0px ) !important;margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\" 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gform-theme--orbital' data-form-theme='orbital' data-form-index='0' id='gform_wrapper_1' style='display:none'><style>#gform_wrapper_1[data-form-index=\"0\"].gform-theme{--gf-color-primary: #204ce5;--gf-color-primary-rgb: 32, 76, 229;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #001AB3;--gf-color-primary-lighter: #527EFF;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: 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var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_1' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_1' id='gform_1'  action='\/en\/wp-json\/wp\/v2\/pages\/3841#gf_1' data-formid='1' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_above description_below validation_above' data-column-layout='fill'><div id=\"field_1_89\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\"><label id='gfield_label_1_89' class='gfield_label gform-field-label' for='input_1_89'><span class='gform-field-label__text'>Company<\/span><\/label><div class='ginput_container'><input name='input_89' id='input_1_89' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_1_89'>This field is for validation purposes and should be left unchanged.<\/div><\/div><fieldset id=\"field_1_1\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full medyrah-profile-picker gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"416b82a7\" data-field-span=\"12\"><legend id='gfield_label_1_1' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Which profile would you like to create?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_1'>\n\t\t\t<div class='gchoice gchoice_1_1_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='Doctor'  id='choice_1_1_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_1_1_0 gfield_label_1_1\"   \/>\n\t\t\t\t\t<label for='choice_1_1_0' id='label_1_1_0' class='gform-field-label gform-field-label--type-inline'><span class=\"medyrah-choice-number\">01 <\/span><span class=\"medyrah-choice-title\">Doctors<\/span><span class=\"medyrah-choice-description\">Specialists, general practitioners, and residents.<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_1_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='Healthcare professional'  id='choice_1_1_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_1_1_1' id='label_1_1_1' class='gform-field-label gform-field-label--type-inline'><span class=\"medyrah-choice-number\">02 <\/span><span class=\"medyrah-choice-title\">Healthcare professionals<\/span><span class=\"medyrah-choice-description\">Nursing, pharmacy, physiotherapy, psychology, and other areas.<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_1_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_1' type='radio' value='Health Sciences student'  id='choice_1_1_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_1_1_2' id='label_1_1_2' class='gform-field-label gform-field-label--type-inline'><span class=\"medyrah-choice-number\">03 <\/span><span class=\"medyrah-choice-title\">Health Sciences students<\/span><span class=\"medyrah-choice-description\">For students in all healthcare disciplines.<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_3\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"74a0f0c6\" data-field-span=\"12\"><h3 class=\"gsection_title\">Contact details<\/h3><\/div><fieldset id=\"field_1_4\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"288647c6\" data-field-span=\"12\"><legend id='gfield_label_1_4' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Full name of the contact person<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_1_4'>\n                            \n                            <span id='input_1_4_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_1_4_3' id='input_1_4_3_label' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_4.3' id='input_1_4_3' value=''   aria-required='true'     aria-labelledby=\"input_1_4_3_label gfield_label_1_4\"\/>\n                                                <\/span>\n                            \n                            <span id='input_1_4_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_1_4_6' id='input_1_4_6_label' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_4.6' id='input_1_4_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_1_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-formatted gfield--width-full medyrah-phone medyrah-align-bottom field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"ee5d6238\" data-field-span=\"12\"><legend id='gfield_label_1_6' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Phone number with international dialling code<\/span><\/legend><div class='ginput_container ginput_container_phone'>\n\t\t\t<div class=\"gform-phone gform-phone--show-dial-code\">\n\t\t\t\t<div class=\"gform-phone__input-wrapper\">\n\t\t\t\t\t<span class=\"ginput_country-selector_container\">\n\t\t\t\t\t\t<label for='country_selector_button_6' id='country_selector_button_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n\t\t\t\t\t\t<button type=\"button\" id=\"country_selector_button_6\" class=\"gform-phone__country-selector gform-theme-button gform-theme-button--tertiary\" aria-haspopup=\"listbox\" aria-expanded=\"false\" aria-controls=\"gform_phone_dropdown_6aebe2f4f1415\" aria-label=\"Select country\"  >\n\t\t\t\t\t\t\t<span class=\"gform-phone__flag-icon gform-phone__flag-icon--es\"><\/span>\n\t\t\t\t\t\t\t<span class=\"gform-phone__dial-code\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<span class=\"ginput_phone_container\">\n\t\t\t\t\t\t<label for='input_1_6_visible' id='input_1_6_visible_label' class='gform-field-label gform-field-label--type-sub '>Phone Number<\/label>\n\t\t\t\t\t\t<input type=\"tel\" class=\"gform-phone__input\" id=\"input_1_6_visible\" name=\"\" autocomplete=\"tel\" value=\"\"    aria-invalid=\"false\"  >\n\t\t\t\t\t\t\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"gform-phone__dropdown gform-phone__dropdown--hidden\" role=\"listbox\" id=\"gform_phone_dropdown_6aebe2f4f1415\" tabindex=\"-1\">\n\t\t\t\t\t<div class=\"gform-phone__search-wrapper\">\n\t\t\t\t\t\t<input type=\"text\" class=\"gform-phone__search\" placeholder=\"Search countries\" aria-label=\"Search for a country\" aria-controls=\"gform_phone_dropdown_6aebe2f4f1415_list\">\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<ul class=\"gform-phone__country-list gform-ul-reset\" id=\"gform_phone_dropdown_6aebe2f4f1415_list\" role=\"listbox\" aria-label=\"Country list\">\n\t\t\t\t\t\t<!-- Country items will be populated by JavaScript -->\n\t\t\t\t\t<\/ul>\n\t\t\t\t\t<div class=\"gform-phone__aria-live-search-status\" aria-live=\"polite\" aria-atomic=\"true\" style=\"position: absolute; width: 1px; height: 1px; margin: -1px; border: 0; padding: 0; overflow: hidden; clip: rect(0, 0, 0, 0); clip-path: inset(50%); white-space: nowrap;\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"gform-phone__aria-live\" aria-live=\"polite\" aria-atomic=\"true\" style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0 0 0 0); clip-path: inset(50%); border: 0; white-space: nowrap;\"><\/div>\n\t\t\t<\/div><input name='input_6' id='input_1_6' type='hidden' value='' class='large' data-phone-format='formatted' data-default-country='es' data-show-country-code='true'  aria-invalid=\"false\" \/><\/div><\/fieldset><div id=\"field_1_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full medyrah-align-bottom gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"721f7303\" data-field-span=\"12\"><label id='gfield_label_1_5' class='gfield_label gform-field-label' for='input_1_5'><span class='gform-field-label__text'>Contact email address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_1_5' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_1_8\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"303d2c65\" data-field-span=\"12\"><h3 class=\"gsection_title\">Professional information.<\/h3><\/div><div id=\"field_1_23\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"0f82f0ba\" data-field-span=\"12\"><label id='gfield_label_1_23' class='gfield_label gform-field-label' for='input_1_23'><span class='gform-field-label__text'>Professional photo<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='5242880' \/><input name='input_23' id='input_1_23' type='file' class='large' aria-describedby=\"gfield_upload_rules_1_23 gfield_description_1_23\" onchange='javascript:gformValidateFileSize( this, 5242880 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_1_23'>Accepted file types: jpg, jpeg, png, Max. file size: 5 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_1_23'><\/div> <\/div><div class='gfield_description' id='gfield_description_1_23'>Upload a recent, clear photo with a neutral background.<\/div><\/div><div id=\"field_1_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"48287a16\" data-field-span=\"6\"><label id='gfield_label_1_9' class='gfield_label gform-field-label' for='input_1_9'><span class='gform-field-label__text'>Primary specialty<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_1_9' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"48287a16\" data-field-span=\"6\"><label id='gfield_label_1_10' class='gfield_label gform-field-label' for='input_1_10'><span class='gform-field-label__text'>Subspecialties<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_1_10' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_11\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half medyrah-align-bottom field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"58defdaa\" data-field-span=\"6\"><label id='gfield_label_1_11' class='gfield_label gform-field-label' for='input_1_11'><span class='gform-field-label__text'>Years of experience<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_11' id='input_1_11' type='text' step='any' min='0'  value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_description_1_11\" \/><\/div><div class='gfield_description' id='gfield_description_1_11'>Enter full years of experience, no decimals<\/div><\/div><div id=\"field_1_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"58defdaa\" data-field-span=\"6\"><label id='gfield_label_1_12' class='gfield_label gform-field-label' for='input_1_12'><span class='gform-field-label__text'>Medical school<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_1_12' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_13\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"35bb9f73\" data-field-span=\"12\"><label id='gfield_label_1_13' class='gfield_label gform-field-label' for='input_1_13'><span class='gform-field-label__text'>Degrees and specialist training<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_1_13' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_1_14\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"f3f958cb\" data-field-span=\"6\"><label id='gfield_label_1_14' class='gfield_label gform-field-label' for='input_1_14'><span class='gform-field-label__text'>Licence status<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_1_14' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select an option<\/option><option value='Valid' >Valid<\/option><option value='Pending' >Pending<\/option><option value='Not valid' >Not valid<\/option><option value='I do not have a licence' >I do not have a licence<\/option><\/select><\/div><\/div><div id=\"field_1_15\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"f3f958cb\" data-field-span=\"6\"><label id='gfield_label_1_15' class='gfield_label gform-field-label' for='input_1_15'><span class='gform-field-label__text'>Country and licence number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_1_15' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_16\" class=\"gfield gfield--type-website gfield--input-type-website gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"3ac828ba\" data-field-span=\"12\"><label id='gfield_label_1_16' class='gfield_label gform-field-label' for='input_1_16'><span class='gform-field-label__text'>LinkedIn or professional website<\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_16' id='input_1_16' type='url' value='' class='large'    placeholder='https:\/\/'  aria-invalid=\"false\" \/>\n                <\/div><\/div><div id=\"field_1_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"15bd245e\" data-field-span=\"12\"><label id='gfield_label_1_17' class='gfield_label gform-field-label' for='input_1_17'><span class='gform-field-label__text'>Languages and level<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_1_17' type='text' value='' class='large'  aria-describedby=\"gfield_description_1_17\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_17'>For example: native Spanish, English B2, basic French.<\/div><\/div><div id=\"field_1_18\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"2b57ecde\" data-field-span=\"12\"><label id='gfield_label_1_18' class='gfield_label gform-field-label' for='input_1_18'><span class='gform-field-label__text'>Professional summary<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_18' id='input_1_18' class='textarea large'  aria-describedby=\"gfield_description_1_18\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_1_18'>Summarise your background, experience, and professional interests.<\/div><\/div><div id=\"field_1_19\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"38954c4b\" data-field-span=\"6\"><label id='gfield_label_1_19' class='gfield_label gform-field-label' for='input_1_19'><span class='gform-field-label__text'>Availability<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_1_19' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select an option<\/option><option value='Immediate' >Immediate<\/option><option value='In 1\u20133 months' >In 1\u20133 months<\/option><option value='In 3\u20136 months' >In 3\u20136 months<\/option><option value='Later' >Later<\/option><option value='I only want to explore opportunities' >I only want to explore opportunities<\/option><\/select><\/div><\/div><div id=\"field_1_20\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"38954c4b\" data-field-span=\"6\"><label id='gfield_label_1_20' class='gfield_label gform-field-label' for='input_1_20'><span class='gform-field-label__text'>International mobility<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_20' id='input_1_20' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select an option<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><option value='It depends on the destination and the opportunity' >It depends on the destination and the opportunity<\/option><\/select><\/div><\/div><div id=\"field_1_21\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"312742e6\" data-field-span=\"6\"><label id='gfield_label_1_21' class='gfield_label gform-field-label' for='input_1_21'><span class='gform-field-label__text'>Country of residence<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_1_21' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"312742e6\" data-field-span=\"6\"><label id='gfield_label_1_22' class='gfield_label gform-field-label' for='input_1_22'><span class='gform-field-label__text'>Nationality<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_1_22' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_24\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"ce5048f2\" data-field-span=\"12\"><h3 class=\"gsection_title\">Healthcare professional information<\/h3><\/div><div id=\"field_1_37\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"07dc12f3\" data-field-span=\"12\"><label id='gfield_label_1_37' class='gfield_label gform-field-label' for='input_1_37'><span class='gform-field-label__text'>Professional photo<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='5242880' \/><input name='input_37' id='input_1_37' type='file' class='large' aria-describedby=\"gfield_upload_rules_1_37 gfield_description_1_37\" onchange='javascript:gformValidateFileSize( this, 5242880 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_1_37'>Accepted file types: jpg, jpeg, png, Max. file size: 5 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_1_37'><\/div> <\/div><div class='gfield_description' id='gfield_description_1_37'>Upload a recent, clear photo with a neutral background.<\/div><\/div><div id=\"field_1_25\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"aaba0616\" data-field-span=\"6\"><label id='gfield_label_1_25' class='gfield_label gform-field-label' for='input_1_25'><span class='gform-field-label__text'>Healthcare profession<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_25' id='input_1_25' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select an option<\/option><option value='Nursing' >Nursing<\/option><option value='Physiotherapy' >Physiotherapy<\/option><option value='Pharmacy' >Pharmacy<\/option><option value='Psychology' >Psychology<\/option><option value='Healthcare technician' >Healthcare technician<\/option><option value='Other healthcare profession' >Other healthcare profession<\/option><\/select><\/div><\/div><div id=\"field_1_26\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"aaba0616\" data-field-span=\"6\"><label id='gfield_label_1_26' class='gfield_label gform-field-label' for='input_1_26'><span class='gform-field-label__text'>Specialty or area<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_1_26' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_27\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"8a8882dc\" data-field-span=\"6\"><label id='gfield_label_1_27' class='gfield_label gform-field-label' for='input_1_27'><span class='gform-field-label__text'>Years of experience<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_27' id='input_1_27' type='number' step='any' min='0'  value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_1_27\" \/><div class='gfield_description instruction ' id='gfield_instruction_1_27'>Please enter a number greater than or equal to <strong>0<\/strong>.<\/div><\/div><\/div><div id=\"field_1_32\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"8a8882dc\" data-field-span=\"6\"><label id='gfield_label_1_32' class='gfield_label gform-field-label' for='input_1_32'><span class='gform-field-label__text'>Licence status<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_32' id='input_1_32' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select an option<\/option><option value='Valid' >Valid<\/option><option value='Pending' >Pending<\/option><option value='Not valid' >Not valid<\/option><option value='I do not have registration or a licence' >I do not have registration or a licence<\/option><option value='Not applicable to my profession' >Not applicable to my profession<\/option><\/select><\/div><\/div><div id=\"field_1_28\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"1f7be7d7\" data-field-span=\"6\"><label id='gfield_label_1_28' class='gfield_label gform-field-label' for='input_1_28'><span class='gform-field-label__text'>Country of residence<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_1_28' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_29\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"1f7be7d7\" data-field-span=\"6\"><label id='gfield_label_1_29' class='gfield_label gform-field-label' for='input_1_29'><span class='gform-field-label__text'>Nationality<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_1_29' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_30\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"db386df3\" data-field-span=\"12\"><label id='gfield_label_1_30' class='gfield_label gform-field-label' for='input_1_30'><span class='gform-field-label__text'>Languages and level<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_1_30' type='text' value='' class='large'  aria-describedby=\"gfield_description_1_30\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_30'>For example: native Spanish, English B2, basic French.<\/div><\/div><div id=\"field_1_31\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"e17be41b\" data-field-span=\"12\"><label id='gfield_label_1_31' class='gfield_label gform-field-label' for='input_1_31'><span class='gform-field-label__text'>Education and institution<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_31' id='input_1_31' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_1_34\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"4227110d\" data-field-span=\"12\"><label id='gfield_label_1_34' class='gfield_label gform-field-label' for='input_1_34'><span class='gform-field-label__text'>Professional summary<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_34' id='input_1_34' class='textarea large'  aria-describedby=\"gfield_description_1_34\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_1_34'>Summarise your background, experience, and professional interests.<\/div><\/div><div id=\"field_1_35\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"4de15f55\" data-field-span=\"6\"><label id='gfield_label_1_35' class='gfield_label gform-field-label' for='input_1_35'><span class='gform-field-label__text'>Availability<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_35' id='input_1_35' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select an option<\/option><option value='Immediate' >Immediate<\/option><option value='In 1\u20133 months' >In 1\u20133 months<\/option><option value='In 3\u20136 months' >In 3\u20136 months<\/option><option value='Later' >Later<\/option><option value='I only want to explore opportunities' >I only want to explore opportunities<\/option><\/select><\/div><\/div><div id=\"field_1_36\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"4de15f55\" data-field-span=\"6\"><label id='gfield_label_1_36' class='gfield_label gform-field-label' for='input_1_36'><span class='gform-field-label__text'>International mobility<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_36' id='input_1_36' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select an option<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><option value='It depends on the destination and the opportunity' >It depends on the destination and the opportunity<\/option><\/select><\/div><\/div><div id=\"field_1_40\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"85366a38\" data-field-span=\"12\"><h3 class=\"gsection_title\">Academic information<\/h3><\/div><div id=\"field_1_52\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"484ee901\" data-field-span=\"12\"><label id='gfield_label_1_52' class='gfield_label gform-field-label' for='input_1_52'><span class='gform-field-label__text'>Profile photo<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='5242880' \/><input name='input_52' id='input_1_52' type='file' class='large' aria-describedby=\"gfield_upload_rules_1_52 gfield_description_1_52\" onchange='javascript:gformValidateFileSize( this, 5242880 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_1_52'>Accepted file types: jpg, jpeg, png, Max. file size: 5 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_1_52'><\/div> <\/div><div class='gfield_description' id='gfield_description_1_52'>Upload a recent, clear photo with a neutral background.<\/div><\/div><div id=\"field_1_41\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"0df5d023\" data-field-span=\"6\"><label id='gfield_label_1_41' class='gfield_label gform-field-label' for='input_1_41'><span class='gform-field-label__text'>University or educational institution<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_1_41' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_42\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"0df5d023\" data-field-span=\"6\"><label id='gfield_label_1_42' class='gfield_label gform-field-label' for='input_1_42'><span class='gform-field-label__text'>Programme or degree<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_1_42' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_43\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"0c120710\" data-field-span=\"6\"><label id='gfield_label_1_43' class='gfield_label gform-field-label' for='input_1_43'><span class='gform-field-label__text'>Year of study<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_1_43' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_44\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"0c120710\" data-field-span=\"6\"><legend id='gfield_label_1_44' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Expected graduation date<\/span><\/legend><div id='input_1_44' class='ginput_container ginput_complex gform-grid-row'>\n                                    <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_1_44_2_container'>\n                                        <label for='input_1_44_2' id='input_1_44_2_label' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <input type='number' maxlength='2' name='input_44[]' id='input_1_44_2' value=''   aria-required='false'   aria-labelledby=\"input_1_44_2_label gfield_label_1_44\"  placeholder='DD' min='1' max='31' step='1'\/>\n                                    <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_1_44_1_container'>\n                                    <label for='input_1_44_1' id='input_1_44_1_label' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <input type='number' maxlength='2' name='input_44[]' id='input_1_44_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                               <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_1_44_3_container'>\n                                        <label for='input_1_44_3' id='input_1_44_3_label' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                        <input type='number' maxlength='4' name='input_44[]' id='input_1_44_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                   <\/div>\n                                <\/div><\/fieldset><div id=\"field_1_45\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"d1a46b82\" data-field-span=\"6\"><label id='gfield_label_1_45' class='gfield_label gform-field-label' for='input_1_45'><span class='gform-field-label__text'>Country of residence<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_1_45' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_46\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"d1a46b82\" data-field-span=\"6\"><label id='gfield_label_1_46' class='gfield_label gform-field-label' for='input_1_46'><span class='gform-field-label__text'>Nationality<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_1_46' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_47\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"0348667f\" data-field-span=\"12\"><label id='gfield_label_1_47' class='gfield_label gform-field-label' for='input_1_47'><span class='gform-field-label__text'>Languages and level<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_47' id='input_1_47' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_48\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"cf42e5a3\" data-field-span=\"12\"><label id='gfield_label_1_48' class='gfield_label gform-field-label' for='input_1_48'><span class='gform-field-label__text'>Specialties or areas of interest<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_48' id='input_1_48' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_49\" class=\"gfield gfield--type-multi_choice gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"dbb87460\" data-field-span=\"12\"><legend id='gfield_label_1_49' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Opportunities you are looking for<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_49'>\n\t\t\t<div class='gchoice gchoice_1_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Placements and internships'  id='choice_1_49_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_1_49_0 gfield_label_1_49\"   \/>\n\t\t\t\t\t<label for='choice_1_49_0' id='label_1_49_0' class='gform-field-label gform-field-label--type-inline'>Placements and internships<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Scholarships and grants'  id='choice_1_49_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_1_49_1' id='label_1_49_1' class='gform-field-label gform-field-label--type-inline'>Scholarships and grants<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_49_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Courses and conferences'  id='choice_1_49_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_1_49_2' id='label_1_49_2' class='gform-field-label gform-field-label--type-inline'>Courses and conferences<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_49_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Exchanges and international mobility'  id='choice_1_49_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_1_49_3' id='label_1_49_3' class='gform-field-label gform-field-label--type-inline'>Exchanges and international mobility<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_49_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Healthcare volunteering'  id='choice_1_49_4' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_1_49_4' id='label_1_49_4' class='gform-field-label gform-field-label--type-inline'>Healthcare volunteering<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_49_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Career guidance'  id='choice_1_49_5' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_1_49_5' id='label_1_49_5' class='gform-field-label gform-field-label--type-inline'>Career guidance<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_50\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"258b2e05\" data-field-span=\"12\"><label id='gfield_label_1_50' class='gfield_label gform-field-label' for='input_1_50'><span class='gform-field-label__text'>Career guidance<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_50' id='input_1_50' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_1_7\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"dd554c86\" data-field-span=\"12\"><h3 class=\"gsection_title\">Hospital or clinic information<\/h3><\/div><div id=\"field_1_67\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"c0925de5\" data-field-span=\"12\"><label id='gfield_label_1_67' class='gfield_label gform-field-label' for='input_1_67'><span class='gform-field-label__text'>Hospital or clinic logo<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='5242880' \/><input name='input_67' id='input_1_67' type='file' class='large' aria-describedby=\"gfield_upload_rules_1_67 gfield_description_1_67\" onchange='javascript:gformValidateFileSize( this, 5242880 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_1_67'>Accepted file types: jpg, jpeg, png, Max. file size: 5 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_1_67'><\/div> <\/div><div class='gfield_description' id='gfield_description_1_67'>Upload the facility logo in JPG or PNG format.<\/div><\/div><div id=\"field_1_53\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"7059a760\" data-field-span=\"12\"><label id='gfield_label_1_53' class='gfield_label gform-field-label' for='input_1_53'><span class='gform-field-label__text'>Legal name of the hospital or clinic<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_53' id='input_1_53' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_54\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"17d12cb3\" data-field-span=\"12\"><label id='gfield_label_1_54' class='gfield_label gform-field-label' for='input_1_54'><span class='gform-field-label__text'>Type of facility<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_54' id='input_1_54' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Hospital' >Hospital<\/option><option value='Clinic' >Clinic<\/option><option value='Medical centre' >Medical centre<\/option><option value='Other healthcare facility' >Other healthcare facility<\/option><\/select><\/div><\/div><div id=\"field_1_55\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"ff971587\" data-field-span=\"6\"><label id='gfield_label_1_55' class='gfield_label gform-field-label' for='input_1_55'><span class='gform-field-label__text'>Country<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_1_55' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_56\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"ff971587\" data-field-span=\"6\"><label id='gfield_label_1_56' class='gfield_label gform-field-label' for='input_1_56'><span class='gform-field-label__text'>City<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_1_56' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_57\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"bca74150\" data-field-span=\"12\"><label id='gfield_label_1_57' class='gfield_label gform-field-label' for='input_1_57'><span class='gform-field-label__text'>Facility address<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_1_57' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_58\" class=\"gfield gfield--type-website gfield--input-type-website gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"7feda166\" data-field-span=\"6\"><label id='gfield_label_1_58' class='gfield_label gform-field-label' for='input_1_58'><span class='gform-field-label__text'>Hospital or clinic website<\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_58' id='input_1_58' type='url' value='' class='large'    placeholder='https:\/\/'  aria-invalid=\"false\" \/>\n                <\/div><\/div><div id=\"field_1_59\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"7feda166\" data-field-span=\"6\"><label id='gfield_label_1_59' class='gfield_label gform-field-label' for='input_1_59'><span class='gform-field-label__text'>Contact person\u2019s job title<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_59' id='input_1_59' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_60\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"47934e18\" data-field-span=\"12\"><label id='gfield_label_1_60' class='gfield_label gform-field-label' for='input_1_60'><span class='gform-field-label__text'>Facility specialties and services<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_60' id='input_1_60' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_1_61\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"d8b78153\" data-field-span=\"6\"><label id='gfield_label_1_61' class='gfield_label gform-field-label' for='input_1_61'><span class='gform-field-label__text'>Approximate number of employees<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_61' id='input_1_61' type='number' step='any' min='1'  value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_1_61 gfield_description_1_61\" \/><div class='gfield_description instruction ' id='gfield_instruction_1_61'>Please enter a number greater than or equal to <strong>1<\/strong>.<\/div><\/div><div class='gfield_description' id='gfield_description_1_61'>Enter an approximate figure, no decimals.<\/div><\/div><div id=\"field_1_63\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"d8b78153\" data-field-span=\"6\"><label id='gfield_label_1_63' class='gfield_label gform-field-label' for='input_1_63'><span class='gform-field-label__text'>Working languages<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_1_63' type='text' value='' class='large'  aria-describedby=\"gfield_description_1_63\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_1_63'>For example: Spanish, English, and French.<\/div><\/div><div id=\"field_1_62\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"f8b769c8\" data-field-span=\"12\"><label id='gfield_label_1_62' class='gfield_label gform-field-label' for='input_1_62'><span class='gform-field-label__text'>Facility accreditations and certifications<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_62' id='input_1_62' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_1_64\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"b598fbd2\" data-field-span=\"12\"><label id='gfield_label_1_64' class='gfield_label gform-field-label' for='input_1_64'><span class='gform-field-label__text'>Hospital or clinic overview<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_64' id='input_1_64' class='textarea large'  aria-describedby=\"gfield_description_1_64\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_1_64'>Describe the facility, its activity, and what sets it apart.<\/div><\/div><div id=\"field_1_65\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"872175d2\" data-field-span=\"12\"><label id='gfield_label_1_65' class='gfield_label gform-field-label' for='input_1_65'><span class='gform-field-label__text'>Hiring needs<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_65' id='input_1_65' class='textarea large'  aria-describedby=\"gfield_description_1_65\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_1_65'>Indicate which professionals you are looking for and for what types of roles or collaborations.<\/div><\/div><div id=\"field_1_66\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"751fa480\" data-field-span=\"12\"><label id='gfield_label_1_66' class='gfield_label gform-field-label' for='input_1_66'><span class='gform-field-label__text'>Conditions and benefits offered by the facility<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_66' id='input_1_66' class='textarea large'  aria-describedby=\"gfield_description_1_66\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_1_66'>For example: training, mobility support, accommodation, or professional development, if applicable.<\/div><\/div><div id=\"field_1_68\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"f45eee05\" data-field-span=\"12\"><h3 class=\"gsection_title\">University information<\/h3><\/div><div id=\"field_1_83\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"0e304977\" data-field-span=\"12\"><label id='gfield_label_1_83' class='gfield_label gform-field-label' for='input_1_83'><span class='gform-field-label__text'>University logo<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='5242880' \/><input name='input_83' id='input_1_83' type='file' class='large' aria-describedby=\"gfield_upload_rules_1_83 gfield_description_1_83\" onchange='javascript:gformValidateFileSize( this, 5242880 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_1_83'>Accepted file types: jpg, jpeg, png, Max. file size: 5 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_1_83'><\/div> <\/div><div class='gfield_description' id='gfield_description_1_83'>Upload the institution logo in JPG or PNG format.<\/div><\/div><div id=\"field_1_69\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"43b55704\" data-field-span=\"12\"><label id='gfield_label_1_69' class='gfield_label gform-field-label' for='input_1_69'><span class='gform-field-label__text'>Legal name of the university<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_1_69' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_70\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"5b3edec7\" data-field-span=\"12\"><label id='gfield_label_1_70' class='gfield_label gform-field-label' for='input_1_70'><span class='gform-field-label__text'>Type of institution<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_70' id='input_1_70' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Public university' >Public university<\/option><option value='Private university' >Private university<\/option><option value='Other higher education institution' >Other higher education institution<\/option><\/select><\/div><\/div><div id=\"field_1_71\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"69815082\" data-field-span=\"6\"><label id='gfield_label_1_71' class='gfield_label gform-field-label' for='input_1_71'><span class='gform-field-label__text'>Country<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_1_71' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_72\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"69815082\" data-field-span=\"6\"><label id='gfield_label_1_72' class='gfield_label gform-field-label' for='input_1_72'><span class='gform-field-label__text'>City<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_1_72' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_73\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"1e9131b0\" data-field-span=\"12\"><label id='gfield_label_1_73' class='gfield_label gform-field-label' for='input_1_73'><span class='gform-field-label__text'>Institution address<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_1_73' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_74\" class=\"gfield gfield--type-website gfield--input-type-website gfield--width-half field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"a19db8cb\" data-field-span=\"6\"><label id='gfield_label_1_74' class='gfield_label gform-field-label' for='input_1_74'><span class='gform-field-label__text'>University website<\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_74' id='input_1_74' type='url' value='' class='large'    placeholder='https:\/\/'  aria-invalid=\"false\" \/>\n                <\/div><\/div><div id=\"field_1_75\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"a19db8cb\" data-field-span=\"6\"><label id='gfield_label_1_75' class='gfield_label gform-field-label' for='input_1_75'><span class='gform-field-label__text'>Contact person\u2019s job title<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_75' id='input_1_75' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_76\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"04ea9eed\" data-field-span=\"12\"><label id='gfield_label_1_76' class='gfield_label gform-field-label' for='input_1_76'><span class='gform-field-label__text'>Health Sciences faculties and programmes<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_76' id='input_1_76' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_1_77\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"e6930c3e\" data-field-span=\"12\"><label id='gfield_label_1_77' class='gfield_label gform-field-label' for='input_1_77'><span class='gform-field-label__text'>Accreditations and recognitions<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_77' id='input_1_77' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_1_78\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"cdcbfeae\" data-field-span=\"12\"><label id='gfield_label_1_78' class='gfield_label gform-field-label' for='input_1_78'><span class='gform-field-label__text'>Teaching languages<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_78' id='input_1_78' class='textarea large'  aria-describedby=\"gfield_description_1_78\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_1_78'>For example: Spanish, English, and French.<\/div><\/div><div id=\"field_1_79\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"102710af\" data-field-span=\"12\"><label id='gfield_label_1_79' class='gfield_label gform-field-label' for='input_1_79'><span class='gform-field-label__text'>International agreements and exchanges<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_79' id='input_1_79' class='textarea large'  aria-describedby=\"gfield_description_1_79\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_1_79'>Describe the agreements and mobility programmes offered by the institution.<\/div><\/div><div id=\"field_1_81\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"b4e241aa\" data-field-span=\"12\"><label id='gfield_label_1_81' class='gfield_label gform-field-label' for='input_1_81'><span class='gform-field-label__text'>University overview<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_81' id='input_1_81' class='textarea large'  aria-describedby=\"gfield_description_1_81\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_1_81'>Describe the institution and its activity in Health Sciences.<\/div><\/div><div id=\"field_1_82\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"a6d8f89a\" data-field-span=\"12\"><label id='gfield_label_1_82' class='gfield_label gform-field-label' for='input_1_82'><span class='gform-field-label__text'>Courses, events, and collaboration opportunities<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_82' id='input_1_82' class='textarea large'  aria-describedby=\"gfield_description_1_82\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_1_82'>Indicate the courses, scholarships, placements, conferences, or other opportunities you would like to share.<\/div><\/div><div id=\"field_1_87\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"f16f98ab\" data-field-span=\"12\"><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_1_84\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"17cdb99b\" data-field-span=\"12\"><legend id='gfield_label_1_84' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Privacy policy<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_84.1' id='input_1_84_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_1_84\" aria-labelledby=\"input_1_84_1_label gfield_label_1_84\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_1_84_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_1_84_1' ><span class='gform-field-label__text'>I have read and accept the privacy policy.<\/span><\/label><input type='hidden' name='input_84.2' value='I have read and accept the privacy policy.' class='gform_hidden' \/><input type='hidden' name='input_84.3' value='7' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_1_84'><div class='gfield_consent_description_text gform-theme__no-reset--children' tabindex='0'>See our <a href=\"https:\/\/medyrah.com\/politica-de-privacidad\/\" target=\"_blank\" rel=\"noopener\">privacy policy<\/a> to learn how we process the data in your request.<\/div><\/div><\/fieldset><fieldset id=\"field_1_85\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"13ceff45\" data-field-span=\"12\"><legend id='gfield_label_1_85' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Registration terms<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_85.1' id='input_1_85_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_1_85\" aria-labelledby=\"input_1_85_1_label gfield_label_1_85\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_1_85_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_1_85_1' ><span class='gform-field-label__text'>I have read and accept the registration terms and conditions.<\/span><\/label><input type='hidden' name='input_85.2' value='I have read and accept the registration terms and conditions.' class='gform_hidden' \/><input type='hidden' name='input_85.3' value='7' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_1_85'><div class='gfield_consent_description_text gform-theme__no-reset--children' tabindex='0'>See the <a href=\"<br \/>\nhttps:\/\/medyrah.com\/terminos-registro\/\" target=\"_blank\" rel=\"noopener\">registration terms and conditions<\/a>. Submitting the request does not guarantee approval or automatically create an account.<\/div><\/div><\/fieldset><fieldset id=\"field_1_86\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full field_sublabel_above gfield--has-description field_description_below field_validation_above gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"f5c780d4\" data-field-span=\"12\"><legend id='gfield_label_1_86' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Medyrah updates<\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_86.1' id='input_1_86_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_1_86\" aria-labelledby=\"input_1_86_1_label gfield_label_1_86\"  aria-invalid=\"false\"   \/> <label id='input_1_86_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_1_86_1' ><span class='gform-field-label__text'>I would like to receive Medyrah news and opportunities by email.<\/span><\/label><input type='hidden' name='input_86.2' value='I would like to receive Medyrah news and opportunities by email.' class='gform_hidden' \/><input type='hidden' name='input_86.3' value='7' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_1_86'><div class='gfield_consent_description_text gform-theme__no-reset--children' tabindex='0'>You may withdraw your consent at any time.<\/div><\/div><\/fieldset><div id=\"field_1_88\" class=\"gfield gfield--type-turnstile gfield--input-type-turnstile gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_above gfield_visibility_visible\" data-group-id=\"1ab07103\" data-field-span=\"12\"><div class='ginput_container ginput_container_turnstile'><div class=\"cf-turnstile\" id=\"cf-turnstile_1\" data-js-turnstile data-response-field-name=\"cf-turnstile-response_1\" data-theme=\"auto\" data-size=\"normal\" data-sitekey=\"0x4AAAAAAFuHr6vWxCG6tJHk\"><\/div><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_1' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit request<\/button> <input type='hidden' name='gform_ajax' value='form_id=1&amp;title=&amp;description=&amp;tabindex=0&amp;theme=orbital&amp;styles=[]&amp;hash=1d54df86f7d33b02cb3697532c668b8c' \/><input type='hidden' class='gform_hidden' name='gform_submission_speeds' value='{&quot;pages&quot;:[]}' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_1' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_1' id='gform_theme_1' value='orbital' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_1' id='gform_style_settings_1' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_1' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='1' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='EUR' value='6z5okpf5bzVdSjYYCiZ+v16aU9WvvXB\/ecam\/q\/YdlM3oh1NfDT3ou95j3B4tWMUb5SHtT4FN2YLTUJsJGT0QeGwD14698ieMokflFJRS8fmrkM=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_1' 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