{"id":6283,"date":"2021-07-16T17:36:40","date_gmt":"2021-07-16T21:36:40","guid":{"rendered":"https:\/\/qprn.ca\/?page_id=6283"},"modified":"2024-12-12T13:33:43","modified_gmt":"2024-12-12T18:33:43","slug":"formulaire-dapplication-en","status":"publish","type":"page","link":"https:\/\/qprn.ca\/en\/formulaire-dapplication-en\/","title":{"rendered":"Meeting Travel Award Application"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<p>Complete this form. Information about you, your director, (co-director if applicable) will be requested in the project submission web application.<\/p>\n\n\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_9' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Application form<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_9'  action='\/en\/wp-json\/wp\/v2\/pages\/6283' data-formid='9' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_9' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_9_2\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >I confirm that I am a member in good standing of the Quebec Network of Junior Pain Investigators.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_9_2'><li class='gchoice gchoice_9_2_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.1' type='checkbox'  value='Yes'  id='choice_9_2_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_2_1' id='label_9_2_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_9_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_5'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_9_5' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_9_6\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_9_6'>\n                            \n                            <span id='input_9_6_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_6.3' id='input_9_6_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_9_6_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_9_6_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_6.6' id='input_9_6_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_9_6_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_9_63\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Sex assigned at birth<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_9_63'>\n\t\t\t<li class='gchoice gchoice_9_63_0'>\n\t\t\t\t<input name='input_63' type='radio' value='Female'  id='choice_9_63_0'    \/>\n\t\t\t\t<label for='choice_9_63_0' id='label_9_63_0' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_9_63_1'>\n\t\t\t\t<input name='input_63' type='radio' value='Male'  id='choice_9_63_1'    \/>\n\t\t\t\t<label for='choice_9_63_1' id='label_9_63_1' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_9_63_2'>\n\t\t\t\t<input name='input_63' type='radio' value='I prefer not to answer'  id='choice_9_63_2'    \/>\n\t\t\t\t<label for='choice_9_63_2' id='label_9_63_2' class='gform-field-label gform-field-label--type-inline'>I prefer not to answer<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_9_27\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_27'>Role<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_27[]' id='input_9_27' class='large gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='Highly qualified person' >Highly qualified person<\/option><option value='Health care administrator' >Health care administrator<\/option><option value='Expert patient' >Expert patient<\/option><option value='Policy maker' >Policy maker<\/option><option value='Student' >Student<\/option><option value='Clinician' >Clinician<\/option><option value='Co-investigator' >Co-investigator<\/option><option value='Director' >Director<\/option><option value='Co-director' >Co-director<\/option><\/select><\/div><\/li><li id=\"field_9_28\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_28'>Degree in progress<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_28[]' id='input_9_28' class='large gfield_select'   aria-invalid=\"false\" aria-required=\"true\" aria-describedby=\"gfield_description_9_28\"><option value='Baccalaureate' >Baccalaureate<\/option><option value='Technical degree' >Technical degree<\/option><option value='Master' >Master<\/option><option value='Doctorate' >Doctorate<\/option><option value='Postdoctoral fellow' >Postdoctoral fellow<\/option><option value='MD student' >MD student<\/option><option value='Junior researcher' >Junior researcher<\/option><option value='Mid-career researcher' >Mid-career researcher<\/option><option value='Senior researcher' >Senior researcher<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_9_28'>Diploma that you are preparing<\/div><\/li><li id=\"field_9_57\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_57'>Principal affiliation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_57' id='input_9_57' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Universit\u00e9 Bishop' >Universit\u00e9 Bishop<\/option><option value='Universit\u00e9 Concordia' >Universit\u00e9 Concordia<\/option><option value='\u00c9cole de technologie sup\u00e9rieure' >\u00c9cole de technologie sup\u00e9rieure<\/option><option value='\u00c9cole nationale d\u2019administration publique' >\u00c9cole nationale d\u2019administration publique<\/option><option value='HEC Montr\u00e9al' >HEC Montr\u00e9al<\/option><option value='Institut national de la recherche scientifique' >Institut national de la recherche scientifique<\/option><option value='Universit\u00e9 McGill' >Universit\u00e9 McGill<\/option><option value='Polytechnique Montr\u00e9al' >Polytechnique Montr\u00e9al<\/option><option value='Universit\u00e9 de Montr\u00e9al' >Universit\u00e9 de Montr\u00e9al<\/option><option value='Universit\u00e9 de Sherbrooke' >Universit\u00e9 de Sherbrooke<\/option><option value='Universit\u00e9 du Qu\u00e9bec \u00e0 Chicoutimi (UQAC)' >Universit\u00e9 du Qu\u00e9bec \u00e0 Chicoutimi (UQAC)<\/option><option value='Universit\u00e9 du Qu\u00e9bec \u00e0 Montr\u00e9al (UQAM)' >Universit\u00e9 du Qu\u00e9bec \u00e0 Montr\u00e9al (UQAM)<\/option><option value='Universit\u00e9 du Qu\u00e9bec \u00e0 Rimouski (UQAR)' >Universit\u00e9 du Qu\u00e9bec \u00e0 Rimouski (UQAR)<\/option><option value='Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res (UQTR)' >Universit\u00e9 du Qu\u00e9bec \u00e0 Trois-Rivi\u00e8res (UQTR)<\/option><option value='Universit\u00e9 du Qu\u00e9bec en Abitibi-T\u00e9miscamingue (UQAT)' >Universit\u00e9 du Qu\u00e9bec en Abitibi-T\u00e9miscamingue (UQAT)<\/option><option value='Universit\u00e9 du Qu\u00e9bec en Outaouais (UQO)' >Universit\u00e9 du Qu\u00e9bec en Outaouais (UQO)<\/option><option value='Universit\u00e9 Laval' >Universit\u00e9 Laval<\/option><option value='Universit\u00e9 T\u00c9LUQ' >Universit\u00e9 T\u00c9LUQ<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_9_58\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_58'>Research area<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_58' id='input_9_58' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Anatomy' >Anatomy<\/option><option value='Anaesthesia' >Anaesthesia<\/option><option value='Biochemistry' >Biochemistry<\/option><option value='Cellular biology' >Cellular biology<\/option><option value='Cardiology' >Cardiology<\/option><option value='Chiropractic' >Chiropractic<\/option><option value='Dentistry' >Dentistry<\/option><option value='Dermatology' >Dermatology<\/option><option value='Diet and nutrition' >Diet and nutrition<\/option><option value='Emergency medicine' >Emergency medicine<\/option><option value='Endocrinology' >Endocrinology<\/option><option value='Epidemiology and biostats' >Epidemiology and biostats<\/option><option value='Ergonomics' >Ergonomics<\/option><option value='Family medicine' >Family medicine<\/option><option value='Gastroenterology' >Gastroenterology<\/option><option value='Genetics' >Genetics<\/option><option value='Geriatrics and gerontology' >Geriatrics and gerontology<\/option><option value='Health administration' >Health administration<\/option><option value='Hematology' >Hematology<\/option><option value='Immunology' >Immunology<\/option><option value='Internal medicine' >Internal medicine<\/option><option value='Kinanthropology' >Kinanthropology<\/option><option value='Kinesiology' >Kinesiology<\/option><option value='Microbiology' >Microbiology<\/option><option value='Molecular biology' >Molecular biology<\/option><option value='Nephrology' >Nephrology<\/option><option value='Neuroscience' >Neuroscience<\/option><option value='Nuclear medicine' >Nuclear medicine<\/option><option value='Nursing' >Nursing<\/option><option value='Obstatrics and gynecology' >Obstatrics and gynecology<\/option><option value='Occupational therapy' >Occupational therapy<\/option><option value='Oncology' >Oncology<\/option><option value='Ophtalmology' >Ophtalmology<\/option><option value='Optometry' >Optometry<\/option><option value='Orthopedics' >Orthopedics<\/option><option value='Pathology' >Pathology<\/option><option value='Pediatrics' >Pediatrics<\/option><option value='Peventive and community medicine' >Peventive and community medicine<\/option><option value='Pharmacology' >Pharmacology<\/option><option value='Pharmacy' >Pharmacy<\/option><option value='Physiatry' >Physiatry<\/option><option value='Physical education' >Physical education<\/option><option value='Physiology' >Physiology<\/option><option value='Physiotherapy' >Physiotherapy<\/option><option value='Pneumology' >Pneumology<\/option><option value='Psychiatry' >Psychiatry<\/option><option value='Psychology' >Psychology<\/option><option value='Radiology' >Radiology<\/option><option value='Rheumatology' >Rheumatology<\/option><option value='Speech therapy and audiology' >Speech therapy and audiology<\/option><option value='Surgery' >Surgery<\/option><option value='Urology' >Urology<\/option><option value='Virology' >Virology<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_9_29\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Collaborators<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><style type=\"text\/css\">\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons {\n\t\t\t\t\t\t\tvertical-align: middle !important;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons img {\n\t\t\t\t\t\t\tbackground-color: transparent !important;\n\t\t\t\t\t\t\tbackground-position: 0 0;\n\t\t\t\t\t\t\tbackground-size: 16px 16px !important;\n\t\t\t\t\t\t\tbackground-repeat: no-repeat;\n\t\t\t\t\t\t\tborder: none !important;\n\t\t\t\t\t\t\twidth: 16px !important;\n\t\t\t\t\t\t\theight: 16px !important;\n\t\t\t\t\t\t\topacity: 0.5;\n\t\t\t\t\t\t\ttransition: opacity .5s ease-out;\n\t\t\t\t\t\t    -moz-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -webkit-transition: opacity .5s ease-out;\n\t\t\t\t\t\t    -o-transition: opacity .5s ease-out;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\tbody .ginput_container_list table.gfield_list tbody tr td.gfield_list_icons a:hover img {\n\t\t\t\t\t\t\topacity: 1.0;\n\t\t\t\t\t\t}\n\n\t\t\t\t\t\t<\/style><div class='ginput_container ginput_container_list ginput_list'><table class='gfield_list gfield_list_container'><colgroup><col id='gfield_list_29_col_1' class='gfield_list_col_odd' \/><col id='gfield_list_29_col_2' class='gfield_list_col_even' \/><col id='gfield_list_29_col_3' class='gfield_list_col_odd' \/><col id='gfield_list_29_col_4' class='gfield_list_col_even' \/><col id='gfield_list_29_col_5' class='gfield_list_col_odd' \/><col id='gfield_list_29_col_6' class='gfield_list_col_even' \/><col id='gfield_list_29_col_7' class='gfield_list_col_odd' \/><col id='gfield_list_29_col_8' class='gfield_list_col_even' \/><\/colgroup><thead><tr><th scope=\"col\">First<\/th><th scope=\"col\">Last<\/th><th scope=\"col\">Email<\/th><th scope=\"col\">Role<\/th><th scope=\"col\">Experience<\/th><th scope=\"col\">Afffiliation<\/th><th scope=\"col\">Research area<\/th><td>&nbsp;<\/td><\/tr><\/thead><tbody><tr class='gfield_list_row_odd gfield_list_group'><td class='gfield_list_cell gfield_list_29_cell1' data-label='First'><input aria-invalid='false' aria-required=\"true\"  aria-label='First, Row 1' data-aria-label-template='First, Row {0}' type='text' name='input_29[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_29_cell2' data-label='Last'><input aria-invalid='false' aria-required=\"true\"  aria-label='Last, Row 1' data-aria-label-template='Last, Row {0}' type='text' name='input_29[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_29_cell3' data-label='Email'><input aria-invalid='false' aria-required=\"true\"  aria-label='Email, Row 1' data-aria-label-template='Email, Row {0}' type='text' name='input_29[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_29_cell4' data-label='Role'><input aria-invalid='false' aria-required=\"true\"  aria-label='Role, Row 1' data-aria-label-template='Role, Row {0}' type='text' name='input_29[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_29_cell5' data-label='Experience'><input aria-invalid='false' aria-required=\"true\"  aria-label='Experience, Row 1' data-aria-label-template='Experience, Row {0}' type='text' name='input_29[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_29_cell6' data-label='Afffiliation'><input aria-invalid='false' aria-required=\"true\"  aria-label='Afffiliation, Row 1' data-aria-label-template='Afffiliation, Row {0}' type='text' name='input_29[]' value=''   \/><\/td><td class='gfield_list_cell gfield_list_29_cell7' data-label='Research area'><input aria-invalid='false' aria-required=\"true\"  aria-label='Research area, Row 1' data-aria-label-template='Research area, Row {0}' type='text' name='input_29[]' value=''   \/><\/td><td class='gfield_list_icons'>   <a href='javascript:void(0);' class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 10)' onkeypress='gformAddListItem(this, 10)'><img decoding=\"async\" src=\"https:\/\/qprn.ca\/wp-content\/plugins\/gravityforms\/images\/list-add.svg\" alt=\"\" title=\"Add a new row\"><\/a>   <a href='javascript:void(0);' class='delete_list_item' aria-label='Remove this row' onclick='gformDeleteListItem(this, 10)' onkeypress='gformDeleteListItem(this, 10)' style=\"visibility:hidden;\"><img decoding=\"async\" src=\"https:\/\/qprn.ca\/wp-content\/plugins\/gravityforms\/images\/list-remove.svg\" alt=\"\" title=\"Remove this row\"><\/a><\/td><\/tr><\/tbody><\/table><\/div><\/li><li id=\"field_9_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_11'>Meeting name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_9_11' type='text' value='' class='large'  aria-describedby=\"gfield_description_9_11\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_9_11'>For popularization videos, please indicate &#8220;YouTube&#8221;.<\/div><\/li><li id=\"field_9_13\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_13'>The congress start date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_13' id='input_9_13' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_9_13_date_format gfield_description_9_13\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_9_13_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_9_13' class='gform_hidden' value='https:\/\/qprn.ca\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_9_13'>For popularization videos, please indicate a random date.<\/div><\/li><li id=\"field_9_32\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_32'>The congress end date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_32' id='input_9_32' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_9_32_date_format gfield_description_9_32\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_9_32_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_9_32' class='gform_hidden' value='https:\/\/qprn.ca\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_9_32'>For popularization videos, please indicate a random date.<\/div><\/li><li id=\"field_9_14\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Congress venue<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gform-grid-row' id='input_9_14' >\n                        <span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_9_14_3_container' >\n                                    <input type='text' name='input_14.3' id='input_9_14_3' value=''    aria-required='true'    \/>\n                                    <label for='input_9_14_3' id='input_9_14_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_14.4' id='input_9_14_4' value=''\/><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_9_14_6_container' >\n                                        <select name='input_14.6' id='input_9_14_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' selected='selected'>Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_9_14_6' id='input_9_14_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><div class='gfield_description' id='gfield_description_9_14'>For popularization videos, please indicate the address of your lab.<\/div><\/li><li id=\"field_9_15\" class=\"gfield gfield--type-number gfield--input-type-number gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_15'>Budget requested<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_15' id='input_9_15' type='text' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_9_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_16'>Project&#039;s title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_9_16' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_9_34\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_34'>Project type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_34[]' id='input_9_34' class='large gfield_select'   aria-invalid=\"false\" aria-required=\"true\" ><option value='Clinical research' >Clinical research<\/option><option value='Epidemiology' >Epidemiology<\/option><option value='Preclinical research' >Preclinical research<\/option><option value='Translational research' >Translational research<\/option><option value='Knowledge transfer' >Knowledge transfer<\/option><option value='Technology transfer' >Technology transfer<\/option><\/select><\/div><\/li><li id=\"field_9_18\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_18'>Project start date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_18' id='input_9_18' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_9_18_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_9_18_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_9_18' class='gform_hidden' value='https:\/\/qprn.ca\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_9_35\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_35'>Project end date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_35' id='input_9_35' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_9_35_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_9_35_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_9_35' class='gform_hidden' value='https:\/\/qprn.ca\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_9_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_20'>Presentation type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_9_20' type='text' value='' class='large'  aria-describedby=\"gfield_description_9_20\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_9_20'>Poster, Oral or popularization video.<\/div><\/li><li id=\"field_9_21\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_21'>Director\u2019s name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_9_21' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_9_53\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_53'>Director&#039;s email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_53' id='input_9_53' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_9_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_22'>Authors<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_9_22' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_9_23\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_23'>Abstract<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_23' id='input_9_23' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_9_24\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_24'>Motivation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_24' id='input_9_24' class='textarea large'  aria-describedby=\"gfield_description_9_24\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_9_24'>Please indicate what this congress will bring you, your motivations, the specific presentations you would like to attend and the specific participants you would like to meet (max 400 words).<\/div><\/li><li id=\"field_9_54\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_9_54'>Budget<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_54' id='input_9_54' class='textarea large'  aria-describedby=\"gfield_description_9_54\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_9_54'>Please be very precise in describing each anticipated expense (amount, quantity, taxes, currency, total). Please organize your expenses into categories (transportation, lodging, food, registration, &#8230;) (max 1000 characters)<\/div><\/li><li id=\"field_9_65\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Sans titre<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_9_65'><li class='gchoice gchoice_9_65_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.1' type='checkbox'  value='If I am selected for the Meeting Travel Award competition, I commit to display the logos of the Quebec Pain Research Network (QPRN) and the Quebec Network of Junior Pain Investigators (QNJPI) on my poster or on the acknowledgement page of my oral presentation.'  id='choice_9_65_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_65_1' id='label_9_65_1' class='gform-field-label gform-field-label--type-inline'>If I am selected for the Meeting Travel Award competition, I commit to display the logos of the Quebec Pain Research Network (QPRN) and the Quebec Network of Junior Pain Investigators (QNJPI) on my poster or on the acknowledgement page of my oral presentation.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_9_62\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Privacy policy<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_62.1' 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