{"id":5373,"date":"2026-03-26T11:38:17","date_gmt":"2026-03-26T10:38:17","guid":{"rendered":"https:\/\/www.datagrandest.fr\/site\/?page_id=5373"},"modified":"2026-03-26T11:39:55","modified_gmt":"2026-03-26T10:39:55","slug":"formulaire-inscription-gp-pcrs","status":"publish","type":"page","link":"https:\/\/www.datagrandest.fr\/site\/formulaire-inscription-gp-pcrs\/","title":{"rendered":"Formulaire d&rsquo;inscription au groupe projet PCRS"},"content":{"rendered":"<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 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data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_12' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Inscription au groupe de travail PCRS<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u00ab\u00a0<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_12'  action='\/site\/wp-json\/wp\/v2\/pages\/5373' data-formid='12' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_12_1\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below 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id='input_12_4_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_12_4_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom<\/label>\n                                                <\/span>\n                            \n                            <span id='input_12_4_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_4.6' id='input_12_4_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_12_4_6' class='gform-field-label gform-field-label--type-sub '>Nom<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_12_5\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below 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  <input name='input_6' id='input_12_6' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_12_7\" 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_12_7'>Fonction<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_12_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_12_9\" 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_12_9'>Organisme \/ Structure<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_12_9' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_12_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Votre territoire de localisation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_10'>\n\t\t\t<div class='gchoice gchoice_12_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Ardennes (08)'  id='choice_12_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_10_0' id='label_12_10_0' class='gform-field-label gform-field-label--type-inline'>Ardennes (08)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Aube (10)'  id='choice_12_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_10_1' id='label_12_10_1' class='gform-field-label gform-field-label--type-inline'>Aube (10)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Marne (51)'  id='choice_12_10_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_10_2' id='label_12_10_2' class='gform-field-label gform-field-label--type-inline'>Marne (51)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_10_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Haute-Marne (52)'  id='choice_12_10_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_10_3' id='label_12_10_3' class='gform-field-label gform-field-label--type-inline'>Haute-Marne (52)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_10_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Meurthe-et-Moselle (54)'  id='choice_12_10_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_10_4' id='label_12_10_4' class='gform-field-label gform-field-label--type-inline'>Meurthe-et-Moselle (54)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_10_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Meuse (55)'  id='choice_12_10_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_10_5' id='label_12_10_5' class='gform-field-label gform-field-label--type-inline'>Meuse (55)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_10_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Moselle (57)'  id='choice_12_10_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_10_6' id='label_12_10_6' class='gform-field-label gform-field-label--type-inline'>Moselle (57)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_10_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Bas-Rhin (67)'  id='choice_12_10_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_10_7' id='label_12_10_7' class='gform-field-label gform-field-label--type-inline'>Bas-Rhin (67)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_10_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Haut-Rhin (68)'  id='choice_12_10_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_10_8' id='label_12_10_8' class='gform-field-label gform-field-label--type-inline'>Haut-Rhin (68)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_10_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Vosges (88)'  id='choice_12_10_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_10_9' id='label_12_10_9' class='gform-field-label gform-field-label--type-inline'>Vosges (88)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_10_10'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='gf_other_choice'  id='choice_12_10_10' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_10_10' id='label_12_10_10' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_12_10_other' class='gchoice_other_control' name='input_10_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_12_13\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">INFORMATION ADDITIONNELLE<\/h3><\/div><fieldset id=\"field_12_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >O\u00f9 en \u00eates-vous de votre projet PCRS ?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_12_15'>\n\t\t\t<div class='gchoice gchoice_12_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Simple veille (curiosit\u00e9)'  id='choice_12_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_15_0' id='label_12_15_0' class='gform-field-label gform-field-label--type-inline'>Simple veille (curiosit\u00e9)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='R\u00e9flexion en cours \/ \u00c9tude de faisabilit\u00e9'  id='choice_12_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_15_1' id='label_12_15_1' class='gform-field-label gform-field-label--type-inline'>R\u00e9flexion en cours \/ \u00c9tude de faisabilit\u00e9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_15_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Projet lanc\u00e9 (en cours de production)'  id='choice_12_15_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_15_2' id='label_12_15_2' class='gform-field-label gform-field-label--type-inline'>Projet lanc\u00e9 (en cours de production)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_12_15_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='PCRS finalis\u00e9 (en phase de mise \u00e0 jour)'  id='choice_12_15_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_12_15_3' id='label_12_15_3' class='gform-field-label gform-field-label--type-inline'>PCRS finalis\u00e9 (en phase de mise \u00e0 jour)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_12_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend 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