leads-cfa-descartes.hub3e.com Open in urlscan Pro
2600:9000:2491:f400:5:65ea:42c0:93a1  Public Scan

URL: https://leads-cfa-descartes.hub3e.com/
Submission: On May 16 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST

<form _ngcontent-ng-c654242055="" novalidate="" method="POST" class="ng-untouched ng-pristine ng-invalid">
  <h2 _ngcontent-ng-c654242055="" id="form-info-candidat-anchor" class="text-center mb-4"> FAISONS CONNAISSANCE </h2>
  <h3 _ngcontent-ng-c654242055="" class="fs-subtitle"> Le symbole <span _ngcontent-ng-c654242055="" class="text-danger">*</span> signifie information obligatoire </h3>
  <div _ngcontent-ng-c654242055="" class="row">
    <div _ngcontent-ng-c654242055="" class="form-group col-md-12"><label _ngcontent-ng-c654242055="" for="civilite-select" class="form-label">Civilité <span _ngcontent-ng-c654242055="" class="text-danger">*</span></label><select
        _ngcontent-ng-c654242055="" formcontrolname="civilite" id="civilite-select" class="form-control ng-untouched ng-pristine ng-invalid">
        <option _ngcontent-ng-c654242055="" value="" disabled="">Sélectionnez votre civilité</option>
        <option _ngcontent-ng-c654242055="" value="H">Monsieur</option>
        <option _ngcontent-ng-c654242055="" value="F">Madame</option>
      </select></div>
  </div>
  <div _ngcontent-ng-c654242055="" class="row mt-3">
    <div _ngcontent-ng-c654242055="" class="form-group col-md-6"><label _ngcontent-ng-c654242055="" for="nom" class="form-label">Nom <span _ngcontent-ng-c654242055="" class="text-danger">*</span></label><input _ngcontent-ng-c654242055="" type="text"
        id="nom" formcontrolname="nom" maxlength="45" class="form-control ng-untouched ng-pristine ng-invalid"></div>
    <div _ngcontent-ng-c654242055="" class="form-group col-md-6"><label _ngcontent-ng-c654242055="" for="prenom" class="form-label">Prénom <span _ngcontent-ng-c654242055="" class="text-danger">*</span></label><input _ngcontent-ng-c654242055=""
        type="text" id="prenom" formcontrolname="prenom" maxlength="45" class="form-control ng-untouched ng-pristine ng-invalid"></div>
  </div>
  <div _ngcontent-ng-c654242055="" class="row mt-3">
    <div _ngcontent-ng-c654242055="" class="form-group col-md-6"><label _ngcontent-ng-c654242055="" for="date-naissance" class="form-label">Date de naissance <span _ngcontent-ng-c654242055="" class="text-danger">*</span></label>
      <div _ngcontent-ng-c654242055="" class="input-group"><input _ngcontent-ng-c654242055="" placeholder="JJ/MM/AAAA" formcontrolname="date_naissance" ngbdatepicker="" id="date-naissance"
          class="form-control ng-untouched ng-pristine ng-invalid"><!----><button _ngcontent-ng-c654242055="" type="button" class="btn btn-outline-secondary calendar bg-white"></button></div>
    </div>
    <div _ngcontent-ng-c654242055="" class="form-group col-md-6"><label _ngcontent-ng-c654242055="" for="portable" class="form-label">Portable <span _ngcontent-ng-c654242055="" class="text-danger">*</span></label><input _ngcontent-ng-c654242055=""
        mask="00.00.00.00.00" type="text" id="portable" formcontrolname="portable" maxlength="23" class="form-control ng-untouched ng-pristine ng-invalid"></div>
  </div>
  <div _ngcontent-ng-c654242055="" class="row mt-3">
    <div _ngcontent-ng-c654242055="" class="form-group col-md-12"><label _ngcontent-ng-c654242055="" for="email" class="form-label">Email <span _ngcontent-ng-c654242055="" class="text-danger">*</span></label><input _ngcontent-ng-c654242055=""
        type="text" id="email" formcontrolname="email" maxlength="255" class="form-control ng-untouched ng-pristine ng-invalid"></div>
    <div _ngcontent-ng-c654242055="" class="form-group col-md-12"><label _ngcontent-ng-c654242055="" for="formations" class="form-label mb-2 mt-3">Quel(s) type(s) de formation(s) recherchez-vous ? <span _ngcontent-ng-c654242055=""
          class="text-danger">*</span></label><ng-select _ngcontent-ng-c654242055="" formcontrolname="formations" id="formations" multiple="true" placeholder="Sélectionnez la ou les formations recherchées"
        class="ng-select-multiple ng-select-searchable ng-select ng-untouched ng-pristine ng-invalid">
        <div class="ng-select-container">
          <div class="ng-value-container">
            <div class="ng-placeholder">Sélectionnez la ou les formations recherchées</div><!----><!---->
            <div role="combobox" aria-haspopup="listbox" class="ng-input" aria-expanded="false"><input aria-autocomplete="list" type="text" autocorrect="off" autocapitalize="off" autocomplete="a8941ce06fc5"></div>
          </div><!----><!----><span class="ng-arrow-wrapper"><span class="ng-arrow"></span></span>
        </div><!---->
      </ng-select></div>
  </div>
  <div _ngcontent-ng-c654242055="" class="row mt-3">
    <div _ngcontent-ng-c654242055="" class="form-group col-md-12"><label _ngcontent-ng-c654242055="" for="secteur" class="form-label">Sélectionnez votre/vos secteur(s) d’activité privilégié(s) <span _ngcontent-ng-c654242055=""
          class="text-danger">*</span></label><ng-select _ngcontent-ng-c654242055="" formcontrolname="secteur" id="secteur" placeholder="Choisir le secteur"
        class="ng-select-searchable ng-select-clearable ng-select ng-select-single ng-untouched ng-pristine ng-invalid">
        <div class="ng-select-container">
          <div class="ng-value-container">
            <div class="ng-placeholder">Choisir le secteur</div><!----><!---->
            <div role="combobox" aria-haspopup="listbox" class="ng-input" aria-expanded="false"><input aria-autocomplete="list" type="text" autocorrect="off" autocapitalize="off" autocomplete="a7c11774ecb9"></div>
          </div><!----><!----><span class="ng-arrow-wrapper"><span class="ng-arrow"></span></span>
        </div><!---->
      </ng-select></div>
  </div>
  <div _ngcontent-ng-c654242055="" class="row mt-3">
    <div _ngcontent-ng-c654242055="" class="form-group col-md-12 col-12 d-flex mt-1">
      <div _ngcontent-ng-c654242055="" class="custom-control form-check"><input _ngcontent-ng-c654242055="" formcontrolname="accepteCommunication" type="checkbox" name="accepteCommunication" id="accepteCommunication" required=""
          class="form-check-input ng-untouched ng-pristine ng-invalid"><label _ngcontent-ng-c654242055="" for="accepteCommunication" class="form-check-label font-custom cursor font-color"> En cochant cette case, acceptez de recevoir des
          communications sur les évènements et les formations de l’ADEFSA (CFA Descartes &amp; Descartes Compétences). <span _ngcontent-ng-c654242055="" class="text-danger">*</span></label></div>
    </div>
    <div _ngcontent-ng-c654242055="" class="text-center"><!----></div><!---->
  </div>
  <div _ngcontent-ng-c654242055="" class="row mt-3">
    <div _ngcontent-ng-c654242055="" class="form-group col-md-12 d-flex justify-content-center"><button _ngcontent-ng-c654242055="" type="submit" class="next action-button"> ENVOYER </button><!----><!----></div>
  </div>
</form>

Text Content

FAISONS CONNAISSANCE


LE SYMBOLE * SIGNIFIE INFORMATION OBLIGATOIRE

Civilité *Sélectionnez votre civilitéMonsieurMadame
Nom *
Prénom *
Date de naissance *

Portable *
Email *
Quel(s) type(s) de formation(s) recherchez-vous ? *
Sélectionnez la ou les formations recherchées

Sélectionnez votre/vos secteur(s) d’activité privilégié(s) *
Choisir le secteur

En cochant cette case, acceptez de recevoir des communications sur les
évènements et les formations de l’ADEFSA (CFA Descartes & Descartes
Compétences). *

ENVOYER
Voir nos conditions RGPD


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