framaforms.org Open in urlscan Pro
2a01:4f8:110:5294::2  Public Scan

Submitted URL: http://s.42l.fr/buf
Effective URL: https://framaforms.org/questionnaire-cpge-1598675238
Submission: On September 02 via api from US — Scanned from FR

Form analysis 3 forms found in the DOM

<form class="">
  <div>
    <div id="f-cf-name-wrapper" role="group" class="form-group">
      <div><label id="f-cf-name-wrapper__BV_label_" for="f-cf-name" class="sr-only">Nom, prénom ou pseudo (obligatoire)</label></div>
      <div>
        <div role="group" class="input-group"><!---->
          <div class="input-group-prepend"><i class="fas fa-user fa-lg fa-fw fc-g6"></i></div> <input id="f-cf-name" type="text" placeholder="Nom, prénom ou pseudo" required="required" aria-required="true" class="form-control"><!---->
        </div><!----><!----><!---->
      </div>
    </div>
    <div id="f-cf-email-wrapper" role="group" class="form-group">
      <div><label id="f-cf-email-wrapper__BV_label_" for="f-cf-email" class="sr-only">E-mail (obligatoire)</label></div>
      <div>
        <div role="group" class="input-group"><!---->
          <div class="input-group-prepend"><i class="far fa-envelope fa-lg fa-fw fc-g6"></i></div> <input id="f-cf-email" type="email" placeholder="E-mail" required="required" aria-required="true" class="form-control"><!---->
        </div>
        <p class="alert">Pensez à <strong>vérifier votre adresse email</strong>. Si elle est fausse, nous ne pourrons pas vous répondre !</p><!----><!----><!---->
      </div>
    </div>
  </div>
  <div>
    <div id="f-cf-subject-wrapper" role="group" class="form-group">
      <div><label id="f-cf-subject-wrapper__BV_label_" for="f-cf-subject" class="sr-only">Sujet (obligatoire)</label></div>
      <div>
        <div role="group" class="input-group"><!---->
          <div class="input-group-prepend"><i class="fas fa-question fa-lg fa-fw fc-g6"></i></div> <input id="f-cf-subject" type="text" placeholder="Sujet" required="required" aria-required="true" class="form-control"><!---->
        </div><!----><!----><!---->
      </div>
    </div>
    <div id="f-cf-concerne-wrapper" role="group" class="form-group">
      <div><label id="f-cf-concerne-wrapper__BV_label_" for="f-cf-concerne" class="sr-only">Votre demande concerne (obligatoire)</label></div>
      <div>
        <div role="group" class="input-group"><!---->
          <div class="input-group-prepend"><i class="fas fa-crosshairs fa-lg fa-fw fc-g6"></i></div> <select id="f-cf-concerne" required="required" aria-required="true" class="custom-select">
            <option value="Framaforms">Framaforms</option>
            <option value="">---</option>
            <option value="Annonce d'un événement libre">Annonce d’un événement libre</option>
            <option value="Invitation à un événement">Invitation à un événement</option>
            <option value="Partenariat">Partenariat</option>
            <option value="Contact presse">Contact presse</option>
            <option value="Newsletter">Newsletter</option>
            <option value="Questions sur l'association">Questions sur l’association</option>
            <option value="Prestation / Emploi : réponse ou candidature spontanée">Prestation / Emploi : réponse ou candidature spontanée</option>
          </select><!---->
        </div><!----><!----><!---->
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    </div>
    <div id="f-cf-message-wrapper" role="group" class="form-group">
      <div><label id="f-cf-message-wrapper__BV_label_" for="f-cf-message" class="sr-only">Message (obligatoire)</label></div>
      <div>
        <div role="group" class="input-group"><!---->
          <div class="input-group-prepend"><i class="fas fa-pen fa-lg fa-fw fc-g6"></i></div> <textarea id="f-cf-message" placeholder="Message" required="required" rows="10" wrap="soft" aria-required="true" class="form-control" cols="40"></textarea>
          <p class="alert alert-info" style="display: none;"><strong>Votre message est-il bienveillant ?</strong><br> Framasoft est
            <a target="_blank" href="https://soutenir.framasoft.org">une association à taille humaine vivant exclusivement des dons</a>. Améliorer nos services et vous aider requiert <strong>du temps et de l’énergie bénévole</strong>. Merci d’en
            tenir compte lorsque vous rédigez votre message.</p> <!----> <!----> <!----><!---->
        </div><!----><!----><!---->
      </div>
    </div>
    <div id="f-cf-file-wrapper" role="group" class="form-group">
      <div><label id="f-cf-file-wrapper__BV_label_" for="f-cf-file" class="sr-only">Fichier ou capture écran (facultatif)</label></div>
      <div>
        <div
          title="Une pièce jointe n’est pas obligatoire mais peut être très utile. Voici la liste des extensions autorisées : .gif, .png, .jpg, .jpeg, .svg, .pdf, .txt, .doc, .docx, .pps, .ppt, .pptx, .odt, .odg, .odp, .log, .rtf, .tex, .csv, .xls, .xslx, .vcf, .xml, .gpx, .css, .gz"
          role="group" class="input-group"><!---->
          <div class="input-group-prepend"><i class="fas fa-paperclip fa-lg fa-fw fc-g6"></i></div> <input type="file" id="f-cf-file"
            accept=".gif,.png,.jpg,.jpeg,.svg,.pdf,.txt,.doc,.docx,.pps,.ppt,.pptx,.odt,.odg,.odp,.log,.rtf,.tex,.csv,.xls,.xslx,.vcf,.xml,.gpx,.css,.gz" class="form-control-file"><!---->
        </div><!----><!----><!---->
      </div>
    </div>
  </div> <button type="submit" class="btn btn-outline-warning text-center mb-3 border border-warning btn-block"><span>Envoyer</span></button>
</form>

POST /questionnaire-cpge-1598675238

<form class="webform-client-form webform-client-form-290036 webform-conditional-processed" action="/questionnaire-cpge-1598675238" method="post" id="webform-client-form-290036" accept-charset="UTF-8">
  <div>
    <div class="webform-progressbar">
      <div class="webform-progressbar-outer">
        <div class="webform-progressbar-inner" style="width: 0%">&nbsp;</div>
        <span class="webform-progressbar-page current" style="left: 0%">
          <span class="webform-progressbar-page-number">1</span>
          <span class="webform-progressbar-page-label"> Début </span>
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        <span class="webform-progressbar-page" style="left: 50%">
          <span class="webform-progressbar-page-number">2</span>
          <span class="webform-progressbar-page-label"> Aperçu </span>
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        <span class="webform-progressbar-page" style="left: 100%">
          <span class="webform-progressbar-page-number">3</span>
          <span class="webform-progressbar-page-label"> Terminé </span>
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    <fieldset class="webform-component-fieldset webform-component--new-1598508175461 form-wrapper">
      <legend><span class="fieldset-legend">Informations personnelles</span></legend>
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        <div class="form-item webform-component webform-component-textfield webform-component--new-1598508175461--new-1598436494220">
          <label for="edit-submitted-new-1598508175461-new-1598436494220">NOM <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598508175461-new-1598436494220" name="submitted[new_1598508175461][new_1598436494220]" value="" size="60" maxlength="128" class="form-text required">
          <div class="description">en MAJUSCULES — ex : DURAND</div>
        </div>
        <div class="form-item webform-component webform-component-textfield webform-component--new-1598508175461--new-1598436537806">
          <label for="edit-submitted-new-1598508175461-new-1598436537806">Prénom <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598508175461-new-1598436537806" name="submitted[new_1598508175461][new_1598436537806]" value="" size="60" maxlength="128" class="form-text required">
          <div class="description">en Mijuscules — ex : Jean-Paul</div>
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        <div class="form-item webform-component webform-component-radios webform-component--new-1598508175461--new-1598603108387">
          <label for="edit-submitted-new-1598508175461-new-1598603108387">Genre <span class="form-required" title="Ce champ est requis.">*</span></label>
          <div id="edit-submitted-new-1598508175461-new-1598603108387" class="form-radios">
            <div class="form-item form-type-radio form-item-submitted-new-1598508175461-new-1598603108387">
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                for="edit-submitted-new-1598508175461-new-1598603108387-1">Féminin </label>
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            <div class="form-item form-type-radio form-item-submitted-new-1598508175461-new-1598603108387">
              <input required="required" type="radio" id="edit-submitted-new-1598508175461-new-1598603108387-2" name="submitted[new_1598508175461][new_1598603108387]" value="2" class="form-radio"> <label class="option"
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        <div class="form-item webform-component webform-component-date webform-component--new-1598508175461--new-1598436633744">
          <label>Date de naissance <span class="form-required" title="Ce champ est requis.">*</span></label>
          <div class="webform-container-inline webform-datepicker">
            <div class="form-item form-type-select form-item-submitted-new-1598508175461-new-1598436633744-day">
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                <option value="1">1</option>
                <option value="2">2</option>
                <option value="3">3</option>
                <option value="4">4</option>
                <option value="5">5</option>
                <option value="6">6</option>
                <option value="7">7</option>
                <option value="8">8</option>
                <option value="9">9</option>
                <option value="10">10</option>
                <option value="11">11</option>
                <option value="12">12</option>
                <option value="13">13</option>
                <option value="14">14</option>
                <option value="15">15</option>
                <option value="16">16</option>
                <option value="17">17</option>
                <option value="18">18</option>
                <option value="19">19</option>
                <option value="20">20</option>
                <option value="21">21</option>
                <option value="22">22</option>
                <option value="23">23</option>
                <option value="24">24</option>
                <option value="25">25</option>
                <option value="26">26</option>
                <option value="27">27</option>
                <option value="28">28</option>
                <option value="29">29</option>
                <option value="30">30</option>
                <option value="31">31</option>
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                <option value="" selected="selected">Mois</option>
                <option value="1">jan</option>
                <option value="2">fév</option>
                <option value="3">mar</option>
                <option value="4">avr</option>
                <option value="5">mai</option>
                <option value="6">juin</option>
                <option value="7">juil</option>
                <option value="8">aoû</option>
                <option value="9">sep</option>
                <option value="10">oct</option>
                <option value="11">nov</option>
                <option value="12">déc</option>
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            <div class="form-item form-type-select form-item-submitted-new-1598508175461-new-1598436633744-year">
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              <select class="year form-select" required="required" id="edit-submitted-new-1598508175461-new-1598436633744-year" name="submitted[new_1598508175461][new_1598436633744][year]">
                <option value="" selected="selected">Année</option>
                <option value="1999">1999</option>
                <option value="2000">2000</option>
                <option value="2001">2001</option>
                <option value="2002">2002</option>
                <option value="2003">2003</option>
                <option value="2004">2004</option>
                <option value="2005">2005</option>
                <option value="2006">2006</option>
                <option value="2007">2007</option>
                <option value="2008">2008</option>
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            <input type="image" aria-hidden="true" role="presentation" src="/sites/all/modules/webform/images/calendar.png"
              class="webform-calendar webform-calendar-start-1999-09-02 webform-calendar-end-2008-09-02 webform-calendar-day-0 hasDatepicker" alt="Ouvrir la popup de calendrier" title="Ouvrir la popup de calendrier" id="dp1725313108336">
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        <div class="form-item webform-component webform-component-radios webform-component--new-1598508175461--new-1625927004059">
          <label for="edit-submitted-new-1598508175461-new-1625927004059">Nationalité <span class="form-required" title="Ce champ est requis.">*</span></label>
          <div id="edit-submitted-new-1598508175461-new-1625927004059" class="form-radios">
            <div class="form-item form-type-radio form-item-submitted-new-1598508175461-new-1625927004059">
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                for="edit-submitted-new-1598508175461-new-1625927004059-1">Française </label>
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            <div class="form-item form-type-radio form-item-submitted-new-1598508175461-new-1625927004059">
              <input required="required" type="radio" id="edit-submitted-new-1598508175461-new-1625927004059-2" name="submitted[new_1598508175461][new_1625927004059]" value="2" class="form-radio"> <label class="option"
                for="edit-submitted-new-1598508175461-new-1625927004059-2">Autre </label>
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          </div>
        </div>
        <div class="form-item webform-component webform-component-textfield webform-component--new-1598508175461--new-1625927061370 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598508175461-new-1625927061370">Précisez Nationalité <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598508175461-new-1625927061370" name="submitted[new_1598508175461][new_1625927061370]" value="" size="60" maxlength="128" class="form-text required webform-conditional-disabled"
            disabled="">
        </div>
        <div class="form-item webform-component webform-component-textarea webform-component--new-1598508175461--new-1598675368961">
          <label for="edit-submitted-new-1598508175461-new-1598675368961">Loisirs (précisez la durée hebdomadaire) </label>
          <div class="form-textarea-wrapper resizable textarea-processed resizable-textarea"><textarea id="edit-submitted-new-1598508175461-new-1598675368961" name="submitted[new_1598508175461][new_1598675368961]" cols="60" rows="2"
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            <div class="grippie"></div>
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        <div class="form-item webform-component webform-component-radios webform-component--new-1598508175461--new-1598604011879">
          <label for="edit-submitted-new-1598508175461-new-1598604011879">Boursier <span class="form-required" title="Ce champ est requis.">*</span></label>
          <div id="edit-submitted-new-1598508175461-new-1598604011879" class="form-radios">
            <div class="form-item form-type-radio form-item-submitted-new-1598508175461-new-1598604011879">
              <input required="required" type="radio" id="edit-submitted-new-1598508175461-new-1598604011879-1" name="submitted[new_1598508175461][new_1598604011879]" value="1" class="form-radio"> <label class="option"
                for="edit-submitted-new-1598508175461-new-1598604011879-1">OUI </label>
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            <div class="form-item form-type-radio form-item-submitted-new-1598508175461-new-1598604011879">
              <input required="required" type="radio" id="edit-submitted-new-1598508175461-new-1598604011879-2" name="submitted[new_1598508175461][new_1598604011879]" value="NON" class="form-radio"> <label class="option"
                for="edit-submitted-new-1598508175461-new-1598604011879-2">NON </label>
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          </div>
        </div>
        <div class="form-item webform-component webform-component-textfield webform-component--new-1598508175461--new-1598439006428">
          <label for="edit-submitted-new-1598508175461-new-1598439006428">Profession du père <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598508175461-new-1598439006428" name="submitted[new_1598508175461][new_1598439006428]" value="" size="60" maxlength="128" class="form-text required">
        </div>
        <div class="form-item webform-component webform-component-textfield webform-component--new-1598508175461--new-1598439075469">
          <label for="edit-submitted-new-1598508175461-new-1598439075469">Profession de la mère <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598508175461-new-1598439075469" name="submitted[new_1598508175461][new_1598439075469]" value="" size="60" maxlength="128" class="form-text required">
        </div>
        <div class="form-item webform-component webform-component-number webform-component--new-1598508175461--new-1630516064917">
          <label for="edit-submitted-new-1598508175461-new-1630516064917">Nombre de frères et sœurs <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598508175461-new-1630516064917" name="submitted[new_1598508175461][new_1630516064917]" min="0" step="1" class="form-text form-number required">
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        <div class="form-item webform-component webform-component-select webform-component--new-1598508175461--new-1598439118832">
          <label for="edit-submitted-new-1598508175461-new-1598439118832">Temps de trajet <span class="form-required" title="Ce champ est requis.">*</span></label>
          <select required="required" id="edit-submitted-new-1598508175461-new-1598439118832" name="submitted[new_1598508175461][new_1598439118832]" class="form-select required">
            <option value="" selected="selected">- Sélectionner -</option>
            <option value="1">0-30 mn</option>
            <option value="2">30-60 mn</option>
            <option value="3">&gt; 60 mn</option>
          </select>
        </div>
        <div class="form-item webform-component webform-component-select webform-component--new-1598508175461--new-1598603267333">
          <label for="edit-submitted-new-1598508175461-new-1598603267333">Hébergement <span class="form-required" title="Ce champ est requis.">*</span></label>
          <select required="required" id="edit-submitted-new-1598508175461-new-1598603267333" name="submitted[new_1598508175461][new_1598603267333]" class="form-select required">
            <option value="" selected="selected">- Sélectionner -</option>
            <option value="1">Domicile des parents</option>
            <option value="2">Internat Jean ZAY</option>
            <option value="3">Logement étudiant CROUS</option>
            <option value="Logement étudiant privé">Logement étudiant privé</option>
            <option value="Chambre en ville">Chambre en ville</option>
            <option value="Appartement personnel">Appartement personnel</option>
            <option value="Colocation">Colocation</option>
            <option value="Autre">Autre</option>
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        <div class="form-item webform-component webform-component-textfield webform-component--new-1598508175461--new-1598641918415 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598508175461-new-1598641918415">Précisez Hébergement <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598508175461-new-1598641918415" name="submitted[new_1598508175461][new_1598641918415]" value="" size="60" maxlength="128" class="form-text required webform-conditional-disabled"
            disabled="">
        </div>
        <div class="form-item webform-component webform-component-checkboxes webform-component--new-1598508175461--new-1693655643406 webform-container-inline">
          <label for="edit-submitted-new-1598508175461-new-1693655643406">Êtes-vous allergique au latex ? </label>
          <div id="edit-submitted-new-1598508175461-new-1693655643406" class="form-checkboxes">
            <div class="form-item form-type-checkbox form-item-submitted-new-1598508175461-new-1693655643406-1">
              <input type="checkbox" id="edit-submitted-new-1598508175461-new-1693655643406-1" name="submitted[new_1598508175461][new_1693655643406][1]" value="1" class="form-checkbox"> <label class="option"
                for="edit-submitted-new-1598508175461-new-1693655643406-1">oui </label>
            </div>
          </div>
          <div class="description">pour savoir s'il faut prévoir des gants particuliers en TP de chimie</div>
        </div>
      </div>
    </fieldset>
    <fieldset class="webform-component-fieldset webform-component--new-1598507721100 form-wrapper">
      <legend><span class="fieldset-legend">Coordonnées personnelles</span></legend>
      <div class="fieldset-wrapper">
        <fieldset class="webform-component-fieldset webform-component--new-1598507721100--new-1598457693653 form-wrapper">
          <div class="fieldset-wrapper">
            <div class="form-item webform-component webform-component-textfield webform-component--new-1598507721100--new-1598457693653--new-1598457736247">
              <label for="edit-submitted-new-1598507721100-new-1598457693653-new-1598457736247">Numéro et voie <span class="form-required" title="Ce champ est requis.">*</span></label>
              <input required="required" type="text" id="edit-submitted-new-1598507721100-new-1598457693653-new-1598457736247" name="submitted[new_1598507721100][new_1598457693653][new_1598457736247]" value="" size="60" maxlength="128"
                class="form-text required">
            </div>
            <div class="form-item webform-component webform-component-number webform-component--new-1598507721100--new-1598457693653--new-1598457814856">
              <label for="edit-submitted-new-1598507721100-new-1598457693653-new-1598457814856">Code postal <span class="form-required" title="Ce champ est requis.">*</span></label>
              <input required="required" type="text" id="edit-submitted-new-1598507721100-new-1598457693653-new-1598457814856" name="submitted[new_1598507721100][new_1598457693653][new_1598457814856]" size="6" min="01000" max="99999" step="1"
                class="form-text form-number required">
            </div>
            <div class="form-item webform-component webform-component-textfield webform-component--new-1598507721100--new-1598457693653--new-1598457790897">
              <label for="edit-submitted-new-1598507721100-new-1598457693653-new-1598457790897">Ville <span class="form-required" title="Ce champ est requis.">*</span></label>
              <input required="required" type="text" id="edit-submitted-new-1598507721100-new-1598457693653-new-1598457790897" name="submitted[new_1598507721100][new_1598457693653][new_1598457790897]" value="" size="60" maxlength="128"
                class="form-text required">
            </div>
          </div>
        </fieldset>
        <div class="form-item webform-component webform-component-number webform-component--new-1598507721100--new-1598437453413">
          <label for="edit-submitted-new-1598507721100-new-1598437453413">Téléphone portable <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598507721100-new-1598437453413" name="submitted[new_1598507721100][new_1598437453413]" size="11" min="0600000000" max="0799999999" step="1"
            class="form-text form-number required">
          <div class="description">sans espace — ex : 0612345678</div>
        </div>
        <div class="form-item webform-component webform-component-email webform-component--new-1598507721100--new-1598441404666">
          <label for="edit-submitted-new-1598507721100-new-1598441404666">Courriel <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" class="email form-text form-email required" type="email" id="edit-submitted-new-1598507721100-new-1598441404666" name="submitted[new_1598507721100][new_1598441404666]" size="60">
          <div class="description">ex : j-paul.durand@gmail.com</div>
        </div>
      </div>
    </fieldset>
    <fieldset class="webform-component-fieldset webform-component--new-1598676875104 form-wrapper">
      <legend><span class="fieldset-legend">Équipement informatique / Internet</span></legend>
      <div class="fieldset-wrapper">
        <div class="form-item webform-component webform-component-radios webform-component--new-1598676875104--new-1598676949484">
          <label for="edit-submitted-new-1598676875104-new-1598676949484">Avez-vous un ordinateur ? <span class="form-required" title="Ce champ est requis.">*</span></label>
          <div id="edit-submitted-new-1598676875104-new-1598676949484" class="form-radios">
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598676949484">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598676949484-1" name="submitted[new_1598676875104][new_1598676949484]" value="1" class="form-radio"> <label class="option"
                for="edit-submitted-new-1598676875104-new-1598676949484-1">OUI à usage exclusif </label>
            </div>
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598676949484">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598676949484-2" name="submitted[new_1598676875104][new_1598676949484]" value="2" class="form-radio"> <label class="option"
                for="edit-submitted-new-1598676875104-new-1598676949484-2">OUI à usage partagé </label>
            </div>
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598676949484">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598676949484-3" name="submitted[new_1598676875104][new_1598676949484]" value="3" class="form-radio"> <label class="option"
                for="edit-submitted-new-1598676875104-new-1598676949484-3">NON </label>
            </div>
          </div>
        </div>
        <div class="form-item webform-component webform-component-radios webform-component--new-1598676875104--new-1598677112733 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598676875104-new-1598677112733">Cet ordinateur dispose-t-il d'une webcam, d'un micro et de haut-parleurs ou casque ? <span class="form-required" title="Ce champ est requis.">*</span></label>
          <div id="edit-submitted-new-1598676875104-new-1598677112733" class="form-radios">
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598677112733">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598677112733-1" name="submitted[new_1598676875104][new_1598677112733]" value="1" class="form-radio webform-conditional-disabled" disabled=""> <label
                class="option" for="edit-submitted-new-1598676875104-new-1598677112733-1">OUI </label>
            </div>
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598677112733">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598677112733-2" name="submitted[new_1598676875104][new_1598677112733]" value="2" class="form-radio webform-conditional-disabled" disabled=""> <label
                class="option" for="edit-submitted-new-1598676875104-new-1598677112733-2">NON </label>
            </div>
          </div>
        </div>
        <div class="form-item webform-component webform-component-radios webform-component--new-1598676875104--new-1598677364922">
          <label for="edit-submitted-new-1598676875104-new-1598677364922">Avez-vous un accès internet ? <span class="form-required" title="Ce champ est requis.">*</span></label>
          <div id="edit-submitted-new-1598676875104-new-1598677364922" class="form-radios">
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598677364922">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598677364922-1" name="submitted[new_1598676875104][new_1598677364922]" value="1" class="form-radio"> <label class="option"
                for="edit-submitted-new-1598676875104-new-1598677364922-1">Sur un téléphone </label>
            </div>
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598677364922">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598677364922-2" name="submitted[new_1598676875104][new_1598677364922]" value="2" class="form-radio"> <label class="option"
                for="edit-submitted-new-1598676875104-new-1598677364922-2">Sur un ordinateur </label>
            </div>
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598677364922">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598677364922-3" name="submitted[new_1598676875104][new_1598677364922]" value="Les deux" class="form-radio"> <label class="option"
                for="edit-submitted-new-1598676875104-new-1598677364922-3">Les deux </label>
            </div>
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598677364922">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598677364922-4" name="submitted[new_1598676875104][new_1598677364922]" value="Aucun" class="form-radio"> <label class="option"
                for="edit-submitted-new-1598676875104-new-1598677364922-4">Aucun </label>
            </div>
          </div>
        </div>
        <div class="form-item webform-component webform-component-radios webform-component--new-1598676875104--new-1598701633682 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598676875104-new-1598701633682">Qualité de votre connexion <span class="form-required" title="Ce champ est requis.">*</span></label>
          <div id="edit-submitted-new-1598676875104-new-1598701633682" class="form-radios">
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598701633682">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598701633682-1" name="submitted[new_1598676875104][new_1598701633682]" value="1" class="form-radio webform-conditional-disabled" disabled=""> <label
                class="option" for="edit-submitted-new-1598676875104-new-1598701633682-1">bonne </label>
            </div>
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598701633682">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598701633682-2" name="submitted[new_1598676875104][new_1598701633682]" value="2" class="form-radio webform-conditional-disabled" disabled=""> <label
                class="option" for="edit-submitted-new-1598676875104-new-1598701633682-2">moyenne </label>
            </div>
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598701633682">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598701633682-3" name="submitted[new_1598676875104][new_1598701633682]" value="3" class="form-radio webform-conditional-disabled" disabled=""> <label
                class="option" for="edit-submitted-new-1598676875104-new-1598701633682-3">médiocre </label>
            </div>
          </div>
        </div>
        <div class="form-item webform-component webform-component-radios webform-component--new-1598676875104--new-1598677549383">
          <label for="edit-submitted-new-1598676875104-new-1598677549383">Pouvez-vous imprimer chez vous ? <span class="form-required" title="Ce champ est requis.">*</span></label>
          <div id="edit-submitted-new-1598676875104-new-1598677549383" class="form-radios">
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598677549383">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598677549383-1" name="submitted[new_1598676875104][new_1598677549383]" value="1" class="form-radio"> <label class="option"
                for="edit-submitted-new-1598676875104-new-1598677549383-1">OUI en couleurs </label>
            </div>
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598677549383">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598677549383-2" name="submitted[new_1598676875104][new_1598677549383]" value="2" class="form-radio"> <label class="option"
                for="edit-submitted-new-1598676875104-new-1598677549383-2">OUI en noir et blanc </label>
            </div>
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598677549383">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598677549383-3" name="submitted[new_1598676875104][new_1598677549383]" value="3" class="form-radio"> <label class="option"
                for="edit-submitted-new-1598676875104-new-1598677549383-3">NON </label>
            </div>
          </div>
        </div>
        <div class="form-item webform-component webform-component-radios webform-component--new-1598676875104--new-1598677699421">
          <label for="edit-submitted-new-1598676875104-new-1598677699421">Vous consultez vos courriels <span class="form-required" title="Ce champ est requis.">*</span></label>
          <div id="edit-submitted-new-1598676875104-new-1598677699421" class="form-radios">
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598677699421">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598677699421-1" name="submitted[new_1598676875104][new_1598677699421]" value="1" class="form-radio"> <label class="option"
                for="edit-submitted-new-1598676875104-new-1598677699421-1">Tous les jours </label>
            </div>
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598677699421">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598677699421-2" name="submitted[new_1598676875104][new_1598677699421]" value="Plusieurs fois par semaine" class="form-radio"> <label class="option"
                for="edit-submitted-new-1598676875104-new-1598677699421-2">Au moins une fois par semaine </label>
            </div>
            <div class="form-item form-type-radio form-item-submitted-new-1598676875104-new-1598677699421">
              <input required="required" type="radio" id="edit-submitted-new-1598676875104-new-1598677699421-3" name="submitted[new_1598676875104][new_1598677699421]" value="2" class="form-radio"> <label class="option"
                for="edit-submitted-new-1598676875104-new-1598677699421-3">Moins souvent </label>
            </div>
          </div>
        </div>
      </div>
    </fieldset>
    <fieldset class="webform-component-fieldset webform-component--new-1598457929483 form-wrapper">
      <legend><span class="fieldset-legend">Bac</span></legend>
      <div class="fieldset-wrapper">
        <div class="form-item webform-component webform-component-textfield webform-component--new-1598457929483--new-1598442706759">
          <label for="edit-submitted-new-1598457929483-new-1598442706759">Lycée <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598457929483-new-1598442706759" name="submitted[new_1598457929483][new_1598442706759]" value="" size="60" maxlength="128" class="form-text required">
          <div class="description">Lycée - Ville - Département ou pays — ex : Buffon - Paris - 75</div>
        </div>
        <div class="form-item webform-component webform-component-select webform-component--new-1598457929483--new-1598504178639 webform-container-inline">
          <label for="edit-submitted-new-1598457929483-new-1598504178639">Année d'obtention <span class="form-required" title="Ce champ est requis.">*</span></label>
          <select required="required" id="edit-submitted-new-1598457929483-new-1598504178639" name="submitted[new_1598457929483][new_1598504178639]" class="form-select required">
            <option value="" selected="selected">- Sélectionner -</option>
            <option value="1">2024</option>
            <option value="2">2023</option>
            <option value="3">2022</option>
            <option value="4">2021</option>
            <option value="5">2020</option>
          </select>
        </div>
        <div class="form-item webform-component webform-component-select webform-component--new-1598457929483--new-1598438002214 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598457929483-new-1598438002214">Filière et spécialité <span class="form-required" title="Ce champ est requis.">*</span></label>
          <select required="required" id="edit-submitted-new-1598457929483-new-1598438002214" name="submitted[new_1598457929483][new_1598438002214]" class="form-select required webform-conditional-disabled" disabled="">
            <option value="" selected="selected">- Sélectionner -</option>
            <option value="1">S-SVT – Maths</option>
            <option value="2">S-SVT – Physique</option>
            <option value="3">S-SVT – SVT</option>
            <option value="S-SVT-ISN">S-SVT – ISN</option>
            <option value="S-SI">S-SI</option>
            <option value="S-SI-Maths">S-SI – Maths</option>
            <option value="S-SI-Physique">S-SI – Physique</option>
            <option value="S-SI-ISN">S-SI – ISN</option>
            <option value="Bac étranger">Bac étranger</option>
          </select>
        </div>
        <div class="form-item webform-component webform-component-checkboxes webform-component--new-1598457929483--new-1625911422527 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598457929483-new-1625911422527">Spécialités en Terminale <span class="form-required" title="Ce champ est requis.">*</span></label>
          <div id="edit-submitted-new-1598457929483-new-1625911422527" class="form-checkboxes">
            <div class="form-item form-type-checkbox form-item-submitted-new-1598457929483-new-1625911422527-1">
              <input type="checkbox" id="edit-submitted-new-1598457929483-new-1625911422527-1" name="submitted[new_1598457929483][new_1625911422527][1]" value="1" class="form-checkbox webform-conditional-disabled" disabled=""> <label class="option"
                for="edit-submitted-new-1598457929483-new-1625911422527-1">Mathématiques </label>
            </div>
            <div class="form-item form-type-checkbox form-item-submitted-new-1598457929483-new-1625911422527-2">
              <input type="checkbox" id="edit-submitted-new-1598457929483-new-1625911422527-2" name="submitted[new_1598457929483][new_1625911422527][2]" value="2" class="form-checkbox webform-conditional-disabled" disabled=""> <label class="option"
                for="edit-submitted-new-1598457929483-new-1625911422527-2">Physique-chimie </label>
            </div>
            <div class="form-item form-type-checkbox form-item-submitted-new-1598457929483-new-1625911422527-3">
              <input type="checkbox" id="edit-submitted-new-1598457929483-new-1625911422527-3" name="submitted[new_1598457929483][new_1625911422527][3]" value="3" class="form-checkbox webform-conditional-disabled" disabled=""> <label class="option"
                for="edit-submitted-new-1598457929483-new-1625911422527-3">Numérique et sciences informatiques </label>
            </div>
            <div class="form-item form-type-checkbox form-item-submitted-new-1598457929483-new-1625911422527-4">
              <input type="checkbox" id="edit-submitted-new-1598457929483-new-1625911422527-4" name="submitted[new_1598457929483][new_1625911422527][4]" value="4" class="form-checkbox webform-conditional-disabled" disabled=""> <label class="option"
                for="edit-submitted-new-1598457929483-new-1625911422527-4">Sciences de l’ingénieur </label>
            </div>
            <div class="form-item form-type-checkbox form-item-submitted-new-1598457929483-new-1625911422527-Autre">
              <input type="checkbox" id="edit-submitted-new-1598457929483-new-1625911422527-5" name="submitted[new_1598457929483][new_1625911422527][Autre]" value="Autre" class="form-checkbox webform-conditional-disabled" disabled=""> <label
                class="option" for="edit-submitted-new-1598457929483-new-1625911422527-5">Autre </label>
            </div>
          </div>
        </div>
        <div class="form-item webform-component webform-component-textfield webform-component--new-1598457929483--new-1625911677509 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598457929483-new-1625911677509">Précisez Spécialité Autre <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598457929483-new-1625911677509" name="submitted[new_1598457929483][new_1625911677509]" value="" size="60" maxlength="128" class="form-text required webform-conditional-disabled"
            disabled="">
        </div>
        <div class="form-item webform-component webform-component-number webform-component--new-1598457929483--new-1693585435044 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598457929483-new-1693585435044">Note au bac en spécialité Mathématiques <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598457929483-new-1693585435044" name="submitted[new_1598457929483][new_1693585435044]" size="3" min="0" max="20" step="1"
            class="form-text form-number required webform-conditional-disabled" disabled="">
        </div>
        <div class="form-item webform-component webform-component-number webform-component--new-1598457929483--new-1693585577997 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598457929483-new-1693585577997">Note au bac en spécialité Physique-chimie <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598457929483-new-1693585577997" name="submitted[new_1598457929483][new_1693585577997]" size="3" min="0" max="20" step="1"
            class="form-text form-number required webform-conditional-disabled" disabled="">
        </div>
        <div class="form-item webform-component webform-component-number webform-component--new-1598457929483--new-1693585626906 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598457929483-new-1693585626906">Note au bac en spécialité NSI <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598457929483-new-1693585626906" name="submitted[new_1598457929483][new_1693585626906]" size="3" min="0" max="20" step="1"
            class="form-text form-number required webform-conditional-disabled" disabled="">
        </div>
        <div class="form-item webform-component webform-component-number webform-component--new-1598457929483--new-1693585625349 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598457929483-new-1693585625349">Note au bac en spécialité SI <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598457929483-new-1693585625349" name="submitted[new_1598457929483][new_1693585625349]" size="3" min="0" max="20" step="1"
            class="form-text form-number required webform-conditional-disabled" disabled="">
        </div>
        <div class="form-item webform-component webform-component-number webform-component--new-1598457929483--new-1693586197605 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598457929483-new-1693586197605">Note au bac en spécialité Autre <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598457929483-new-1693586197605" name="submitted[new_1598457929483][new_1693586197605]" size="3" min="0" max="20" step="1"
            class="form-text form-number required webform-conditional-disabled" disabled="">
        </div>
        <div class="form-item webform-component webform-component-checkboxes webform-component--new-1598457929483--new-1625912555716 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598457929483-new-1625912555716">Option Maths expertes </label>
          <div id="edit-submitted-new-1598457929483-new-1625912555716" class="form-checkboxes">
            <div class="form-item form-type-checkbox form-item-submitted-new-1598457929483-new-1625912555716-1">
              <input type="checkbox" id="edit-submitted-new-1598457929483-new-1625912555716-1" name="submitted[new_1598457929483][new_1625912555716][1]" value="1" class="form-checkbox webform-conditional-disabled" disabled=""> <label class="option"
                for="edit-submitted-new-1598457929483-new-1625912555716-1">oui </label>
            </div>
          </div>
        </div>
        <div class="form-item webform-component webform-component-checkboxes webform-component--new-1598457929483--new-1625912627133 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598457929483-new-1625912627133">Option Maths complémentaires </label>
          <div id="edit-submitted-new-1598457929483-new-1625912627133" class="form-checkboxes">
            <div class="form-item form-type-checkbox form-item-submitted-new-1598457929483-new-1625912627133-1">
              <input type="checkbox" id="edit-submitted-new-1598457929483-new-1625912627133-1" name="submitted[new_1598457929483][new_1625912627133][1]" value="1" class="form-checkbox webform-conditional-disabled" disabled=""> <label class="option"
                for="edit-submitted-new-1598457929483-new-1625912627133-1">oui </label>
            </div>
          </div>
        </div>
        <div class="form-item webform-component webform-component-select webform-component--new-1598457929483--new-1598438262075">
          <label for="edit-submitted-new-1598457929483-new-1598438262075">Mention <span class="form-required" title="Ce champ est requis.">*</span></label>
          <select required="required" id="edit-submitted-new-1598457929483-new-1598438262075" name="submitted[new_1598457929483][new_1598438262075]" class="form-select required">
            <option value="" selected="selected">- Sélectionner -</option>
            <option value="1">TB</option>
            <option value="2">B</option>
            <option value="3">AB</option>
            <option value="Sans mention">Sans</option>
          </select>
        </div>
      </div>
    </fieldset>
    <fieldset class="webform-component-fieldset webform-component--new-1598458156227 form-wrapper">
      <legend><span class="fieldset-legend">Scolarité CPGE</span></legend>
      <div class="fieldset-wrapper">
        <div class="form-item webform-component webform-component-select webform-component--new-1598458156227--new-1598436315679">
          <label for="edit-submitted-new-1598458156227-new-1598436315679">Classe cette année (2024-25) <span class="form-required" title="Ce champ est requis.">*</span></label>
          <select required="required" id="edit-submitted-new-1598458156227-new-1598436315679" name="submitted[new_1598458156227][new_1598436315679]" class="form-select required">
            <option value="" selected="selected">- Sélectionner -</option>
            <option value="1">MP*</option>
            <option value="2">PC*</option>
            <option value="3">PSI</option>
            <option value="MPSI">MPSI</option>
            <option value="PCSI">PCSI</option>
          </select>
        </div>
        <div class="form-item webform-component webform-component-radios webform-component--new-1598458156227--new-1598460761939 webform-conditional-hidden" style="display: none;">
          <label class="element-invisible" for="edit-submitted-new-1598458156227-new-1598460761939">Spé <span class="form-required" title="Ce champ est requis.">*</span></label>
          <div id="edit-submitted-new-1598458156227-new-1598460761939" class="form-radios">
            <div class="form-item form-type-radio form-item-submitted-new-1598458156227-new-1598460761939">
              <input required="required" type="radio" id="edit-submitted-new-1598458156227-new-1598460761939-1" name="submitted[new_1598458156227][new_1598460761939]" value="1" class="form-radio webform-conditional-disabled" disabled=""> <label
                class="option" for="edit-submitted-new-1598458156227-new-1598460761939-1">3/2 </label>
            </div>
            <div class="form-item form-type-radio form-item-submitted-new-1598458156227-new-1598460761939">
              <input required="required" type="radio" id="edit-submitted-new-1598458156227-new-1598460761939-2" name="submitted[new_1598458156227][new_1598460761939]" value="2" class="form-radio webform-conditional-disabled" disabled=""> <label
                class="option" for="edit-submitted-new-1598458156227-new-1598460761939-2">5/2 </label>
            </div>
          </div>
        </div>
        <div class="form-item webform-component webform-component-radios webform-component--new-1598458156227--new-1725023554486 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598458156227-new-1725023554486">Option </label>
          <div id="edit-submitted-new-1598458156227-new-1725023554486" class="form-radios">
            <div class="form-item form-type-radio form-item-submitted-new-1598458156227-new-1725023554486">
              <input type="radio" id="edit-submitted-new-1598458156227-new-1725023554486-1" name="submitted[new_1598458156227][new_1725023554486]" value="1" class="form-radio webform-conditional-disabled" disabled=""> <label class="option"
                for="edit-submitted-new-1598458156227-new-1725023554486-1">SI </label>
            </div>
            <div class="form-item form-type-radio form-item-submitted-new-1598458156227-new-1725023554486">
              <input type="radio" id="edit-submitted-new-1598458156227-new-1725023554486-2" name="submitted[new_1598458156227][new_1725023554486]" value="2" class="form-radio webform-conditional-disabled" disabled=""> <label class="option"
                for="edit-submitted-new-1598458156227-new-1725023554486-2">Informatique </label>
            </div>
          </div>
        </div>
        <div class="form-item webform-component webform-component-select webform-component--new-1598458156227--new-1598637493516 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598458156227-new-1598637493516">1re année <span class="form-required" title="Ce champ est requis.">*</span></label>
          <select required="required" id="edit-submitted-new-1598458156227-new-1598637493516" name="submitted[new_1598458156227][new_1598637493516]" class="form-select required webform-conditional-disabled" disabled="">
            <option value="" selected="selected">- Sélectionner -</option>
            <option value="1">MPSI - Buffon</option>
            <option value="2">PCSI - Buffon</option>
            <option value="3">Autre</option>
          </select>
        </div>
        <div class="form-item webform-component webform-component-textfield webform-component--new-1598458156227--new-1598438570620 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598458156227-new-1598438570620">Précisez 1re année <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598458156227-new-1598438570620" name="submitted[new_1598458156227][new_1598438570620]" value="" size="60" maxlength="128" class="form-text required webform-conditional-disabled"
            disabled="">
          <div class="description">Filière - Lycée - Ville - Département ou pays — ex : PCSI - Lavoisier - Paris - 75</div>
        </div>
        <div class="form-item webform-component webform-component-select webform-component--new-1598458156227--new-1598638116049 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598458156227-new-1598638116049">2e année 3/2 <span class="form-required" title="Ce champ est requis.">*</span></label>
          <select required="required" id="edit-submitted-new-1598458156227-new-1598638116049" name="submitted[new_1598458156227][new_1598638116049]" class="form-select required webform-conditional-disabled" disabled="">
            <option value="" selected="selected">- Sélectionner -</option>
            <option value="1">MP* - Buffon</option>
            <option value="2">PC* - Buffon</option>
            <option value="3">PSI - Buffon</option>
            <option value="Autre">Autre</option>
          </select>
        </div>
        <div class="form-item webform-component webform-component-textfield webform-component--new-1598458156227--new-1598638221378 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598458156227-new-1598638221378">Précisez 2e année 3/2 <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598458156227-new-1598638221378" name="submitted[new_1598458156227][new_1598638221378]" value="" size="60" maxlength="128" class="form-text required webform-conditional-disabled"
            disabled="">
          <div class="description">Filière - Lycée - Ville - Département ou pays — ex : PC - Carnot - Paris - 75</div>
        </div>
        <div class="form-item webform-component webform-component-select webform-component--new-1598458156227--new-1598437696057">
          <label for="edit-submitted-new-1598458156227-new-1598437696057">LV1 <span class="form-required" title="Ce champ est requis.">*</span></label>
          <select required="required" id="edit-submitted-new-1598458156227-new-1598437696057" name="submitted[new_1598458156227][new_1598437696057]" class="form-select required">
            <option value="" selected="selected">- Sélectionner -</option>
            <option value="1">Anglais</option>
            <option value="2">Allemand</option>
            <option value="3">Espagnol</option>
            <option value="8">Autre</option>
          </select>
        </div>
        <div class="form-item webform-component webform-component-textfield webform-component--new-1598458156227--new-1598638949304 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598458156227-new-1598638949304">Précisez LV1 <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598458156227-new-1598638949304" name="submitted[new_1598458156227][new_1598638949304]" value="" size="60" maxlength="128" class="form-text required webform-conditional-disabled"
            disabled="">
        </div>
        <div class="form-item webform-component webform-component-select webform-component--new-1598458156227--new-1598437806715">
          <label for="edit-submitted-new-1598458156227-new-1598437806715">LV2 </label>
          <select id="edit-submitted-new-1598458156227-new-1598437806715" name="submitted[new_1598458156227][new_1598437806715]" class="form-select">
            <option value="" selected="selected">- Aucun(e) -</option>
            <option value="3">Anglais</option>
            <option value="2">Allemand</option>
            <option value="1">Espagnol</option>
            <option value="Autre">Autre</option>
          </select>
        </div>
        <div class="form-item webform-component webform-component-textfield webform-component--new-1598458156227--new-1598638986868 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598458156227-new-1598638986868">Précisez LV2 <span class="form-required" title="Ce champ est requis.">*</span></label>
          <input required="required" type="text" id="edit-submitted-new-1598458156227-new-1598638986868" name="submitted[new_1598458156227][new_1598638986868]" value="" size="60" maxlength="128" class="form-text required webform-conditional-disabled"
            disabled="">
        </div>
        <div class="form-item webform-component webform-component-checkboxes webform-component--new-1598458156227--new-1693586461722 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598458156227-new-1693586461722">TIPE : discipline(s) (si déjà choisie(s)) </label>
          <div id="edit-submitted-new-1598458156227-new-1693586461722" class="form-checkboxes">
            <div class="form-item form-type-checkbox form-item-submitted-new-1598458156227-new-1693586461722-1">
              <input type="checkbox" id="edit-submitted-new-1598458156227-new-1693586461722-1" name="submitted[new_1598458156227][new_1693586461722][1]" value="1" class="form-checkbox webform-conditional-disabled" disabled=""> <label class="option"
                for="edit-submitted-new-1598458156227-new-1693586461722-1">maths/info </label>
            </div>
            <div class="form-item form-type-checkbox form-item-submitted-new-1598458156227-new-1693586461722-2">
              <input type="checkbox" id="edit-submitted-new-1598458156227-new-1693586461722-2" name="submitted[new_1598458156227][new_1693586461722][2]" value="2" class="form-checkbox webform-conditional-disabled" disabled=""> <label class="option"
                for="edit-submitted-new-1598458156227-new-1693586461722-2">physique </label>
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            <div class="form-item form-type-checkbox form-item-submitted-new-1598458156227-new-1693586461722-3">
              <input type="checkbox" id="edit-submitted-new-1598458156227-new-1693586461722-3" name="submitted[new_1598458156227][new_1693586461722][3]" value="3" class="form-checkbox webform-conditional-disabled" disabled=""> <label class="option"
                for="edit-submitted-new-1598458156227-new-1693586461722-3">chimie </label>
            </div>
            <div class="form-item form-type-checkbox form-item-submitted-new-1598458156227-new-1693586461722-4">
              <input type="checkbox" id="edit-submitted-new-1598458156227-new-1693586461722-4" name="submitted[new_1598458156227][new_1693586461722][4]" value="4" class="form-checkbox webform-conditional-disabled" disabled=""> <label class="option"
                for="edit-submitted-new-1598458156227-new-1693586461722-4">SI </label>
            </div>
          </div>
        </div>
        <div class="form-item webform-component webform-component-textfield webform-component--new-1598458156227--new-1693586629488 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598458156227-new-1693586629488">TIPE : sujet (si déjà choisi) </label>
          <input type="text" id="edit-submitted-new-1598458156227-new-1693586629488" name="submitted[new_1598458156227][new_1693586629488]" value="" size="60" maxlength="128" class="form-text webform-conditional-disabled" disabled="">
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        <div class="form-item webform-component webform-component-textarea webform-component--new-1598677931005--new-1598677986624">
          <label for="edit-submitted-new-1598677931005-new-1598677986624">Quel votre projet professionnel ? </label>
          <div class="form-textarea-wrapper resizable textarea-processed resizable-textarea"><textarea id="edit-submitted-new-1598677931005-new-1598677986624" name="submitted[new_1598677931005][new_1598677986624]" cols="60" rows="2"
              class="form-textarea"></textarea>
            <div class="grippie"></div>
          </div>
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        <div class="form-item webform-component webform-component-checkboxes webform-component--new-1598677931005--new-1598678044795 webform-conditional-hidden" style="display: none;">
          <label for="edit-submitted-new-1598677931005-new-1598678044795">Quel(s) concours allez-vous passer ? </label>
          <div id="edit-submitted-new-1598677931005-new-1598678044795" class="form-checkboxes">
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              <input type="checkbox" id="edit-submitted-new-1598677931005-new-1598678044795-1" name="submitted[new_1598677931005][new_1598678044795][1]" value="1" class="form-checkbox webform-conditional-disabled" disabled=""> <label class="option"
                for="edit-submitted-new-1598677931005-new-1598678044795-1">CCINP/E3A </label>
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            <div class="form-item form-type-checkbox form-item-submitted-new-1598677931005-new-1598678044795-2">
              <input type="checkbox" id="edit-submitted-new-1598677931005-new-1598678044795-2" name="submitted[new_1598677931005][new_1598678044795][2]" value="2" class="form-checkbox webform-conditional-disabled" disabled=""> <label class="option"
                for="edit-submitted-new-1598677931005-new-1598678044795-2">Centrale-Supélec </label>
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            <div class="form-item form-type-checkbox form-item-submitted-new-1598677931005-new-1598678044795-3">
              <input type="checkbox" id="edit-submitted-new-1598677931005-new-1598678044795-3" name="submitted[new_1598677931005][new_1598678044795][3]" value="3" class="form-checkbox webform-conditional-disabled" disabled=""> <label class="option"
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            <div class="form-item form-type-checkbox form-item-submitted-new-1598677931005-new-1598678044795-Autre">
              <input type="checkbox" id="edit-submitted-new-1598677931005-new-1598678044795-5" name="submitted[new_1598677931005][new_1598678044795][Autre]" value="Autre" class="form-checkbox webform-conditional-disabled" disabled=""> <label
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            </div>
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        <div class="form-item webform-component webform-component-textarea webform-component--new-1598677931005--new-1598678199925 webform-conditional-hidden" style="display: none;">
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 * Framagit (txt.infos)

Suivre Framasoft
 * Lettre d’informations (nouvelle fenêtre)
 * Flux RSS (nouvelle fenêtre)
 * Mastodon (nouvelle fenêtre)
 * PeerTube (nouvelle fenêtre)
 * Mobilizon (nouvelle fenêtre)
 * X (nouvelle fenêtre)
 * Facebook (nouvelle fenêtre)
 * Wikipedia (nouvelle fenêtre)


A

 * Framagenda (nouvelle fenêtre)


B

 * Bénévalibre (nouvelle fenêtre)
 * Framablog (nouvelle fenêtre)


C

 * Framacalc (nouvelle fenêtre)
 * Framacarte (nouvelle fenêtre)
 * CHATONS (nouvelle fenêtre)
 * L.A. Coalition (nouvelle fenêtre)
 * Framacolibri (nouvelle fenêtre)
 * Interventions (nouvelle fenêtre)
 * Contrib’ateliers (nouvelle fenêtre)


D

 * Framadate (nouvelle fenêtre)
 * Dégooglisons Internet (nouvelle fenêtre)
 * Des livres en communs (nouvelle fenêtre)
 * Documentation (nouvelle fenêtre)
 * Peer.tube (nouvelle fenêtre)


E

 * ECHO Network (nouvelle fenêtre)
 * En Vente Libre (nouvelle fenêtre)


F

 * Facebook (nouvelle fenêtre)
 * Mobilizon (nouvelle fenêtre)
 * Framaforms (nouvelle fenêtre)
 * PeerTube (nouvelle fenêtre)


G

 * Framagames (nouvelle fenêtre)
 * Framagit (nouvelle fenêtre)
 * Framagroupes (nouvelle fenêtre)


I

 * Médias (nouvelle fenêtre)


J

 * Sepia Search (nouvelle fenêtre)


L

 * Framalang (nouvelle fenêtre)
 * Framalibre (nouvelle fenêtre)
 * Framalistes (nouvelle fenêtre)


M

 * Mastodon (nouvelle fenêtre)
 * Métacartes « Numérique Éthique » (nouvelle fenêtre)
 * Framindmap (nouvelle fenêtre)
 * Mobilizon (nouvelle fenêtre)
 * MOOC CHATONS (nouvelle fenêtre)
 * Mobilizon (nouvelle fenêtre)


N

 * Lettre d’informations (nouvelle fenêtre)


P

 * Framapad (nouvelle fenêtre)
 * PeerTube (nouvelle fenêtre)


R

 * [RÉSOLU] (nouvelle fenêtre)
 * Flux RSS (nouvelle fenêtre)


S

 * Framaspace (nouvelle fenêtre)


T

 * Framatalk (nouvelle fenêtre)
 * Framateam (nouvelle fenêtre)
 * X (nouvelle fenêtre)


U

 * UPLOAD (nouvelle fenêtre)


V

 * Framavox (nouvelle fenêtre)


W

 * Wikipedia (nouvelle fenêtre)


Y

 * Yakforms (nouvelle fenêtre)

Retour

FNAV.SITES..T1

fnav.sites..d1


ÉDUCATION POPULAIRE

 * txt.infos Framablog (nouvelle fenêtre)
 * txt.infos Framacolibri (nouvelle fenêtre)
 * txt.infos Interventions (nouvelle fenêtre)
 * txt.infos Des livres en communs (nouvelle fenêtre)
 * txt.infos Documentation (nouvelle fenêtre)
 * txt.infos Peer.tube (nouvelle fenêtre)
 * txt.infos Médias (nouvelle fenêtre)
 * txt.infos Framalang (nouvelle fenêtre)
 * txt.infos MOOC CHATONS (nouvelle fenêtre)
 * txt.infos [RÉSOLU] (nouvelle fenêtre)
 * txt.infos UPLOAD (nouvelle fenêtre)


ÉMANCIPATION NUMÉRIQUE

 * txt.infos Contrib’ateliers (nouvelle fenêtre)
 * txt.infos Dégooglisons Internet (nouvelle fenêtre)
 * txt.infos Framalibre (nouvelle fenêtre)
 * txt.infos Mobilizon (nouvelle fenêtre)
 * txt.infos PeerTube (nouvelle fenêtre)
 * txt.infos Framaspace (nouvelle fenêtre)
 * txt.infos Yakforms (nouvelle fenêtre)


ARCHIPEL DE CONTRIBUTIONS

 * txt.infos Bénévalibre (nouvelle fenêtre)
 * txt.infos CHATONS (nouvelle fenêtre)
 * txt.infos L.A. Coalition (nouvelle fenêtre)
 * txt.infos ECHO Network (nouvelle fenêtre)
 * txt.infos En Vente Libre (nouvelle fenêtre)
 * txt.infos Métacartes « Numérique Éthique » (nouvelle fenêtre)


SERVICES EN LIGNE LIBRES


CRÉER DES OUTILS PRATIQUES

 * txt.infos Framacarte (nouvelle fenêtre)
 * txt.infos Framaforms (nouvelle fenêtre)
 * txt.infos Framindmap (nouvelle fenêtre)


ÉCHANGER À PLUSIEURS

 * txt.infos Framagroupes (nouvelle fenêtre)
 * txt.infos Framalistes (nouvelle fenêtre)
 * txt.infos Framatalk (nouvelle fenêtre)
 * txt.infos Framateam (nouvelle fenêtre)


SE DIVERTIR

 * txt.infos Framagames (nouvelle fenêtre)
 * txt.infos Sepia Search (nouvelle fenêtre)


S’ORGANISER ENSEMBLE

 * txt.infos Framagenda (nouvelle fenêtre)
 * txt.infos Framadate (nouvelle fenêtre)
 * txt.infos Mobilizon (nouvelle fenêtre)
 * txt.infos Framavox (nouvelle fenêtre)


COLLABORER

 * txt.infos Framacalc (nouvelle fenêtre)
 * txt.infos Framapad (nouvelle fenêtre)


DÉVELOPPER

 * txt.infos Framagit (nouvelle fenêtre)


SUIVRE FRAMASOFT

 * Lettre d’informations (nouvelle fenêtre)
 * Flux RSS (nouvelle fenêtre)
 * Mastodon (nouvelle fenêtre)
 * PeerTube (nouvelle fenêtre)
 * Mobilizon (nouvelle fenêtre)
 * X (nouvelle fenêtre)
 * Facebook (nouvelle fenêtre)
 * Wikipedia (nouvelle fenêtre)

Questions fréquentes concernant Framaforms

Rappel : Framaforms pernet à tout le monde de créer des formulaires. Mais
Framasoft n’est pas responsable de leur contenu ni des données collectées.

Si votre intention est de contacter l’auteur·rice d’un formulaire, merci
d’utiliser le lien de contact à la fin du Framaforms ou de vous adresser à la
personne qui vous a transmis le lien du formulaire.



Aucune réponse n’est satisfaisante ?

Si votre question doit rester confidentielle, qu’elle implique de devoir
divulguer des informations personnelles et privées, merci de passer par notre
formulaire de contact.

Si votre question peut être rendue publique , utilisez plutôt le forum. Les
réponses qui vous seront apportées pourront profiter à d’autres personnes qui
seraient dans la même situation que vous.

Contacter le support de Framasoft
Posez votre question sur le forum
Proposer des améliorations pour Framaforms


BUGS, FONCTIONNALITÉS ET DÉVELOPPEMENT

Avant tout, sachez que Framasoft fait peu de développement. À quelques
exceptions près, nous ne faisons qu’adapter légèrement des logiciels existants
pour les proposer au public.

Pour soumettre une idée d’amélioration, il est donc important de savoir si vos
contributions concernent les adaptations réalisées spécifiquement pour les
projets Framasoft (ci-dessous notre dépôt est indiqué d’un git) ou le logiciel
original ( source).

Il sera plus efficace de signaler un bug ou proposer des améliorations au code,
si vous le faites depuis les sites de développements respectifs. À plus forte
raison si votre idée a déjà été proposée par d’autres personnes.

Si vous ne savez pas comment créer une issue sur Github/Gitlab, nous pouvons le
faire à votre place.

Yakforms
Framaforms


GRAPHISME, RELECTURES, TRADUCTIONS, ETC.

Pour toute autre proposition d’amélioration merci d’utiliser notre forum en
faisant bien attention de ne donner aucune information personnelle, et surtout
aucun mot de passe. Le forum est public, n’y publiez pas d’informations privées.
Proposez vos idées sur le forum
Contacter le support de Framasoft

Rappel : Framaforms pernet à tout le monde de créer des formulaires. Mais
Framasoft n’est pas responsable de leur contenu ni des données collectées.

Si votre intention est de contacter l’auteur·rice d’un formulaire, merci
d’utiliser le lien de contact à la fin du Framaforms ou de vous adresser à la
personne qui vous a transmis le lien du formulaire.

Nom, prénom ou pseudo (obligatoire)

E-mail (obligatoire)

Pensez à vérifier votre adresse email. Si elle est fausse, nous ne pourrons pas
vous répondre !

Sujet (obligatoire)

Votre demande concerne (obligatoire)

Framaforms --- Annonce d’un événement libreInvitation à un
événementPartenariatContact presseNewsletterQuestions sur
l’associationPrestation / Emploi : réponse ou candidature spontanée
Message (obligatoire)

Votre message est-il bienveillant ?
Framasoft est une association à taille humaine vivant exclusivement des dons.
Améliorer nos services et vous aider requiert du temps et de l’énergie bénévole.
Merci d’en tenir compte lorsque vous rédigez votre message.

Fichier ou capture écran (facultatif)

Envoyer


ENTRAIDE

Consulter nos guides et astuces Obtenir des réponses Proposer une idée
d’amélioration
S’y rendre (nouvelle fenêtre)
Rechercher
Fermer



Retour en haut
Aller au contenu principal


FRAMAFORMS

Créez rapidement et simplement des formulaires en ligne

Framaforms.org
Créez rapidement et simplement des formulaires en ligne


QUESTIONNAIRE CPGE


 
1 Début 2 Aperçu 3 Terminé
Informations personnelles
NOM *
en MAJUSCULES — ex : DURAND
Prénom *
en Mijuscules — ex : Jean-Paul
Genre *
Féminin
Masculin
Date de naissance *
Jour Jour12345678910111213141516171819202122232425262728293031
Mois Moisjanfévmaravrmaijuinjuilaoûsepoctnovdéc
Année Année1999200020012002200320042005200620072008
Nationalité *
Française
Autre
Précisez Nationalité *
Loisirs (précisez la durée hebdomadaire)

Boursier *
OUI
NON
Profession du père *
Profession de la mère *
Nombre de frères et sœurs *
Temps de trajet * - Sélectionner -0-30 mn30-60 mn> 60 mn
Hébergement * - Sélectionner -Domicile des parentsInternat Jean ZAYLogement
étudiant CROUSLogement étudiant privéChambre en villeAppartement
personnelColocationAutre
Précisez Hébergement *
Êtes-vous allergique au latex ?
oui
pour savoir s'il faut prévoir des gants particuliers en TP de chimie
Coordonnées personnelles
Numéro et voie *
Code postal *
Ville *
Téléphone portable *
sans espace — ex : 0612345678
Courriel *
ex : j-paul.durand@gmail.com
Équipement informatique / Internet
Avez-vous un ordinateur ? *
OUI à usage exclusif
OUI à usage partagé
NON
Cet ordinateur dispose-t-il d'une webcam, d'un micro et de haut-parleurs ou
casque ? *
OUI
NON
Avez-vous un accès internet ? *
Sur un téléphone
Sur un ordinateur
Les deux
Aucun
Qualité de votre connexion *
bonne
moyenne
médiocre
Pouvez-vous imprimer chez vous ? *
OUI en couleurs
OUI en noir et blanc
NON
Vous consultez vos courriels *
Tous les jours
Au moins une fois par semaine
Moins souvent
Bac
Lycée *
Lycée - Ville - Département ou pays — ex : Buffon - Paris - 75
Année d'obtention * - Sélectionner -20242023202220212020
Filière et spécialité * - Sélectionner -S-SVT – MathsS-SVT – PhysiqueS-SVT –
SVTS-SVT – ISNS-SIS-SI – MathsS-SI – PhysiqueS-SI – ISNBac étranger
Spécialités en Terminale *
Mathématiques
Physique-chimie
Numérique et sciences informatiques
Sciences de l’ingénieur
Autre
Précisez Spécialité Autre *
Note au bac en spécialité Mathématiques *
Note au bac en spécialité Physique-chimie *
Note au bac en spécialité NSI *
Note au bac en spécialité SI *
Note au bac en spécialité Autre *
Option Maths expertes
oui
Option Maths complémentaires
oui
Mention * - Sélectionner -TBBABSans
Scolarité CPGE
Classe cette année (2024-25) * - Sélectionner -MP*PC*PSIMPSIPCSI
Spé *
3/2
5/2
Option
SI
Informatique
1re année * - Sélectionner -MPSI - BuffonPCSI - BuffonAutre
Précisez 1re année *
Filière - Lycée - Ville - Département ou pays — ex : PCSI - Lavoisier - Paris -
75
2e année 3/2 * - Sélectionner -MP* - BuffonPC* - BuffonPSI - BuffonAutre
Précisez 2e année 3/2 *
Filière - Lycée - Ville - Département ou pays — ex : PC - Carnot - Paris - 75
LV1 * - Sélectionner -AnglaisAllemandEspagnolAutre
Précisez LV1 *
LV2 - Aucun(e) -AnglaisAllemandEspagnolAutre
Précisez LV2 *
TIPE : discipline(s) (si déjà choisie(s))
maths/info
physique
chimie
SI
TIPE : sujet (si déjà choisi)
Projets, stratégie d'études
Quel votre projet professionnel ?

Quel(s) concours allez-vous passer ?
CCINP/E3A
Centrale-Supélec
Mines-Ponts/Mines-Telecom
X/ENS
Autres
Précisez autres concours *

Quelle(s) école(s) visez-vous ?



Ne communiquez aucun mot de passe via Framaforms.


PROPULSÉ PAR YAKFORMS

Yakforms est un service en ligne libre, gratuit, sans publicité et respectueux
de vos données permettant de générer des formulaires (sondages, enquêtes,
pétitions, etc.)
Yakforms est basé sur Drupal 7.



FRAMASOFT

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 * Notre manifeste
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 * Statistiques
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COMMUNAUTÉ

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 * Mentions légales
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SUIVRE FRAMASOFT

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