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Submitted URL: https://posedforum2024.episodemaker.net/
Effective URL: https://posedforum2024.episodemaker.net/registration
Submission: On June 24 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST https://posedforum2024.episodemaker.net/rsvp?expires=1719224860&signature=11ba0e2f5d71423c065c64c407d86d625a03c395ca5b2b082d27442bf5fb2759

<form action="https://posedforum2024.episodemaker.net/rsvp?expires=1719224860&amp;signature=11ba0e2f5d71423c065c64c407d86d625a03c395ca5b2b082d27442bf5fb2759" method="POST">
  <input type="hidden" name="_token" value="5O4d5FXRtjBaPF5nc3QtlPpOpMaMrvSjnqO7ow7t">
  <div name="guest[salutation]" class="form-group">
    <label class="control-label" style="font-weight: bold;">稱謂 Salutation<sup class="required" style="color:#ff0000;">*</sup> </label>
    <div class="control-options">
      <label class="control-radio">
        <input type="radio" id="salutation_mr" name="guest[salutation]" value="先生 Mr" class="control-input">
        <span class="input-label">先生 Mr</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="salutation_ms" name="guest[salutation]" value="女士 Ms" class="control-input">
        <span class="input-label">女士 Ms</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="salutation_miss" name="guest[salutation]" value="小姐 Miss" class="control-input">
        <span class="input-label">小姐 Miss</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="salutation_dr" name="guest[salutation]" value="博士 Dr" class="control-input">
        <span class="input-label">博士 Dr</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="salutation_prof" name="guest[salutation]" value="教授 Prof" class="control-input">
        <span class="input-label">教授 Prof</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="salutation_principal" name="guest[salutation]" value="校長 Principal" class="control-input">
        <span class="input-label">校長 Principal</span>
      </label>
    </div>
  </div>
  <div class="grid sm:grid-cols-2 gap-4">
    <div class="form-group">
      <label class="control-label">英文姓氏 English Surname <span class="required">*</span> </label>
      <div id="control--guest-last-name-wrapper" class="relative control-wrapper group ">
        <input type="text" id="control--guest-last-name" name="guest[last_name]" value="" class="form-control">
      </div>
    </div>
    <div class="form-group">
      <label class="control-label">英文名稱 English First Name <span class="required">*</span> </label>
      <div id="control--guest-first-name-wrapper" class="relative control-wrapper group ">
        <input type="text" id="control--guest-first-name" name="guest[first_name]" value="" class="form-control">
      </div>
    </div>
  </div>
  <div class="grid sm:grid-cols-2 gap-4">
    <div>
      <div class="form-group">
        <label class="control-label">中文姓氏 Chinese Surname <span class="required">*</span> </label>
        <div id="control--guest-chinese-surname-wrapper" class="relative control-wrapper group ">
          <input type="text" id="control--guest-chinese-surname" name="guest[chinese_surname]" value="" class="form-control">
        </div>
      </div>
      <div class="pb-3 text-xs" style="margin-top: -10px;"> 如閣下沒有中文姓氏，請於以上欄位標注「1」。<br> If you do not have a Chinese surname, please indicate "1". </div>
    </div>
    <div>
      <div class="form-group">
        <label class="control-label">中文名字 Chinese First Name <span class="required">*</span> </label>
        <div id="control--guest-chinese-first-name-wrapper" class="relative control-wrapper group ">
          <input type="text" id="control--guest-chinese-first-name" name="guest[chinese_first_name]" value="" class="form-control">
        </div>
      </div>
      <div class="pb-3 text-xs" style="margin-top: -10px;"> 如閣下沒有中文名字，請於以上欄位標注「1」。<br> If you do not have a Chinese first name, please indicate "1". </div>
    </div>
  </div>
  <div class="form-group">
    <label class="control-label">學校 / 機構名稱 School / Organization Name <span class="required">*</span> </label>
    <div id="control--guest-school-organization-name-wrapper" class="relative control-wrapper group ">
      <input type="text" id="control--guest-school-organization-name" name="guest[school_organization_name]" value="" class="form-control">
    </div>
  </div>
  <div name="guest[school_organization_nature]" class="form-group" x-model="school_organization_nature">
    <label class="control-label" style="font-weight: bold;">機構性質 Nature of School / Organization <sup class="required" style="color:#ff0000;">*</sup> </label>
    <div class="control-options grid md:grid-cols-2 sm:auto-cols-min">
      <label class="control-radio">
        <input type="radio" id="school_organization_nature_primary" name="guest[school_organization_nature]" value="小學 Primary School" class="control-input">
        <span class="input-label">小學 Primary School</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="school_organization_nature_secondary" name="guest[school_organization_nature]" value="中學 Secondary School" class="control-input">
        <span class="input-label">中學 Secondary School</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="school_organization_nature_university" name="guest[school_organization_nature]" value="大學 University" class="control-input">
        <span class="input-label">大學 University</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="school_organization_nature_higher_education" name="guest[school_organization_nature]" value="大專院校 Higher Education Institution" class="control-input">
        <span class="input-label">大專院校 Higher Education Institution</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="school_organization_nature_kindergarten" name="guest[school_organization_nature]" value="幼稚園 Kindergarten" class="control-input">
        <span class="input-label">幼稚園 Kindergarten</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="school_organization_nature_ngo" name="guest[school_organization_nature]" value="非牟利機構 NGO" class="control-input">
        <span class="input-label">非牟利機構 NGO</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="school_organization_nature_corp" name="guest[school_organization_nature]" value="私人企業 Corporate" class="control-input">
        <span class="input-label">私人企業 Corporate</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="school_organization_nature_gov" name="guest[school_organization_nature]" value="政府部門 Government" class="control-input">
        <span class="input-label">政府部門 Government</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="school_organization_nature_foundation" name="guest[school_organization_nature]" value="基金會 Foundation" class="control-input">
        <span class="input-label">基金會 Foundation</span>
      </label>
      <label class="control-radio" x-data="{ showOther: false }">
        <input type="radio" id="school_organization_nature_others" name="guest[school_organization_nature]" value="其他 Others" class="control-input" x-on:click="showOther = true" x-bind:checked="showOther">
        <span class="input-label">其他 Others</span>
        <div x-show="showOther" style="display: none;">
          <input type="text" id="school_organization_nature_comment" class="mt-2 form-control" name="guest[school_organization_nature_other]" value="">
        </div>
      </label>
    </div>
  </div>
  <div class="form-group">
    <label class="control-label">工作職位 Position <span class="required">*</span> </label>
    <div id="control--guest-position-wrapper" class="relative control-wrapper group ">
      <input type="text" id="control--guest-position" name="guest[position]" value="" class="form-control">
    </div>
  </div>
  <div name="guest[teaching_experience]" class="form-group">
    <label class="control-label" style="font-weight: bold;">教學年資 Year of Teaching Experience <sup class="required" style="color:#ff0000;">*</sup> </label>
    <div class="control-options grid md:grid-cols-3 sm:auto-cols-min">
      <label class="control-radio">
        <input type="radio" id="teaching_experience0-5" name="guest[teaching_experience]" value="0-5年 0-5 years" class="control-input">
        <span class="input-label">0-5年 0-5 years</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="teaching_experience6-10" name="guest[teaching_experience]" value="6-10年 6-10 years" class="control-input">
        <span class="input-label">6-10年 6-10 years</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="teaching_experience11-15" name="guest[teaching_experience]" value="11-15年 11-15 years" class="control-input">
        <span class="input-label">11-15年 11-15 years</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="teaching_experience16-20" name="guest[teaching_experience]" value="16-20年 16-20 years" class="control-input">
        <span class="input-label">16-20年 16-20 years</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="teaching_experience20up" name="guest[teaching_experience]" value=">20年 >20 years" class="control-input">
        <span class="input-label">&gt;20年 &gt;20 years</span>
      </label>
      <label class="control-radio">
        <input type="radio" id="teaching_experiencenone" name="guest[teaching_experience]" value="不適用 Not Applicable" class="control-input">
        <span class="input-label">不適用 Not Applicable</span>
      </label>
    </div>
  </div>
  <div class="form-group">
    <label class="control-label">聯絡電郵 （以供收發活動資訊）Personal email for event information <span class="required">*</span> </label>
    <div id="control--guest-email-wrapper" class="relative control-wrapper group ">
      <input type="text" id="control--guest-email" name="guest[email]" value="" class="form-control">
    </div>
  </div>
  <div class="form-group">
    <label class="control-label">聯絡電話 （請勿提供機構/公司電話）Personal Contact Number <span class="required">*</span> </label>
    <div id="control--guest-phone-number-wrapper" class="relative control-wrapper group ">
      <input type="text" id="control--guest-phone-number" name="guest[phone_number]" value="" class="form-control">
    </div>
  </div>
  <div class="w-full md:w-1/4 mx-auto px-0">
    <button type="submit" class="bg-primary-color hover:bg-primary-color-dark text-white font-bold py-2 px-4 rounded mt-2 w-full">Submit</button>
  </div>
</form>

Text Content

正向教育分享會登記表格
POSITIVE EDUCATION FORUM REGISTRATION FORM

報名須知 Note:

 * 填寫並提交此申請表代表閣下已閱讀並同意條款及细則及隱私政策的內容。
 * Completing and submitting this application form means that you have read and
   agree to the terms and conditions and privacy policy.

稱謂 Salutation*
先生 Mr 女士 Ms 小姐 Miss 博士 Dr 教授 Prof 校長 Principal
英文姓氏 English Surname *

英文名稱 English First Name *

中文姓氏 Chinese Surname *

如閣下沒有中文姓氏，請於以上欄位標注「1」。
If you do not have a Chinese surname, please indicate "1".
中文名字 Chinese First Name *

如閣下沒有中文名字，請於以上欄位標注「1」。
If you do not have a Chinese first name, please indicate "1".
學校 / 機構名稱 School / Organization Name *

機構性質 Nature of School / Organization *
小學 Primary School 中學 Secondary School 大學 University 大專院校 Higher Education
Institution 幼稚園 Kindergarten 非牟利機構 NGO 私人企業 Corporate 政府部門 Government 基金會
Foundation 其他 Others

工作職位 Position *

教學年資 Year of Teaching Experience *
0-5年 0-5 years 6-10年 6-10 years 11-15年 11-15 years 16-20年 16-20 years >20年 >20
years 不適用 Not Applicable
聯絡電郵 （以供收發活動資訊）Personal email for event information *

聯絡電話 （請勿提供機構/公司電話）Personal Contact Number *

Submit