{"id":4963,"date":"2024-09-01T10:27:00","date_gmt":"2024-09-01T15:27:00","guid":{"rendered":"https:\/\/bienestar.uniguajira.edu.co\/bsu\/?page_id=4963"},"modified":"2026-08-03T16:52:56","modified_gmt":"2026-08-03T21:52:56","slug":"convocatoria-deporte-2026-2","status":"publish","type":"page","link":"https:\/\/bienestaruniguajira.com.co\/index.php\/convocatoria-deporte-2026-2\/","title":{"rendered":"Convocatoria Deporte 2026-2"},"content":{"rendered":"\n<h2 class=\"gb-headline gb-headline-2e055aec gb-headline-text\"><\/h2>\n\n\n<div id=\"quform-275521\" class=\"quform quform-74 quform-theme-light quform-prevent-fouc\"><form id=\"quform-form-275521\" class=\"quform-form quform-form-74\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/4963#quform-275521\" method=\"post\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-options=\"{&quot;id&quot;:74,&quot;uniqueId&quot;:&quot;275521&quot;,&quot;theme&quot;:&quot;light&quot;,&quot;ajax&quot;:true,&quot;logic&quot;:{&quot;logic&quot;:{&quot;1&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;215&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Estudiante&quot;}]},&quot;85&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;84&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;23&quot;,&quot;value&quot;:&quot;Discapacidad &quot;}]},&quot;78&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;76&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Principal (Riohacha)&quot;}]},&quot;79&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;76&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;4&quot;,&quot;value&quot;:&quot;Villanueva&quot;}]},&quot;80&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;76&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;3&quot;,&quot;value&quot;:&quot;Fonseca&quot;}]},&quot;81&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;76&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Maicao&quot;}]},&quot;34&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;33&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;SI&quot;,&quot;optionId&quot;:&quot;2&quot;}]},&quot;50&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;49&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Si&quot;,&quot;optionId&quot;:&quot;2&quot;}]},&quot;396&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;394&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;SI&quot;}]},&quot;153&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;215&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Funcionarios&quot;}]},&quot;185&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;184&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Principal (Riohacha)&quot;}]},&quot;186&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;184&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;4&quot;,&quot;value&quot;:&quot;Villanueva&quot;}]},&quot;187&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;184&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;3&quot;,&quot;value&quot;:&quot;Fonseca&quot;}]},&quot;188&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;184&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Maicao&quot;}]},&quot;196&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;33&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;SI&quot;,&quot;optionId&quot;:&quot;2&quot;}]},&quot;198&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;49&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Si&quot;,&quot;optionId&quot;:&quot;2&quot;}]},&quot;397&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;215&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;5&quot;,&quot;value&quot;:&quot;Graduados&quot;}]},&quot;422&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;184&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Principal (Riohacha)&quot;}]},&quot;424&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;184&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;4&quot;,&quot;value&quot;:&quot;Villanueva&quot;}]},&quot;425&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;184&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;3&quot;,&quot;value&quot;:&quot;Fonseca&quot;}]},&quot;426&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;184&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Maicao&quot;}]},&quot;434&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;33&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;SI&quot;,&quot;optionId&quot;:&quot;2&quot;}]},&quot;436&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;49&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Si&quot;,&quot;optionId&quot;:&quot;2&quot;}]},&quot;217&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;215&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;4&quot;,&quot;value&quot;:&quot;Docentes&quot;}]},&quot;242&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;241&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Principal (Riohacha)&quot;}]},&quot;243&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;241&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;4&quot;,&quot;value&quot;:&quot;Villanueva&quot;}]},&quot;244&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;241&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;3&quot;,&quot;value&quot;:&quot;Fonseca&quot;}]},&quot;245&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;241&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Maicao&quot;}]},&quot;253&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;33&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;SI&quot;}]},&quot;255&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;49&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Si&quot;,&quot;optionId&quot;:&quot;2&quot;}]},&quot;257&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;215&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Estudiante&quot;}]}},&quot;dependents&quot;:{&quot;215&quot;:[1,153,397,217,257],&quot;84&quot;:[85],&quot;76&quot;:[78,79,80,81],&quot;33&quot;:[34,196,434,253],&quot;49&quot;:[50,198,436,255],&quot;394&quot;:[396],&quot;184&quot;:[185,186,187,188,422,424,425,426],&quot;241&quot;:[242,243,244,245]},&quot;elementIds&quot;:[1,85,78,79,80,81,34,50,396,153,185,186,187,188,196,198,397,422,424,425,426,434,436,217,242,243,244,245,253,255,257],&quot;dependentElementIds&quot;:[&quot;215&quot;,&quot;84&quot;,&quot;76&quot;,&quot;33&quot;,&quot;49&quot;,&quot;394&quot;,&quot;184&quot;,&quot;241&quot;],&quot;animate&quot;:true},&quot;currentPageId&quot;:62,&quot;errorsIcon&quot;:&quot;&quot;,&quot;updateFancybox&quot;:true,&quot;hasPages&quot;:false,&quot;pages&quot;:[62],&quot;pageProgressType&quot;:&quot;numbers&quot;,&quot;tooltipsEnabled&quot;:true,&quot;tooltipClasses&quot;:&quot;qtip-green qtip-shadow qtip-rounded&quot;,&quot;tooltipMy&quot;:&quot;left center&quot;,&quot;tooltipAt&quot;:&quot;right center&quot;,&quot;isRtl&quot;:false,&quot;scrollOffset&quot;:-50,&quot;scrollSpeed&quot;:800}\"><button class=\"quform-default-submit\" name=\"quform_submit\" type=\"submit\" value=\"submit\" aria-hidden=\"true\" tabindex=\"-1\"><\/button><div class=\"quform-form-inner quform-form-inner-74\"><input type=\"hidden\" name=\"quform_form_id\" value=\"74\" \/><input type=\"hidden\" name=\"quform_form_uid\" value=\"275521\" \/><input type=\"hidden\" name=\"quform_count\" value=\"1\" \/><input type=\"hidden\" name=\"form_url\" value=\"https:\/\/bienestaruniguajira.com.co\/index.php\/wp-json\/wp\/v2\/pages\/4963\" \/><input type=\"hidden\" name=\"referring_url\" value=\"\" \/><input type=\"hidden\" name=\"post_id\" value=\"\" \/><input type=\"hidden\" name=\"post_title\" value=\"\" \/><input type=\"hidden\" name=\"quform_current_page_id\" value=\"62\" \/><input type=\"hidden\" name=\"quform_csrf_token\" value=\"oKmZMQvLDX6Z734PQSMsHoSHRI1CXrYLv0jr4p3i\" \/><div class=\"quform-elements quform-elements-74 quform-cf quform-responsive-elements-phone-landscape\"><div class=\"quform-element quform-element-page quform-page-62 quform-page-74_62 quform-cf quform-group-style-plain quform-first-page quform-last-page quform-current-page\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-select quform-element-74_215 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_215\"><label class=\"quform-label-text\" for=\"quform_74_215_275521\">Estamento Universitario<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_215\"><div class=\"quform-input quform-input-select quform-input-74_215 quform-cf\"><select id=\"quform_74_215_275521\" name=\"quform_74_215\" class=\"quform-field quform-field-select quform-field-74_215\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Estudiante\">Estudiante<\/option><option value=\"Funcionarios\">Funcionarios<\/option><option value=\"Docentes\">Docentes<\/option><option value=\"Graduados\">Graduados<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-74_1 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">Formulario de Inscripci\u00f3n Estudiantes<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-74_63 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-74_64\"><div class=\"quform-element quform-element-group quform-element-74_3 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">1. Informaci\u00f3n General<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-74_65 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-74_66\"><div class=\"quform-element quform-element-text quform-element-74_5 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_5\"><label class=\"quform-label-text\" for=\"quform_74_5_275521\">Nombres y Apellidos<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_5\"><div class=\"quform-input quform-input-text quform-input-74_5 quform-cf\"><input type=\"text\" id=\"quform_74_5_275521\" name=\"quform_74_5\" class=\"quform-field quform-field-text quform-field-74_5\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_6 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_6\"><label class=\"quform-label-text\" for=\"quform_74_6_275521\">Documento de Identidad<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_6\"><div class=\"quform-input quform-input-text quform-input-74_6 quform-cf\"><input type=\"text\" id=\"quform_74_6_275521\" name=\"quform_74_6\" class=\"quform-field quform-field-text quform-field-74_6\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_61 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_61\"><label class=\"quform-label-text\" for=\"quform_74_61_275521\">C\u00f3digo Estudiantil <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_61\"><div class=\"quform-input quform-input-text quform-input-74_61 quform-cf\"><input type=\"text\" id=\"quform_74_61_275521\" name=\"quform_74_61\" class=\"quform-field quform-field-text quform-field-74_61\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-date quform-element-74_47 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_47\"><label class=\"quform-label-text\" for=\"quform_74_47_275521\">Fecha de Nacimiento<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-74_47\"><div class=\"quform-input quform-input-date quform-input-74_47 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_74_47_275521\" name=\"quform_74_47\" class=\"quform-field quform-field-date quform-field-74_47\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;es-CO&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:false,&quot;identifier&quot;:&quot;74_47&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_8 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_8\"><label class=\"quform-label-text\" for=\"quform_74_8_275521\">Edad<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_8\"><div class=\"quform-input quform-input-text quform-input-74_8 quform-cf\"><input type=\"text\" id=\"quform_74_8_275521\" name=\"quform_74_8\" class=\"quform-field quform-field-text quform-field-74_8\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_9 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_9\"><label class=\"quform-label-text\" for=\"quform_74_9_275521\">Sexo Biol\u00f3gico <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_9\"><div class=\"quform-input quform-input-select quform-input-74_9 quform-cf\"><select id=\"quform_74_9_275521\" name=\"quform_74_9\" class=\"quform-field quform-field-select quform-field-74_9\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Masculino\">Masculino<\/option><option value=\"Femenino \">Femenino <\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_83 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_83\"><label class=\"quform-label-text\" for=\"quform_74_83_275521\">Identidad de genero <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_83\"><div class=\"quform-input quform-input-select quform-input-74_83 quform-cf\"><select id=\"quform_74_83_275521\" name=\"quform_74_83\" class=\"quform-field quform-field-select quform-field-74_83\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Heterosexual\">Heterosexual<\/option><option value=\" Lesbiana\"> Lesbiana<\/option><option value=\" Gay\"> Gay<\/option><option value=\" Bisexual\"> Bisexual<\/option><option value=\" Transexual\"> Transexual<\/option><option value=\" Intersexual\"> Intersexual<\/option><option value=\" Queen\"> Queen<\/option><option value=\" No Binario\"> No Binario<\/option><option value=\" Ninguno\"> Ninguno<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_84 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_84\"><label class=\"quform-label-text\" for=\"quform_74_84_275521\">\u00bfPertenece a unos de estos grupos priorizados?<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_84\"><div class=\"quform-input quform-input-select quform-input-74_84 quform-cf\"><select id=\"quform_74_84_275521\" name=\"quform_74_84\" class=\"quform-field quform-field-select quform-field-74_84\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Poblaci\u00f3n Ind\u00edgena\">Poblaci\u00f3n Ind\u00edgena<\/option><option value=\" Poblaci\u00f3n Afrocolombiana\"> Poblaci\u00f3n Afrocolombiana<\/option><option value=\" Poblaci\u00f3n Raizal\"> Poblaci\u00f3n Raizal<\/option><option value=\" Poblaci\u00f3n Palenquera\"> Poblaci\u00f3n Palenquera<\/option><option value=\" Poblaci\u00f3n Room o Gitano\"> Poblaci\u00f3n Room o Gitano<\/option><option value=\" Victima de Conflicto Armado\"> Victima de Conflicto Armado<\/option><option value=\"Discapacidad \">Discapacidad <\/option><option value=\" Ninguno\"> Ninguno<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_85 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_85\"><label class=\"quform-label-text\" for=\"quform_74_85_275521\">Tipo de discapacidad<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_85\"><div class=\"quform-input quform-input-select quform-input-74_85 quform-cf\"><select id=\"quform_74_85_275521\" name=\"quform_74_85\" class=\"quform-field quform-field-select quform-field-74_85\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Discapacidad Visual\">Discapacidad Visual<\/option><option value=\"Discapacidad F\u00edsica \">Discapacidad F\u00edsica <\/option><option value=\"Discapacidad Sodoceguera\">Discapacidad Sodoceguera<\/option><option value=\"Discapacidad Intelectual\">Discapacidad Intelectual<\/option><option value=\"Discapacidad auditiva\">Discapacidad auditiva<\/option><option value=\"Discapacidad Psicosocial\">Discapacidad Psicosocial<\/option><option value=\"Discapacidad M\u00faltiple \">Discapacidad M\u00faltiple <\/option><option value=\"Autismo\">Autismo<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_7 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_7\"><label class=\"quform-label-text\" for=\"quform_74_7_275521\">Estado Civil<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_7\"><div class=\"quform-input quform-input-select quform-input-74_7 quform-cf\"><select id=\"quform_74_7_275521\" name=\"quform_74_7\" class=\"quform-field quform-field-select quform-field-74_7\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Soltero\">Soltero<\/option><option value=\"Casado\">Casado<\/option><option value=\"Uni\u00f3n Libre\">Uni\u00f3n Libre<\/option><option value=\"Divorciado \">Divorciado <\/option><option value=\"Viudo (a)\">Viudo (a)<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_11 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_11\"><label class=\"quform-label-text\" for=\"quform_74_11_275521\">Direcci\u00f3n de residencia Actual<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_11\"><div class=\"quform-input quform-input-text quform-input-74_11 quform-cf\"><input type=\"text\" id=\"quform_74_11_275521\" name=\"quform_74_11\" class=\"quform-field quform-field-text quform-field-74_11\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_12 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_12\"><label class=\"quform-label-text\" for=\"quform_74_12_275521\">Barrio<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_12\"><div class=\"quform-input quform-input-text quform-input-74_12 quform-cf\"><input type=\"text\" id=\"quform_74_12_275521\" name=\"quform_74_12\" class=\"quform-field quform-field-text quform-field-74_12\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_13 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_13\"><label class=\"quform-label-text\" for=\"quform_74_13_275521\">Municipio<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_13\"><div class=\"quform-input quform-input-text quform-input-74_13 quform-cf\"><input type=\"text\" id=\"quform_74_13_275521\" name=\"quform_74_13\" class=\"quform-field quform-field-text quform-field-74_13\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_14 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_14\"><label class=\"quform-label-text\" for=\"quform_74_14_275521\">Departamento<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_14\"><div class=\"quform-input quform-input-text quform-input-74_14 quform-cf\"><input type=\"text\" id=\"quform_74_14_275521\" name=\"quform_74_14\" class=\"quform-field quform-field-text quform-field-74_14\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_16 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_16\"><label class=\"quform-label-text\" for=\"quform_74_16_275521\">Celular<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_16\"><div class=\"quform-input quform-input-text quform-input-74_16 quform-cf\"><input type=\"text\" id=\"quform_74_16_275521\" name=\"quform_74_16\" class=\"quform-field quform-field-text quform-field-74_16\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_309 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_309\"><label class=\"quform-label-text\" for=\"quform_74_309_275521\">FACULTAD<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_309\"><div class=\"quform-input quform-input-select quform-input-74_309 quform-cf\"><select id=\"quform_74_309_275521\" name=\"quform_74_309\" class=\"quform-field quform-field-select quform-field-74_309\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Facultad de Ciencias de la Salud\">Facultad de Ciencias de la Salud<\/option><option value=\"Facultad de Ciencias B\u00e1sicas y Aplicadas\">Facultad de Ciencias B\u00e1sicas y Aplicadas<\/option><option value=\"Facultad de Ciencias Econ\u00f3micas y Administrativas\">Facultad de Ciencias Econ\u00f3micas y Administrativas<\/option><option value=\"Facultad de Ciencias Sociales y Humanas\">Facultad de Ciencias Sociales y Humanas<\/option><option value=\"Facultad de Ciencias de la Educaci\u00f3n\">Facultad de Ciencias de la Educaci\u00f3n<\/option><option value=\"Facultad de Ingenier\u00edas\">Facultad de Ingenier\u00edas<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_308 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_308\"><label class=\"quform-label-text\" for=\"quform_74_308_275521\">PROGRAMA<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_308\"><div class=\"quform-input quform-input-select quform-input-74_308 quform-cf\"><select id=\"quform_74_308_275521\" name=\"quform_74_308\" class=\"quform-field quform-field-select quform-field-74_308\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"ADMINISTRACION DE EMPRESAS - AMPLIACION LUGAR DE DESARROLLO FONSECA\">ADMINISTRACION DE EMPRESAS &#8211; AMPLIACION LUGAR DE DESARROLLO FONSECA<\/option><option value=\"ADMINISTRACI\u00d3N DE EMPRESAS - AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO\">ADMINISTRACI\u00d3N DE EMPRESAS &#8211; AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO<\/option><option value=\"ADMINISTRACION DE EMPRESAS - RIOHACHA\">ADMINISTRACION DE EMPRESAS &#8211; RIOHACHA<\/option><option value=\"ADMINISTRACION DE EMPRESAS - VILLANUEVA\">ADMINISTRACION DE EMPRESAS &#8211; VILLANUEVA<\/option><option value=\"ADMINISTRACION MARITIMA Y PORTUARIA - RIOHACHA\">ADMINISTRACION MARITIMA Y PORTUARIA &#8211; RIOHACHA<\/option><option value=\"ADMINISTRACION PUBLICA - RIOHACHA\">ADMINISTRACION PUBLICA &#8211; RIOHACHA<\/option><option value=\"ADMINISTRACION PUBLICA DISTANCIA - RIOHACHA\">ADMINISTRACION PUBLICA DISTANCIA &#8211; RIOHACHA<\/option><option value=\"ADMINISTRACION TURISTICA Y HOTELERA - RIOHACHA\">ADMINISTRACION TURISTICA Y HOTELERA &#8211; RIOHACHA<\/option><option value=\"AGROECOLOGIA - RIOHACHA\">AGROECOLOGIA &#8211; RIOHACHA<\/option><option value=\"ARQUITECTURA - RIOHACHA\">ARQUITECTURA &#8211; RIOHACHA<\/option><option value=\"BIOLOGIA - RIOHACHA\">BIOLOGIA &#8211; RIOHACHA<\/option><option value=\"COMUNICACION SOCIAL - AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO\">COMUNICACION SOCIAL &#8211; AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO<\/option><option value=\"COMUNICACION SOCIAL - RIOHACHA\">COMUNICACION SOCIAL &#8211; RIOHACHA<\/option><option value=\"CONTADURIA PUBLICA - AMPLIACION LUGAR DE DESARROLLO MAICAO\">CONTADURIA PUBLICA &#8211; AMPLIACION LUGAR DE DESARROLLO MAICAO<\/option><option value=\"CONTADURIA PUBLICA - RIOHACHA\">CONTADURIA PUBLICA &#8211; RIOHACHA<\/option><option value=\"CONTADURIA PUBLICA - VILLANUEVA\">CONTADURIA PUBLICA &#8211; VILLANUEVA<\/option><option value=\"DERECHO - RIOHACHA\">DERECHO &#8211; RIOHACHA<\/option><option value=\"ECONOM\u00cdA - RIOHACHA\">ECONOM\u00cdA &#8211; RIOHACHA<\/option><option value=\"ENFERMERIA - RIOHACHA\">ENFERMERIA &#8211; RIOHACHA<\/option><option value=\"INGENIERIA AGROINDUSTRIAL - FONSECA\">INGENIERIA AGROINDUSTRIAL &#8211; FONSECA<\/option><option value=\"INGENIERIA AMBIENTAL - AMPLIACION LUGAR DE DESARROLLO FONSECA\">INGENIERIA AMBIENTAL &#8211; AMPLIACION LUGAR DE DESARROLLO FONSECA<\/option><option value=\"INGENIERIA AMBIENTAL - RIOHACHA\">INGENIERIA AMBIENTAL &#8211; RIOHACHA<\/option><option value=\"INGENIERIA CIVIL - RIOHACHA\">INGENIERIA CIVIL &#8211; RIOHACHA<\/option><option value=\"INGENIERIA DE SISTEMAS - AMPLIACION LUGAR DE DESARROLLO MAICAO\">INGENIERIA DE SISTEMAS &#8211; AMPLIACION LUGAR DE DESARROLLO MAICAO<\/option><option value=\"INGENIERIA DE SISTEMAS - RIOHACHA\">INGENIERIA DE SISTEMAS &#8211; RIOHACHA<\/option><option value=\"INGENIERIA EN ENERGIAS - RIOHACHA\">INGENIERIA EN ENERGIAS &#8211; RIOHACHA<\/option><option value=\"INGENIERIA INDUSTRIAL - RIOHACHA\">INGENIERIA INDUSTRIAL &#8211; RIOHACHA<\/option><option value=\"INGENIERIA MECANICA - RIOHACHA\">INGENIERIA MECANICA &#8211; RIOHACHA<\/option><option value=\"LICENCIATURA EN CIENCIAS SOCIALES - AMPLIACI\u00d3N LUGAR DE DESARROLLO FONSECA\">LICENCIATURA EN CIENCIAS SOCIALES &#8211; AMPLIACI\u00d3N LUGAR DE DESARROLLO FONSECA<\/option><option value=\"LICENCIATURA EN CIENCIAS SOCIALES - AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO\">LICENCIATURA EN CIENCIAS SOCIALES &#8211; AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO<\/option><option value=\"LICENCIATURA EN CIENCIAS SOCIALES - RIOHACHA\">LICENCIATURA EN CIENCIAS SOCIALES &#8211; RIOHACHA<\/option><option value=\"LICENCIATURA EN EDUCACION ARTISTICA DISTANCIA - VILLANUEVA\">LICENCIATURA EN EDUCACION ARTISTICA DISTANCIA &#8211; VILLANUEVA<\/option><option value=\"LICENCIATURA EN EDUCACION BASICA PRIMARIA - MANAURE\">LICENCIATURA EN EDUCACION BASICA PRIMARIA &#8211; MANAURE<\/option><option value=\"LICENCIATURA EN EDUCACION BASICA PRIMARIA - URIBIA\">LICENCIATURA EN EDUCACION BASICA PRIMARIA &#8211; URIBIA<\/option><option value=\"LICENCIATURA EN EDUCACION BASICA PRIMARIA -VILLANUEVA\">LICENCIATURA EN EDUCACION BASICA PRIMARIA -VILLANUEVA<\/option><option value=\"LICENCIATURA EN EDUCACION FISICA, RECREACION Y DEPORTE - RIOHACHA\">LICENCIATURA EN EDUCACION FISICA, RECREACION Y DEPORTE &#8211; RIOHACHA<\/option><option value=\"LICENCIATURA EN EDUCACI\u00d3N INFANTIL - AMPLIACION LUGAR DE DESARROLLO MAICAO\">LICENCIATURA EN EDUCACI\u00d3N INFANTIL &#8211; AMPLIACION LUGAR DE DESARROLLO MAICAO<\/option><option value=\"LICENCIATURA EN EDUCACI\u00d3N INFANTIL - RIOHACHA\">LICENCIATURA EN EDUCACI\u00d3N INFANTIL &#8211; RIOHACHA<\/option><option value=\"LICENCIATURA EN ESPA\u00d1OL Y HUMANIDADES - AMPLIACI\u00d3N LUGAR DE DESARROLLO FONSECA\">LICENCIATURA EN ESPA\u00d1OL Y HUMANIDADES &#8211; AMPLIACI\u00d3N LUGAR DE DESARROLLO FONSECA<\/option><option value=\"LICENCIATURA EN ESPA\u00d1OL Y HUMANIDADES - AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO\">LICENCIATURA EN ESPA\u00d1OL Y HUMANIDADES &#8211; AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO<\/option><option value=\"LICENCIATURA EN ESPA\u00d1OL Y HUMANIDADES - RIOHACHA\">LICENCIATURA EN ESPA\u00d1OL Y HUMANIDADES &#8211; RIOHACHA<\/option><option value=\"LICENCIATURA EN ETNOEDUCACION - RIOHACHA\">LICENCIATURA EN ETNOEDUCACION &#8211; RIOHACHA<\/option><option value=\"LICENCIATURA EN ETNOEDUCACION DISTANCIA - AMPLIACION LUGAR DE DESARROLLO MAICAO\">LICENCIATURA EN ETNOEDUCACION DISTANCIA &#8211; AMPLIACION LUGAR DE DESARROLLO MAICAO<\/option><option value=\"LICENCIATURA EN ETNOEDUCACION E INTERCULTURALIDAD - RIOHACHA\">LICENCIATURA EN ETNOEDUCACION E INTERCULTURALIDAD &#8211; RIOHACHA<\/option><option value=\"LICENCIATURA EN M\u00daSICA - AMPLIACION LUGAR DE DESARROLLO FONSECA\">LICENCIATURA EN M\u00daSICA &#8211; AMPLIACION LUGAR DE DESARROLLO FONSECA<\/option><option value=\"LICENCIATURA EN M\u00daSICA - RIOHACHA\">LICENCIATURA EN M\u00daSICA &#8211; RIOHACHA<\/option><option value=\"LICENCIATURA EN PEDAGOGIA INFANTIL - AMPLIACION LUGAR DE DESARROLLO MAICAO\">LICENCIATURA EN PEDAGOGIA INFANTIL &#8211; AMPLIACION LUGAR DE DESARROLLO MAICAO<\/option><option value=\"MEDICINA - RIOHACHA\">MEDICINA &#8211; RIOHACHA<\/option><option value=\"NEGOCIOS INTERNACIONALES - AMPLIACION LUGAR DE DESARROLLO MAICAO\">NEGOCIOS INTERNACIONALES &#8211; AMPLIACION LUGAR DE DESARROLLO MAICAO<\/option><option value=\"NEGOCIOS INTERNACIONALES - RIOHACHA\">NEGOCIOS INTERNACIONALES &#8211; RIOHACHA<\/option><option value=\"NUTRICION Y DIETETICA - RIOHACHA\">NUTRICION Y DIETETICA &#8211; RIOHACHA<\/option><option value=\"PROGRAMA INTERCAMBIO\">PROGRAMA INTERCAMBIO<\/option><option value=\"PSICOLOG\u00cdA - RIOHACHA\">PSICOLOG\u00cdA &#8211; RIOHACHA<\/option><option value=\"QUIMICA - RIOHACHA\">QUIMICA &#8211; RIOHACHA<\/option><option value=\"SEGURIDAD Y SALUD EN EL TRABAJO - AMPLIACI\u00d3N LUGAR DE DESARROLLO FONSECA\">SEGURIDAD Y SALUD EN EL TRABAJO &#8211; AMPLIACI\u00d3N LUGAR DE DESARROLLO FONSECA<\/option><option value=\"SEGURIDAD Y SALUD EN EL TRABAJO - AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO\">SEGURIDAD Y SALUD EN EL TRABAJO &#8211; AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO<\/option><option value=\"SEGURIDAD Y SALUD EN EL TRABAJO - AMPLIACI\u00d3N LUGAR DE DESARROLLO VILLANUEVA\">SEGURIDAD Y SALUD EN EL TRABAJO &#8211; AMPLIACI\u00d3N LUGAR DE DESARROLLO VILLANUEVA<\/option><option value=\"SEGURIDAD Y SALUD EN EL TRABAJO - RIOHACHA\">SEGURIDAD Y SALUD EN EL TRABAJO &#8211; RIOHACHA<\/option><option value=\"TECNICA PROFESIONAL EN OPERACIONES PORTUARIAS - RIOHACHA\">TECNICA PROFESIONAL EN OPERACIONES PORTUARIAS &#8211; RIOHACHA<\/option><option value=\"TECNICA PROFESIONAL EN PROCESOS ADMINISTRATIVOS PUBLICOS - RIOHACHA\">TECNICA PROFESIONAL EN PROCESOS ADMINISTRATIVOS PUBLICOS &#8211; RIOHACHA<\/option><option value=\"TECNOLOG\u00cdA EN DESARROLLO DE SOFTWARE - AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO\">TECNOLOG\u00cdA EN DESARROLLO DE SOFTWARE &#8211; AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO<\/option><option value=\"TECNOLOG\u00cdA EN DESARROLLO DE SOFTWARE - RIOHACHA\">TECNOLOG\u00cdA EN DESARROLLO DE SOFTWARE &#8211; RIOHACHA<\/option><option value=\"TECNOLOGIA EN GESTION DE COMERCIO INTERNACIONAL - AMPLIACION LUGAR DE DESARROLLO FONSECA\">TECNOLOGIA EN GESTION DE COMERCIO INTERNACIONAL &#8211; AMPLIACION LUGAR DE DESARROLLO FONSECA<\/option><option value=\"TECNOLOGIA EN GESTION DE COMERCIO INTERNACIONAL - AMPLIACION LUGAR DE DESARROLLO MAICAO\">TECNOLOGIA EN GESTION DE COMERCIO INTERNACIONAL &#8211; AMPLIACION LUGAR DE DESARROLLO MAICAO<\/option><option value=\"TECNOLOGIA EN GESTION DE COMERCIO INTERNACIONAL - AMPLIACION LUGAR DE DESARROLLO VILLANUEVA\">TECNOLOGIA EN GESTION DE COMERCIO INTERNACIONAL &#8211; AMPLIACION LUGAR DE DESARROLLO VILLANUEVA<\/option><option value=\"TECNOLOGIA EN GESTION DE COMERCIO INTERNACIONAL - RIOHACHA\">TECNOLOGIA EN GESTION DE COMERCIO INTERNACIONAL &#8211; RIOHACHA<\/option><option value=\"TECNOLOGIA EN GESTION DE ENERGIAS RENOVABLES - RIOHACHA\">TECNOLOGIA EN GESTION DE ENERGIAS RENOVABLES &#8211; RIOHACHA<\/option><option value=\"TECNOLOGIA EN GESTION DE REDES INFORMATICAS - AMPLIACION LUGAR DE DESARROLLO MAICAO\">TECNOLOGIA EN GESTION DE REDES INFORMATICAS &#8211; AMPLIACION LUGAR DE DESARROLLO MAICAO<\/option><option value=\"TECNOLOGIA EN GESTION DE REDES INFORMATICAS - RIOHACHA\">TECNOLOGIA EN GESTION DE REDES INFORMATICAS &#8211; RIOHACHA<\/option><option value=\"TECNOLOG\u00cdA EN GESTI\u00d3N NAVIERA Y PORTUARIA - RIOHACHA\">TECNOLOG\u00cdA EN GESTI\u00d3N NAVIERA Y PORTUARIA &#8211; RIOHACHA<\/option><option value=\"TECNOLOGIA EN GESTION PUBLICA - RIOHACHA\">TECNOLOGIA EN GESTION PUBLICA &#8211; RIOHACHA<\/option><option value=\"TRABAJO SOCIAL - AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO\">TRABAJO SOCIAL &#8211; AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO<\/option><option value=\"TRABAJO SOCIAL - AMPLIACION LUGAR DE DESARROLLO VILLANUEVA\">TRABAJO SOCIAL &#8211; AMPLIACION LUGAR DE DESARROLLO VILLANUEVA<\/option><option value=\"TRABAJO SOCIAL - FONSECA\">TRABAJO SOCIAL &#8211; FONSECA<\/option><option value=\"TRABAJO SOCIAL - RIOHACHA\">TRABAJO SOCIAL &#8211; RIOHACHA<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-email quform-element-74_17 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_17\"><label class=\"quform-label-text\" for=\"quform_74_17_275521\">Correo Electr\u00f3nico <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-74_17\"><div class=\"quform-input quform-input-email quform-input-74_17 quform-cf\"><input type=\"email\" id=\"quform_74_17_275521\" name=\"quform_74_17\" class=\"quform-field quform-field-email quform-field-74_17\" \/><\/div><p class=\"quform-description quform-description-below\">Debe ser Correo Institucional, de no ser no se tendr\u00e1 en cuenta la inscripci\u00f3n<\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_76 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_76\"><label class=\"quform-label-text\" for=\"quform_74_76_275521\">Sede<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_76\"><div class=\"quform-input quform-input-select quform-input-74_76 quform-cf\"><select id=\"quform_74_76_275521\" name=\"quform_74_76\" class=\"quform-field quform-field-select quform-field-74_76\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Principal (Riohacha)\">Principal (Riohacha)<\/option><option value=\"Maicao\">Maicao<\/option><option value=\"Fonseca\">Fonseca<\/option><option value=\"Villanueva\">Villanueva<\/option><\/select><\/div><p class=\"quform-description quform-description-below\">Indique en que sede Estudia <\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_58 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_58\"><label class=\"quform-label-text\" for=\"quform_74_58_275521\">Semestre<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_58\"><div class=\"quform-input quform-input-select quform-input-74_58 quform-cf\"><select id=\"quform_74_58_275521\" name=\"quform_74_58\" class=\"quform-field quform-field-select quform-field-74_58\"><option value=\"\">Seleccione una Opci\u00f3n<\/option><option value=\"1\" selected=\"selected\">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><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_77 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_77\"><label class=\"quform-label-text\" for=\"quform_74_77_275521\">Promedio Ultimo Semestre<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_77\"><div class=\"quform-input quform-input-select quform-input-74_77 quform-cf\"><select id=\"quform_74_77_275521\" name=\"quform_74_77\" class=\"quform-field quform-field-select quform-field-74_77\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"2.9\">2.9<\/option><option value=\"3.0\">3.0<\/option><option value=\"3.1\">3.1<\/option><option value=\"3.2\">3.2<\/option><option value=\"3.3\">3.3<\/option><option value=\"3.4\">3.4<\/option><option value=\"3.5\">3.5<\/option><option value=\"3.6\">3.6<\/option><option value=\"3.7\">3.7<\/option><option value=\"3.8\">3.8<\/option><option value=\"3.9\">3.9<\/option><option value=\"4.0\">4.0<\/option><option value=\"4.1\">4.1<\/option><option value=\"4.2\">4.2<\/option><option value=\"4.3\">4.3<\/option><option value=\"4.4\">4.4<\/option><option value=\"4.5\">4.5<\/option><option value=\"4.6\">4.6<\/option><option value=\"4.7\">4.7<\/option><option value=\"4.8\">4.8<\/option><option value=\"4.9\">4.9<\/option><option value=\"5.0\">5.0<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_21 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_21\"><label class=\"quform-label-text\" for=\"quform_74_21_275521\">EPS<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_21\"><div class=\"quform-input quform-input-text quform-input-74_21 quform-cf\"><input type=\"text\" id=\"quform_74_21_275521\" name=\"quform_74_21\" class=\"quform-field quform-field-text quform-field-74_21\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-74_28 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">2. Servicio Solicitado <\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-74_68 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-74_69\"><div class=\"quform-element quform-element-select quform-element-74_78 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_78\"><label class=\"quform-label-text\" for=\"quform_74_78_275521\">Disciplinas Deportivas sede Riohacha<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_78\"><div class=\"quform-input quform-input-select quform-input-74_78 quform-cf\"><select id=\"quform_74_78_275521\" name=\"quform_74_78\" class=\"quform-field quform-field-select quform-field-74_78\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n <\/option><option value=\"Ajedrez\">Ajedrez<\/option><option value=\"Atletismo\">Atletismo<\/option><option value=\"Actividad F\u00edsica Musicalizada\">Actividad F\u00edsica Musicalizada<\/option><option value=\"Deporte inclusivo\">Deporte inclusivo<\/option><option value=\"Baloncesto\">Baloncesto<\/option><option value=\"Tiro con arco\">Tiro con arco<\/option><option value=\"Tenis de mesa\">Tenis de mesa<\/option><option value=\"Taekwondo\">Taekwondo<\/option><option value=\"Patinaje\">Patinaje<\/option><option value=\"Juegos tradicionales\">Juegos tradicionales<\/option><option value=\"Voleibol\">Voleibol<\/option><option value=\"Softball\">Softball<\/option><option value=\"F\u00fatbol sala, Femenino\/Masculino\">F\u00fatbol sala, Femenino\/Masculino<\/option><option value=\"F\u00fatbol 11 Masculino\">F\u00fatbol 11 Masculino<\/option><option value=\"Karate Do\">Karate Do<\/option><option value=\"Kickball\">Kickball<\/option><option value=\"Porrismo Cheers\">Porrismo Cheers<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_79 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_79\"><label class=\"quform-label-text\" for=\"quform_74_79_275521\">Disciplinas Deportivas sede Villanueva<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_79\"><div class=\"quform-input quform-input-select quform-input-74_79 quform-cf\"><select id=\"quform_74_79_275521\" name=\"quform_74_79\" class=\"quform-field quform-field-select quform-field-74_79\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Futbol sala \">Futbol sala <\/option><option value=\"Futbol 11\">Futbol 11<\/option><option value=\"Voleibol\">Voleibol<\/option><option value=\"Ajedrez\">Ajedrez<\/option><option value=\"Tenis de mesa\">Tenis de mesa<\/option><option value=\"Patinaje \">Patinaje <\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_80 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_80\"><label class=\"quform-label-text\" for=\"quform_74_80_275521\">Disciplinas Deportivas sede Fonseca<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_80\"><div class=\"quform-input quform-input-select quform-input-74_80 quform-cf\"><select id=\"quform_74_80_275521\" name=\"quform_74_80\" class=\"quform-field quform-field-select quform-field-74_80\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"F\u00fatbol 11\">F\u00fatbol 11<\/option><option value=\"F\u00fatbol sala \">F\u00fatbol sala <\/option><option value=\"Voleibol\">Voleibol<\/option><option value=\"Patinaje\">Patinaje<\/option><option value=\"Ajedrez\">Ajedrez<\/option><option value=\"Tenis de mesa\">Tenis de mesa<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_81 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_81\"><label class=\"quform-label-text\" for=\"quform_74_81_275521\">Disciplinas Deportivas sede  Maicao <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_81\"><div class=\"quform-input quform-input-select quform-input-74_81 quform-cf\"><select id=\"quform_74_81_275521\" name=\"quform_74_81\" class=\"quform-field quform-field-select quform-field-74_81\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Futbol sala \">Futbol sala <\/option><option value=\"Futbol 11\">Futbol 11<\/option><option value=\"Voleibol\">Voleibol<\/option><option value=\"Ajedrez\">Ajedrez<\/option><option value=\"Tenis de mesa\">Tenis de mesa<\/option><option value=\"Patinaje \">Patinaje <\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-74_31 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">3. Informaci\u00f3n F\u00edsica <\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-74_70 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-74_71\"><div class=\"quform-element quform-element-text quform-element-74_20 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_20\"><label class=\"quform-label-text\" for=\"quform_74_20_275521\">Estatura<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_20\"><div class=\"quform-input quform-input-text quform-input-74_20 quform-cf\"><input type=\"text\" id=\"quform_74_20_275521\" name=\"quform_74_20\" class=\"quform-field quform-field-text quform-field-74_20\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_304 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_304\"><label class=\"quform-label-text\" for=\"quform_74_304_275521\">Grupo sanguineo<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_304\"><div class=\"quform-input quform-input-select quform-input-74_304 quform-cf\"><select id=\"quform_74_304_275521\" name=\"quform_74_304\" class=\"quform-field quform-field-select quform-field-74_304\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"A+\">A+<\/option><option value=\"A-\">A-<\/option><option value=\"B+\">B+<\/option><option value=\"B-\">B-<\/option><option value=\"AB+\">AB+<\/option><option value=\"AB-\">AB-<\/option><option value=\"O+\">O+<\/option><option value=\"O-\">O-<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_19 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_19\"><label class=\"quform-label-text\" for=\"quform_74_19_275521\">Peso<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_19\"><div class=\"quform-input quform-input-text quform-input-74_19 quform-cf\"><input type=\"text\" id=\"quform_74_19_275521\" name=\"quform_74_19\" class=\"quform-field quform-field-text quform-field-74_19\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_33 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_33\"><label class=\"quform-label-text\" for=\"quform_74_33_275521\">Padece alguna enfermedad F\u00edsica Actualmente?<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_33\"><div class=\"quform-input quform-input-select quform-input-74_33 quform-cf\"><select id=\"quform_74_33_275521\" name=\"quform_74_33\" class=\"quform-field quform-field-select quform-field-74_33\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"No\">No<\/option><option value=\"SI\">SI<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_34 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_34\"><label class=\"quform-label-text\" for=\"quform_74_34_275521\">Cual?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_34\"><div class=\"quform-input quform-input-text quform-input-74_34 quform-cf\"><input type=\"text\" id=\"quform_74_34_275521\" name=\"quform_74_34\" class=\"quform-field quform-field-text quform-field-74_34\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_49 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_49\"><label class=\"quform-label-text\" for=\"quform_74_49_275521\">Sufre o Ha sufrido alguna Fractura?<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_49\"><div class=\"quform-input quform-input-select quform-input-74_49 quform-cf\"><select id=\"quform_74_49_275521\" name=\"quform_74_49\" class=\"quform-field quform-field-select quform-field-74_49\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"No\">No<\/option><option value=\"Si\">Si<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_394 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_394\"><label class=\"quform-label-text\" for=\"quform_74_394_275521\">Anteriormente, \u00bfusted ha practicado alg\u00fan deporte?<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_394\"><div class=\"quform-input quform-input-select quform-input-74_394 quform-cf\"><select id=\"quform_74_394_275521\" name=\"quform_74_394\" class=\"quform-field quform-field-select quform-field-74_394\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"SI\">SI<\/option><option value=\"NO\">NO<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_50 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_50\"><label class=\"quform-label-text\" for=\"quform_74_50_275521\">Donde?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_50\"><div class=\"quform-input quform-input-text quform-input-74_50 quform-cf\"><input type=\"text\" id=\"quform_74_50_275521\" name=\"quform_74_50\" class=\"quform-field quform-field-text quform-field-74_50\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_396 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_396\"><label class=\"quform-label-text\" for=\"quform_74_396_275521\">\u00bfC\u00faal?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_396\"><div class=\"quform-input quform-input-text quform-input-74_396 quform-cf\"><input type=\"text\" id=\"quform_74_396_275521\" name=\"quform_74_396\" class=\"quform-field quform-field-text quform-field-74_396\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-file quform-element-74_46 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_46\"><label class=\"quform-label-text\" for=\"quform_74_46_275521\">Cargar Una foto <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-file quform-inner-74_46\"><div class=\"quform-input quform-input-file quform-input-74_46 quform-cf quform-button-style-theme\"><input type=\"file\" id=\"quform_74_46_275521\" name=\"quform_74_46[]\" class=\"quform-field quform-field-file quform-field-74_46 quform-field-file-enhanced\" data-config=\"{&quot;id&quot;:46,&quot;identifier&quot;:&quot;74_46&quot;,&quot;name&quot;:&quot;quform_74_46&quot;,&quot;max&quot;:1,&quot;size&quot;:10485760,&quot;allowedExtensions&quot;:[&quot;jpg&quot;,&quot;jpeg&quot;,&quot;png&quot;,&quot;gif&quot;,&quot;pdf&quot;],&quot;notAllowedTypeWithFilename&quot;:&quot;File type of &#039;%filename%&#039; is not allowed&quot;,&quot;tooBigWithFilename&quot;:&quot;File &#039;%filename%&#039; exceeds the maximum allowed file size&quot;,&quot;tooMany&quot;:&quot;You cannot upload more than %max% file(s)&quot;,&quot;buttonType&quot;:&quot;button&quot;,&quot;buttonText&quot;:&quot;Cargar foto...&quot;,&quot;buttonIcon&quot;:&quot;qicon-file_upload&quot;,&quot;buttonIconPosition&quot;:&quot;right&quot;}\" \/><\/div><p class=\"quform-description quform-description-below\">Tama\u00f1o m\u00e1ximo 10MB, debe cargar una foto de perfil <\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-file quform-element-74_59 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_59\"><label class=\"quform-label-text\" for=\"quform_74_59_275521\">Cargar Documento de Identidad<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-file quform-inner-74_59\"><div class=\"quform-input quform-input-file quform-input-74_59 quform-cf quform-button-style-theme\"><input type=\"file\" id=\"quform_74_59_275521\" name=\"quform_74_59[]\" class=\"quform-field quform-field-file quform-field-74_59 quform-field-file-enhanced\" data-config=\"{&quot;id&quot;:59,&quot;identifier&quot;:&quot;74_59&quot;,&quot;name&quot;:&quot;quform_74_59&quot;,&quot;max&quot;:1,&quot;size&quot;:10485760,&quot;allowedExtensions&quot;:[&quot;jpg&quot;,&quot;jpeg&quot;,&quot;png&quot;,&quot;gif&quot;,&quot;pdf&quot;],&quot;notAllowedTypeWithFilename&quot;:&quot;File type of &#039;%filename%&#039; is not allowed&quot;,&quot;tooBigWithFilename&quot;:&quot;File &#039;%filename%&#039; exceeds the maximum allowed file size&quot;,&quot;tooMany&quot;:&quot;You cannot upload more than %max% file(s)&quot;,&quot;buttonType&quot;:&quot;button&quot;,&quot;buttonText&quot;:&quot;Browse...&quot;,&quot;buttonIcon&quot;:&quot;qicon-file_upload&quot;,&quot;buttonIconPosition&quot;:&quot;right&quot;}\" \/><\/div><p class=\"quform-description quform-description-below\">Tama\u00f1o m\u00e1ximo 10MB<\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-file quform-element-74_60 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_60\"><label class=\"quform-label-text\" for=\"quform_74_60_275521\">Carga Horario de Clases<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-file quform-inner-74_60\"><div class=\"quform-input quform-input-file quform-input-74_60 quform-cf quform-button-style-theme\"><input type=\"file\" id=\"quform_74_60_275521\" name=\"quform_74_60[]\" class=\"quform-field quform-field-file quform-field-74_60 quform-field-file-enhanced\" data-config=\"{&quot;id&quot;:60,&quot;identifier&quot;:&quot;74_60&quot;,&quot;name&quot;:&quot;quform_74_60&quot;,&quot;max&quot;:1,&quot;size&quot;:10485760,&quot;allowedExtensions&quot;:[&quot;jpg&quot;,&quot;jpeg&quot;,&quot;png&quot;,&quot;gif&quot;,&quot;pdf&quot;],&quot;notAllowedTypeWithFilename&quot;:&quot;File type of &#039;%filename%&#039; is not allowed&quot;,&quot;tooBigWithFilename&quot;:&quot;File &#039;%filename%&#039; exceeds the maximum allowed file size&quot;,&quot;tooMany&quot;:&quot;You cannot upload more than %max% file(s)&quot;,&quot;buttonType&quot;:&quot;button&quot;,&quot;buttonText&quot;:&quot;Browse...&quot;,&quot;buttonIcon&quot;:&quot;qicon-file_upload&quot;,&quot;buttonIconPosition&quot;:&quot;right&quot;}\" \/><\/div><p class=\"quform-description quform-description-below\">Tama\u00f1o m\u00e1ximo 10MB<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-74_153 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">Formulario de Inscripci\u00f3n  Funcionarios <\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-74_154 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-74_155\"><div class=\"quform-element quform-element-group quform-element-74_156 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">1. Informaci\u00f3n General<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-74_157 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-74_158\"><div class=\"quform-element quform-element-text quform-element-74_159 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_159\"><label class=\"quform-label-text\" for=\"quform_74_159_275521\">Nombres y Apellidos<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_159\"><div class=\"quform-input quform-input-text quform-input-74_159 quform-cf\"><input type=\"text\" id=\"quform_74_159_275521\" name=\"quform_74_159\" class=\"quform-field quform-field-text quform-field-74_159\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_160 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_160\"><label class=\"quform-label-text\" for=\"quform_74_160_275521\">Documento de Identidad<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_160\"><div class=\"quform-input quform-input-text quform-input-74_160 quform-cf\"><input type=\"text\" id=\"quform_74_160_275521\" name=\"quform_74_160\" class=\"quform-field quform-field-text quform-field-74_160\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-date quform-element-74_162 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_162\"><label class=\"quform-label-text\" for=\"quform_74_162_275521\">Fecha de Nacimiento<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-74_162\"><div class=\"quform-input quform-input-date quform-input-74_162 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_74_162_275521\" name=\"quform_74_162\" class=\"quform-field quform-field-date quform-field-74_162\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;es-CO&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:false,&quot;identifier&quot;:&quot;74_162&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_163 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_163\"><label class=\"quform-label-text\" for=\"quform_74_163_275521\">Edad<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_163\"><div class=\"quform-input quform-input-text quform-input-74_163 quform-cf\"><input type=\"text\" id=\"quform_74_163_275521\" name=\"quform_74_163\" class=\"quform-field quform-field-text quform-field-74_163\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_164 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_164\"><label class=\"quform-label-text\" for=\"quform_74_164_275521\">Sexo Biol\u00f3gico <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_164\"><div class=\"quform-input quform-input-select quform-input-74_164 quform-cf\"><select id=\"quform_74_164_275521\" name=\"quform_74_164\" class=\"quform-field quform-field-select quform-field-74_164\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Masculino\">Masculino<\/option><option value=\"Femenino \">Femenino <\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_165 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_165\"><label class=\"quform-label-text\" for=\"quform_74_165_275521\">Identidad de genero <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_165\"><div class=\"quform-input quform-input-select quform-input-74_165 quform-cf\"><select id=\"quform_74_165_275521\" name=\"quform_74_165\" class=\"quform-field quform-field-select quform-field-74_165\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Heterosexual\">Heterosexual<\/option><option value=\" Lesbiana\"> Lesbiana<\/option><option value=\" Gay\"> Gay<\/option><option value=\" Bisexual\"> Bisexual<\/option><option value=\" Transexual\"> Transexual<\/option><option value=\" Intersexual\"> Intersexual<\/option><option value=\" Queen\"> Queen<\/option><option value=\" No Binario\"> No Binario<\/option><option value=\" Ninguno\"> Ninguno<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_168 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_168\"><label class=\"quform-label-text\" for=\"quform_74_168_275521\">Estado Civil<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_168\"><div class=\"quform-input quform-input-select quform-input-74_168 quform-cf\"><select id=\"quform_74_168_275521\" name=\"quform_74_168\" class=\"quform-field quform-field-select quform-field-74_168\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Soltero\">Soltero<\/option><option value=\"Casado\">Casado<\/option><option value=\"Uni\u00f3n Libre\">Uni\u00f3n Libre<\/option><option value=\"Divorciado \">Divorciado <\/option><option value=\"Viudo (a)\">Viudo (a)<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_169 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_169\"><label class=\"quform-label-text\" for=\"quform_74_169_275521\">Direcci\u00f3n de residencia Actual<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_169\"><div class=\"quform-input quform-input-text quform-input-74_169 quform-cf\"><input type=\"text\" id=\"quform_74_169_275521\" name=\"quform_74_169\" class=\"quform-field quform-field-text quform-field-74_169\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_170 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_170\"><label class=\"quform-label-text\" for=\"quform_74_170_275521\">Barrio<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_170\"><div class=\"quform-input quform-input-text quform-input-74_170 quform-cf\"><input type=\"text\" id=\"quform_74_170_275521\" name=\"quform_74_170\" class=\"quform-field quform-field-text quform-field-74_170\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_171 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_171\"><label class=\"quform-label-text\" for=\"quform_74_171_275521\">Municipio<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_171\"><div class=\"quform-input quform-input-text quform-input-74_171 quform-cf\"><input type=\"text\" id=\"quform_74_171_275521\" name=\"quform_74_171\" class=\"quform-field quform-field-text quform-field-74_171\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_172 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_172\"><label class=\"quform-label-text\" for=\"quform_74_172_275521\">Departamento<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_172\"><div class=\"quform-input quform-input-text quform-input-74_172 quform-cf\"><input type=\"text\" id=\"quform_74_172_275521\" name=\"quform_74_172\" class=\"quform-field quform-field-text quform-field-74_172\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_173 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_173\"><label class=\"quform-label-text\" for=\"quform_74_173_275521\">Celular<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_173\"><div class=\"quform-input quform-input-text quform-input-74_173 quform-cf\"><input type=\"text\" id=\"quform_74_173_275521\" name=\"quform_74_173\" class=\"quform-field quform-field-text quform-field-74_173\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-email quform-element-74_174 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_174\"><label class=\"quform-label-text\" for=\"quform_74_174_275521\">Correo Electr\u00f3nico <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-74_174\"><div class=\"quform-input quform-input-email quform-input-74_174 quform-cf\"><input type=\"email\" id=\"quform_74_174_275521\" name=\"quform_74_174\" class=\"quform-field quform-field-email quform-field-74_174\" \/><\/div><p class=\"quform-description quform-description-below\">Debe ser Correo Institucional, de no ser no se tendr\u00e1 en cuenta la inscripci\u00f3n<\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_216 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_216\"><label class=\"quform-label-text\" for=\"quform_74_216_275521\">Oficina en que labora<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_216\"><div class=\"quform-input quform-input-select quform-input-74_216 quform-cf\"><select id=\"quform_74_216_275521\" name=\"quform_74_216\" class=\"quform-field quform-field-select quform-field-74_216\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"ADMISIONES Y REGISTRO\">ADMISIONES Y REGISTRO<\/option><option value=\"ALMAC\u00c9N\">ALMAC\u00c9N<\/option><option value=\"ARCHIVO Y CORRESPONDENCIA\">ARCHIVO Y CORRESPONDENCIA<\/option><option value=\"ASEGURAMIENTO DE LA CALIDAD\">ASEGURAMIENTO DE LA CALIDAD<\/option><option value=\"ASPU\">ASPU<\/option><option value=\"AUDIOVISUALES\">AUDIOVISUALES<\/option><option value=\"BIBLIOTECA\">BIBLIOTECA<\/option><option value=\"BIENESTAR SOCIAL UNIVERSITARIO\">BIENESTAR SOCIAL UNIVERSITARIO<\/option><option value=\"BOLSA EMPLEO\">BOLSA EMPLEO<\/option><option value=\"CENTRO DE EMPRENDIMIENTO Y DESARROLLO EMPRESARIAL\">CENTRO DE EMPRENDIMIENTO Y DESARROLLO EMPRESARIAL<\/option><option value=\"CENTRO DE EXTENSION\">CENTRO DE EXTENSION<\/option><option value=\"CENTRO DE GRADUADOS\">CENTRO DE GRADUADOS<\/option><option value=\"CENTRO DE INVESTIGACIONES\">CENTRO DE INVESTIGACIONES<\/option><option value=\"CENTRO DE LENGUAS\">CENTRO DE LENGUAS<\/option><option value=\"CENTRO DE REGIONALIZACION\">CENTRO DE REGIONALIZACION<\/option><option value=\"CIGE\">CIGE<\/option><option value=\"CONTABILIDAD\">CONTABILIDAD<\/option><option value=\"CONTROL INTERNO\">CONTROL INTERNO<\/option><option value=\"DIRECCION DE SISTEMAS\">DIRECCION DE SISTEMAS<\/option><option value=\"EMISORA\">EMISORA<\/option><option value=\"IMAGEN Y PROTOCOLO\">IMAGEN Y PROTOCOLO<\/option><option value=\"INESAG\">INESAG<\/option><option value=\"INSTITUTO TECNOL\u00d3GICO\">INSTITUTO TECNOL\u00d3GICO<\/option><option value=\"JUR\u00cdDICA\">JUR\u00cdDICA<\/option><option value=\"FACULTAD CIENCIAS B\u00c1SICAS\">FACULTAD CIENCIAS B\u00c1SICAS<\/option><option value=\"FACULTAD CIENCIAS DE LA EDUCACI\u00d3N\">FACULTAD CIENCIAS DE LA EDUCACI\u00d3N<\/option><option value=\"FACULTAD CIENCIAS SOCIALES Y HUMANAS\">FACULTAD CIENCIAS SOCIALES Y HUMANAS<\/option><option value=\"FACULTAD DE CIENCIAS ECONOMICAS Y ADMINISTRATIVAS\">FACULTAD DE CIENCIAS ECONOMICAS Y ADMINISTRATIVAS<\/option><option value=\"FACULTAD DE INGENIER\u00cdA\">FACULTAD DE INGENIER\u00cdA<\/option><option value=\"OFICINA DE COMUNICACIONES\">OFICINA DE COMUNICACIONES<\/option><option value=\"OFICINA DE CONTRATACION\">OFICINA DE CONTRATACION<\/option><option value=\"OFICINA DE EXTENSI\u00d3N\">OFICINA DE EXTENSI\u00d3N<\/option><option value=\"OFICINA DE POSGRADOS\">OFICINA DE POSGRADOS<\/option><option value=\"OFICINA DE RELACIONES INTERNACIONALES\">OFICINA DE RELACIONES INTERNACIONALES<\/option><option value=\"PLANEACION\">PLANEACION<\/option><option value=\"PRESUPUESTO\">PRESUPUESTO<\/option><option value=\"RECTOR\u00cdA\">RECTOR\u00cdA<\/option><option value=\"RECURSOS ACAD\u00c9MICOS\">RECURSOS ACAD\u00c9MICOS<\/option><option value=\"RELACIONES INTERNACIONALES\">RELACIONES INTERNACIONALES<\/option><option value=\"SECRETARIA GENERAL\">SECRETARIA GENERAL<\/option><option value=\"SEGURIDAD Y SALUD EN EL TRABAJO\">SEGURIDAD Y SALUD EN EL TRABAJO<\/option><option value=\"SILAB\">SILAB<\/option><option value=\"SINTRAUNICOL GUAJIRA\">SINTRAUNICOL GUAJIRA<\/option><option value=\"TALENTO HUMANO\">TALENTO HUMANO<\/option><option value=\"TESORERIA\">TESORERIA<\/option><option value=\"TR\u00c1MITE DE CUENTAS\">TR\u00c1MITE DE CUENTAS<\/option><option value=\"VICERRECTORIA ACADEMICA\">VICERRECTORIA ACADEMICA<\/option><option value=\"VICERRECTORIA ADMINISTRATIVA Y FINANCIERA\">VICERRECTORIA ADMINISTRATIVA Y FINANCIERA<\/option><option value=\"VICERRECTORIA DE INVESTIGACION Y EXTENSION\">VICERRECTORIA DE INVESTIGACION Y EXTENSION<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_180 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_180\"><label class=\"quform-label-text\" for=\"quform_74_180_275521\">EPS<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_180\"><div class=\"quform-input quform-input-text quform-input-74_180 quform-cf\"><input type=\"text\" id=\"quform_74_180_275521\" name=\"quform_74_180\" class=\"quform-field quform-field-text quform-field-74_180\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-74_181 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">2. Servicio Solicitado <\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-74_182 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-74_183\"><div class=\"quform-element quform-element-select quform-element-74_184 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_184\"><label class=\"quform-label-text\" for=\"quform_74_184_275521\">Sede funcionarios<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_184\"><div class=\"quform-input quform-input-select quform-input-74_184 quform-cf\"><select id=\"quform_74_184_275521\" name=\"quform_74_184\" class=\"quform-field quform-field-select quform-field-74_184\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Principal (Riohacha)\">Principal (Riohacha)<\/option><option value=\"Maicao\">Maicao<\/option><option value=\"Fonseca\">Fonseca<\/option><option value=\"Villanueva\">Villanueva<\/option><\/select><\/div><p class=\"quform-description quform-description-below\">Indique en que sede Estudia <\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_185 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_185\"><label class=\"quform-label-text\" for=\"quform_74_185_275521\">Disciplinas Deportivas sede Riohacha<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_185\"><div class=\"quform-input quform-input-select quform-input-74_185 quform-cf\"><select id=\"quform_74_185_275521\" name=\"quform_74_185\" class=\"quform-field quform-field-select quform-field-74_185\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n <\/option><option value=\"Atletismo\">Atletismo<\/option><option value=\"Actividad F\u00edsica Musicalizada\">Actividad F\u00edsica Musicalizada<\/option><option value=\"Deporte inclusivo\">Deporte inclusivo<\/option><option value=\"Baloncesto\">Baloncesto<\/option><option value=\"Tiro con arco\">Tiro con arco<\/option><option value=\"Tenis de mesa\">Tenis de mesa<\/option><option value=\"Taekwondo\">Taekwondo<\/option><option value=\"Patinaje\">Patinaje<\/option><option value=\"Juegos tradicionales\">Juegos tradicionales<\/option><option value=\"Voleibol\">Voleibol<\/option><option value=\"Softball\">Softball<\/option><option value=\"F\u00fatbol sala, Femenino\/Masculino\">F\u00fatbol sala, Femenino\/Masculino<\/option><option value=\"F\u00fatbol 11 Masculino\">F\u00fatbol 11 Masculino<\/option><option value=\"Karate Do\">Karate Do<\/option><option value=\"Kickball\">Kickball<\/option><option value=\"Porrismo Cheers\">Porrismo Cheers<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_391 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_391\"><label class=\"quform-label-text\" for=\"quform_74_391_275521\">Juegos tradicionales <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_391\"><div class=\"quform-input quform-input-select quform-input-74_391 quform-cf\"><select id=\"quform_74_391_275521\" name=\"quform_74_391\" class=\"quform-field quform-field-select quform-field-74_391\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"SAPO\">SAPO<\/option><option value=\"BILLAR\">BILLAR<\/option><option value=\"BILLAR POOL\">BILLAR POOL<\/option><option value=\"TEJO\">TEJO<\/option><option value=\"MINI TEJO\">MINI TEJO<\/option><option value=\"DOMIN\u00d3\">DOMIN\u00d3<\/option><option value=\"PARQUES\">PARQUES<\/option><option value=\"DESAFI\u00d3\">DESAFI\u00d3<\/option><option value=\"BOLIRANA\">BOLIRANA<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_186 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_186\"><label class=\"quform-label-text\" for=\"quform_74_186_275521\">Disciplinas Deportivas sede Villanueva<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_186\"><div class=\"quform-input quform-input-select quform-input-74_186 quform-cf\"><select id=\"quform_74_186_275521\" name=\"quform_74_186\" class=\"quform-field quform-field-select quform-field-74_186\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"F\u00fatbol\">F\u00fatbol<\/option><option value=\"F\u00fatbol Sala\">F\u00fatbol Sala<\/option><option value=\"Voleibol\">Voleibol<\/option><option value=\"Tenis de Mesa\">Tenis de Mesa<\/option><option value=\"Ajedrez \">Ajedrez <\/option><option value=\"Atletismo\">Atletismo<\/option><option value=\"Patinaje \">Patinaje <\/option><option value=\"Billar\">Billar<\/option><option value=\"Billar Pool\">Billar Pool<\/option><option value=\"Tejo\">Tejo<\/option><option value=\"Mini Tejo\">Mini Tejo<\/option><option value=\"Sapo\">Sapo<\/option><option value=\"Domin\u00f3\">Domin\u00f3<\/option><option value=\"Parqu\u00e9s\">Parqu\u00e9s<\/option><option value=\"Desafio\">Desafio<\/option><option value=\"Bolirana\">Bolirana<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_187 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_187\"><label class=\"quform-label-text\" for=\"quform_74_187_275521\">Disciplinas Deportivas sede Fonseca<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_187\"><div class=\"quform-input quform-input-select quform-input-74_187 quform-cf\"><select id=\"quform_74_187_275521\" name=\"quform_74_187\" class=\"quform-field quform-field-select quform-field-74_187\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Futbol\">Futbol<\/option><option value=\"F\u00fatbol Sala\">F\u00fatbol Sala<\/option><option value=\"Voleibol\">Voleibol<\/option><option value=\"Baloncesto\">Baloncesto<\/option><option value=\"Patinaje\">Patinaje<\/option><option value=\"Ajedrez \">Ajedrez <\/option><option value=\"Billar\">Billar<\/option><option value=\"Billar Pool\">Billar Pool<\/option><option value=\"Tejo\">Tejo<\/option><option value=\"Mini Tejo\">Mini Tejo<\/option><option value=\"Sapo\">Sapo<\/option><option value=\"Domin\u00f3\">Domin\u00f3<\/option><option value=\"Parqu\u00e9s\">Parqu\u00e9s<\/option><option value=\"Desafio\">Desafio<\/option><option value=\"Bolirana\">Bolirana<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_188 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_188\"><label class=\"quform-label-text\" for=\"quform_74_188_275521\">Disciplinas Deportivas sede  Maicao <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_188\"><div class=\"quform-input quform-input-select quform-input-74_188 quform-cf\"><select id=\"quform_74_188_275521\" name=\"quform_74_188\" class=\"quform-field quform-field-select quform-field-74_188\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"F\u00fatbol\">F\u00fatbol<\/option><option value=\"Futbol Sala\">Futbol Sala<\/option><option value=\"Voleiball\">Voleiball<\/option><option value=\"Baloncesto\">Baloncesto<\/option><option value=\"Ajedrez\">Ajedrez<\/option><option value=\"Atletismo\">Atletismo<\/option><option value=\"Patinaje\">Patinaje<\/option><option value=\"Billar\">Billar<\/option><option value=\"Billar Pool\">Billar Pool<\/option><option value=\"Tejo\">Tejo<\/option><option value=\"Mini Tejo\">Mini Tejo<\/option><option value=\"Sapo\">Sapo<\/option><option value=\"Domin\u00f3\">Domin\u00f3<\/option><option value=\"Parqu\u00e9s\">Parqu\u00e9s<\/option><option value=\"Desfio\">Desfio<\/option><option value=\"Bolirana\">Bolirana<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-74_189 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">3. Informaci\u00f3n F\u00edsica <\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-74_190 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-74_191\"><div class=\"quform-element quform-element-select quform-element-74_303 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_303\"><label class=\"quform-label-text\" for=\"quform_74_303_275521\">Grupo sanguineo<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_303\"><div class=\"quform-input quform-input-select quform-input-74_303 quform-cf\"><select id=\"quform_74_303_275521\" name=\"quform_74_303\" class=\"quform-field quform-field-select quform-field-74_303\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"A+\">A+<\/option><option value=\"A-\">A-<\/option><option value=\"B+\">B+<\/option><option value=\"B-\">B-<\/option><option value=\"AB+\">AB+<\/option><option value=\"AB-\">AB-<\/option><option value=\"O+\">O+<\/option><option value=\"O-\">O-<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_192 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_192\"><label class=\"quform-label-text\" for=\"quform_74_192_275521\">Estatura<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_192\"><div class=\"quform-input quform-input-text quform-input-74_192 quform-cf\"><input type=\"text\" id=\"quform_74_192_275521\" name=\"quform_74_192\" class=\"quform-field quform-field-text quform-field-74_192\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_193 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_193\"><label class=\"quform-label-text\" for=\"quform_74_193_275521\">Peso<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_193\"><div class=\"quform-input quform-input-text quform-input-74_193 quform-cf\"><input type=\"text\" id=\"quform_74_193_275521\" name=\"quform_74_193\" class=\"quform-field quform-field-text quform-field-74_193\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_195 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_195\"><label class=\"quform-label-text\" for=\"quform_74_195_275521\">Padece alguna enfermedad F\u00edsica Actualmente?<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_195\"><div class=\"quform-input quform-input-select quform-input-74_195 quform-cf\"><select id=\"quform_74_195_275521\" name=\"quform_74_195\" class=\"quform-field quform-field-select quform-field-74_195\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"No\">No<\/option><option value=\"SI\">SI<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_196 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_196\"><label class=\"quform-label-text\" for=\"quform_74_196_275521\">Cual?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_196\"><div class=\"quform-input quform-input-text quform-input-74_196 quform-cf\"><input type=\"text\" id=\"quform_74_196_275521\" name=\"quform_74_196\" class=\"quform-field quform-field-text quform-field-74_196\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_197 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_197\"><label class=\"quform-label-text\" for=\"quform_74_197_275521\">Sufre o Ha sufrido alguna Fractura?<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_197\"><div class=\"quform-input quform-input-select quform-input-74_197 quform-cf\"><select id=\"quform_74_197_275521\" name=\"quform_74_197\" class=\"quform-field quform-field-select quform-field-74_197\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"No\">No<\/option><option value=\"Si\">Si<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_198 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_198\"><label class=\"quform-label-text\" for=\"quform_74_198_275521\">Donde?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_198\"><div class=\"quform-input quform-input-text quform-input-74_198 quform-cf\"><input type=\"text\" id=\"quform_74_198_275521\" name=\"quform_74_198\" class=\"quform-field quform-field-text quform-field-74_198\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-74_397 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">Formulario de Inscripci\u00f3n  Graduados<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-74_398 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-74_399\"><div class=\"quform-element quform-element-group quform-element-74_400 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">1. Informaci\u00f3n General<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-74_401 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-74_402\"><div class=\"quform-element quform-element-text quform-element-74_403 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_403\"><label class=\"quform-label-text\" for=\"quform_74_403_275521\">Nombres y Apellidos<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_403\"><div class=\"quform-input quform-input-text quform-input-74_403 quform-cf\"><input type=\"text\" id=\"quform_74_403_275521\" name=\"quform_74_403\" class=\"quform-field quform-field-text quform-field-74_403\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_404 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_404\"><label class=\"quform-label-text\" for=\"quform_74_404_275521\">Documento de Identidad<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_404\"><div class=\"quform-input quform-input-text quform-input-74_404 quform-cf\"><input type=\"text\" id=\"quform_74_404_275521\" name=\"quform_74_404\" class=\"quform-field quform-field-text quform-field-74_404\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-date quform-element-74_405 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_405\"><label class=\"quform-label-text\" for=\"quform_74_405_275521\">Fecha de Nacimiento<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-74_405\"><div class=\"quform-input quform-input-date quform-input-74_405 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_74_405_275521\" name=\"quform_74_405\" class=\"quform-field quform-field-date quform-field-74_405\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;es-CO&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:false,&quot;identifier&quot;:&quot;74_405&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_406 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_406\"><label class=\"quform-label-text\" for=\"quform_74_406_275521\">Edad<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_406\"><div class=\"quform-input quform-input-text quform-input-74_406 quform-cf\"><input type=\"text\" id=\"quform_74_406_275521\" name=\"quform_74_406\" class=\"quform-field quform-field-text quform-field-74_406\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_407 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_407\"><label class=\"quform-label-text\" for=\"quform_74_407_275521\">Sexo Biol\u00f3gico <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_407\"><div class=\"quform-input quform-input-select quform-input-74_407 quform-cf\"><select id=\"quform_74_407_275521\" name=\"quform_74_407\" class=\"quform-field quform-field-select quform-field-74_407\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Masculino\">Masculino<\/option><option value=\"Femenino \">Femenino <\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_408 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_408\"><label class=\"quform-label-text\" for=\"quform_74_408_275521\">Identidad de genero <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_408\"><div class=\"quform-input quform-input-select quform-input-74_408 quform-cf\"><select id=\"quform_74_408_275521\" name=\"quform_74_408\" class=\"quform-field quform-field-select quform-field-74_408\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Heterosexual\">Heterosexual<\/option><option value=\" Lesbiana\"> Lesbiana<\/option><option value=\" Gay\"> Gay<\/option><option value=\" Bisexual\"> Bisexual<\/option><option value=\" Transexual\"> Transexual<\/option><option value=\" Intersexual\"> Intersexual<\/option><option value=\" Queen\"> Queen<\/option><option value=\" No Binario\"> No Binario<\/option><option value=\" Ninguno\"> Ninguno<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_409 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_409\"><label class=\"quform-label-text\" for=\"quform_74_409_275521\">Estado Civil<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_409\"><div class=\"quform-input quform-input-select quform-input-74_409 quform-cf\"><select id=\"quform_74_409_275521\" name=\"quform_74_409\" class=\"quform-field quform-field-select quform-field-74_409\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Soltero\">Soltero<\/option><option value=\"Casado\">Casado<\/option><option value=\"Uni\u00f3n Libre\">Uni\u00f3n Libre<\/option><option value=\"Divorciado \">Divorciado <\/option><option value=\"Viudo (a)\">Viudo (a)<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_410 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_410\"><label class=\"quform-label-text\" for=\"quform_74_410_275521\">Direcci\u00f3n de residencia Actual<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_410\"><div class=\"quform-input quform-input-text quform-input-74_410 quform-cf\"><input type=\"text\" id=\"quform_74_410_275521\" name=\"quform_74_410\" class=\"quform-field quform-field-text quform-field-74_410\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_411 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_411\"><label class=\"quform-label-text\" for=\"quform_74_411_275521\">Barrio<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_411\"><div class=\"quform-input quform-input-text quform-input-74_411 quform-cf\"><input type=\"text\" id=\"quform_74_411_275521\" name=\"quform_74_411\" class=\"quform-field quform-field-text quform-field-74_411\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_412 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_412\"><label class=\"quform-label-text\" for=\"quform_74_412_275521\">Municipio<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_412\"><div class=\"quform-input quform-input-text quform-input-74_412 quform-cf\"><input type=\"text\" id=\"quform_74_412_275521\" name=\"quform_74_412\" class=\"quform-field quform-field-text quform-field-74_412\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_413 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_413\"><label class=\"quform-label-text\" for=\"quform_74_413_275521\">Departamento<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_413\"><div class=\"quform-input quform-input-text quform-input-74_413 quform-cf\"><input type=\"text\" id=\"quform_74_413_275521\" name=\"quform_74_413\" class=\"quform-field quform-field-text quform-field-74_413\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_414 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_414\"><label class=\"quform-label-text\" for=\"quform_74_414_275521\">Celular<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_414\"><div class=\"quform-input quform-input-text quform-input-74_414 quform-cf\"><input type=\"text\" id=\"quform_74_414_275521\" name=\"quform_74_414\" class=\"quform-field quform-field-text quform-field-74_414\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-email quform-element-74_415 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_415\"><label class=\"quform-label-text\" for=\"quform_74_415_275521\">Correo Electr\u00f3nico <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-74_415\"><div class=\"quform-input quform-input-email quform-input-74_415 quform-cf\"><input type=\"email\" id=\"quform_74_415_275521\" name=\"quform_74_415\" class=\"quform-field quform-field-email quform-field-74_415\" \/><\/div><p class=\"quform-description quform-description-below\">Debe ser Correo Institucional, de no ser no se tendr\u00e1 en cuenta la inscripci\u00f3n<\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_417 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_417\"><label class=\"quform-label-text\" for=\"quform_74_417_275521\">EPS<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_417\"><div class=\"quform-input quform-input-text quform-input-74_417 quform-cf\"><input type=\"text\" id=\"quform_74_417_275521\" name=\"quform_74_417\" class=\"quform-field quform-field-text quform-field-74_417\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-74_418 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">2. Servicio Solicitado <\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-74_419 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-74_420\"><div class=\"quform-element quform-element-select quform-element-74_421 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_421\"><label class=\"quform-label-text\" for=\"quform_74_421_275521\">Sede graduados<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_421\"><div class=\"quform-input quform-input-select quform-input-74_421 quform-cf\"><select id=\"quform_74_421_275521\" name=\"quform_74_421\" class=\"quform-field quform-field-select quform-field-74_421\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Principal (Riohacha)\">Principal (Riohacha)<\/option><option value=\"Maicao\">Maicao<\/option><option value=\"Fonseca\">Fonseca<\/option><option value=\"Villanueva\">Villanueva<\/option><\/select><\/div><p class=\"quform-description quform-description-below\">Indique en que sede Estudia <\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_422 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_422\"><label class=\"quform-label-text\" for=\"quform_74_422_275521\">Disciplinas Deportivas sede Riohacha<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_422\"><div class=\"quform-input quform-input-select quform-input-74_422 quform-cf\"><select id=\"quform_74_422_275521\" name=\"quform_74_422\" class=\"quform-field quform-field-select quform-field-74_422\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n <\/option><option value=\"Atletismo\">Atletismo<\/option><option value=\"Actividad F\u00edsica Musicalizada\">Actividad F\u00edsica Musicalizada<\/option><option value=\"Deporte inclusivo\">Deporte inclusivo<\/option><option value=\"Baloncesto\">Baloncesto<\/option><option value=\"Tiro con arco\">Tiro con arco<\/option><option value=\"Tenis de mesa\">Tenis de mesa<\/option><option value=\"Taekwondo\">Taekwondo<\/option><option value=\"Patinaje\">Patinaje<\/option><option value=\"Juegos tradicionales\">Juegos tradicionales<\/option><option value=\"Voleibol\">Voleibol<\/option><option value=\"Softball\">Softball<\/option><option value=\"F\u00fatbol sala, Femenino\/Masculino\">F\u00fatbol sala, Femenino\/Masculino<\/option><option value=\"F\u00fatbol 11 Masculino\">F\u00fatbol 11 Masculino<\/option><option value=\"Karate Do\">Karate Do<\/option><option value=\"Kickball\">Kickball<\/option><option value=\"Porrismo Cheers\">Porrismo Cheers<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_423 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_423\"><label class=\"quform-label-text\" for=\"quform_74_423_275521\">Juegos tradicionales <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_423\"><div class=\"quform-input quform-input-select quform-input-74_423 quform-cf\"><select id=\"quform_74_423_275521\" name=\"quform_74_423\" class=\"quform-field quform-field-select quform-field-74_423\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"SAPO\">SAPO<\/option><option value=\"BILLAR\">BILLAR<\/option><option value=\"BILLAR POOL\">BILLAR POOL<\/option><option value=\"TEJO\">TEJO<\/option><option value=\"MINI TEJO\">MINI TEJO<\/option><option value=\"DOMIN\u00d3\">DOMIN\u00d3<\/option><option value=\"PARQUES\">PARQUES<\/option><option value=\"DESAFI\u00d3\">DESAFI\u00d3<\/option><option value=\"BOLIRANA\">BOLIRANA<\/option><option value=\"AJEDREZ\">AJEDREZ<\/option><option value=\"PATINAJE\">PATINAJE<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_424 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_424\"><label class=\"quform-label-text\" for=\"quform_74_424_275521\">Disciplinas Deportivas sede Villanueva<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_424\"><div class=\"quform-input quform-input-select quform-input-74_424 quform-cf\"><select id=\"quform_74_424_275521\" name=\"quform_74_424\" class=\"quform-field quform-field-select quform-field-74_424\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"F\u00fatbol\">F\u00fatbol<\/option><option value=\"F\u00fatbol Sala\">F\u00fatbol Sala<\/option><option value=\"Voleibol\">Voleibol<\/option><option value=\"Tenis de Mesa\">Tenis de Mesa<\/option><option value=\"Ajedrez \">Ajedrez <\/option><option value=\"Atletismo\">Atletismo<\/option><option value=\"Patinaje \">Patinaje <\/option><option value=\"Billar\">Billar<\/option><option value=\"Billar Pool\">Billar Pool<\/option><option value=\"Tejo\">Tejo<\/option><option value=\"Mini Tejo\">Mini Tejo<\/option><option value=\"Sapo\">Sapo<\/option><option value=\"Domin\u00f3\">Domin\u00f3<\/option><option value=\"Parqu\u00e9s\">Parqu\u00e9s<\/option><option value=\"Desafio\">Desafio<\/option><option value=\"Bolirana\">Bolirana<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_425 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_425\"><label class=\"quform-label-text\" for=\"quform_74_425_275521\">Disciplinas Deportivas sede Fonseca<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_425\"><div class=\"quform-input quform-input-select quform-input-74_425 quform-cf\"><select id=\"quform_74_425_275521\" name=\"quform_74_425\" class=\"quform-field quform-field-select quform-field-74_425\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Futbol\">Futbol<\/option><option value=\"F\u00fatbol Sala\">F\u00fatbol Sala<\/option><option value=\"Voleibol\">Voleibol<\/option><option value=\"Baloncesto\">Baloncesto<\/option><option value=\"Patinaje\">Patinaje<\/option><option value=\"Ajedrez \">Ajedrez <\/option><option value=\"Billar\">Billar<\/option><option value=\"Billar Pool\">Billar Pool<\/option><option value=\"Tejo\">Tejo<\/option><option value=\"Mini Tejo\">Mini Tejo<\/option><option value=\"Sapo\">Sapo<\/option><option value=\"Domin\u00f3\">Domin\u00f3<\/option><option value=\"Parqu\u00e9s\">Parqu\u00e9s<\/option><option value=\"Desafio\">Desafio<\/option><option value=\"Bolirana\">Bolirana<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_426 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_426\"><label class=\"quform-label-text\" for=\"quform_74_426_275521\">Disciplinas Deportivas sede  Maicao <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_426\"><div class=\"quform-input quform-input-select quform-input-74_426 quform-cf\"><select id=\"quform_74_426_275521\" name=\"quform_74_426\" class=\"quform-field quform-field-select quform-field-74_426\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"F\u00fatbol\">F\u00fatbol<\/option><option value=\"Futbol Sala\">Futbol Sala<\/option><option value=\"Voleiball\">Voleiball<\/option><option value=\"Baloncesto\">Baloncesto<\/option><option value=\"Ajedrez\">Ajedrez<\/option><option value=\"Atletismo\">Atletismo<\/option><option value=\"Patinaje\">Patinaje<\/option><option value=\"Billar\">Billar<\/option><option value=\"Billar Pool\">Billar Pool<\/option><option value=\"Tejo\">Tejo<\/option><option value=\"Mini Tejo\">Mini Tejo<\/option><option value=\"Sapo\">Sapo<\/option><option value=\"Domin\u00f3\">Domin\u00f3<\/option><option value=\"Parqu\u00e9s\">Parqu\u00e9s<\/option><option value=\"Desfio\">Desfio<\/option><option value=\"Bolirana\">Bolirana<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-74_427 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">3. Informaci\u00f3n F\u00edsica <\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-74_428 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-74_429\"><div class=\"quform-element quform-element-select quform-element-74_430 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_430\"><label class=\"quform-label-text\" for=\"quform_74_430_275521\">Grupo sanguineo<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_430\"><div class=\"quform-input quform-input-select quform-input-74_430 quform-cf\"><select id=\"quform_74_430_275521\" name=\"quform_74_430\" class=\"quform-field quform-field-select quform-field-74_430\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"A+\">A+<\/option><option value=\"A-\">A-<\/option><option value=\"B+\">B+<\/option><option value=\"B-\">B-<\/option><option value=\"AB+\">AB+<\/option><option value=\"AB-\">AB-<\/option><option value=\"O+\">O+<\/option><option value=\"O-\">O-<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_431 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_431\"><label class=\"quform-label-text\" for=\"quform_74_431_275521\">Estatura<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_431\"><div class=\"quform-input quform-input-text quform-input-74_431 quform-cf\"><input type=\"text\" id=\"quform_74_431_275521\" name=\"quform_74_431\" class=\"quform-field quform-field-text quform-field-74_431\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_432 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_432\"><label class=\"quform-label-text\" for=\"quform_74_432_275521\">Peso<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_432\"><div class=\"quform-input quform-input-text quform-input-74_432 quform-cf\"><input type=\"text\" id=\"quform_74_432_275521\" name=\"quform_74_432\" class=\"quform-field quform-field-text quform-field-74_432\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_433 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_433\"><label class=\"quform-label-text\" for=\"quform_74_433_275521\">Padece alguna enfermedad F\u00edsica Actualmente?<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_433\"><div class=\"quform-input quform-input-select quform-input-74_433 quform-cf\"><select id=\"quform_74_433_275521\" name=\"quform_74_433\" class=\"quform-field quform-field-select quform-field-74_433\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"No\">No<\/option><option value=\"SI\">SI<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_434 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_434\"><label class=\"quform-label-text\" for=\"quform_74_434_275521\">Cual?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_434\"><div class=\"quform-input quform-input-text quform-input-74_434 quform-cf\"><input type=\"text\" id=\"quform_74_434_275521\" name=\"quform_74_434\" class=\"quform-field quform-field-text quform-field-74_434\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_435 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_435\"><label class=\"quform-label-text\" for=\"quform_74_435_275521\">Sufre o Ha sufrido alguna Fractura?<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_435\"><div class=\"quform-input quform-input-select quform-input-74_435 quform-cf\"><select id=\"quform_74_435_275521\" name=\"quform_74_435\" class=\"quform-field quform-field-select quform-field-74_435\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"No\">No<\/option><option value=\"Si\">Si<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_436 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_436\"><label class=\"quform-label-text\" for=\"quform_74_436_275521\">Donde?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_436\"><div class=\"quform-input quform-input-text quform-input-74_436 quform-cf\"><input type=\"text\" id=\"quform_74_436_275521\" name=\"quform_74_436\" class=\"quform-field quform-field-text quform-field-74_436\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-74_217 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">Formulario de Inscripci\u00f3n Docentes<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-74_218 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-74_219\"><div class=\"quform-element quform-element-group quform-element-74_220 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">1. Informaci\u00f3n General<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-74_221 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-74_222\"><div class=\"quform-element quform-element-text quform-element-74_223 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_223\"><label class=\"quform-label-text\" for=\"quform_74_223_275521\">Nombres y Apellidos<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_223\"><div class=\"quform-input quform-input-text quform-input-74_223 quform-cf\"><input type=\"text\" id=\"quform_74_223_275521\" name=\"quform_74_223\" class=\"quform-field quform-field-text quform-field-74_223\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_224 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_224\"><label class=\"quform-label-text\" for=\"quform_74_224_275521\">Documento de Identidad<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_224\"><div class=\"quform-input quform-input-text quform-input-74_224 quform-cf\"><input type=\"text\" id=\"quform_74_224_275521\" name=\"quform_74_224\" class=\"quform-field quform-field-text quform-field-74_224\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-date quform-element-74_225 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_225\"><label class=\"quform-label-text\" for=\"quform_74_225_275521\">Fecha de Nacimiento<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-date quform-inner-74_225\"><div class=\"quform-input quform-input-date quform-input-74_225 quform-cf quform-has-field-icon-right\"><input type=\"text\" id=\"quform_74_225_275521\" name=\"quform_74_225\" class=\"quform-field quform-field-date quform-field-74_225\" placeholder=\"YYYY-MM-DD\" data-options=\"{&quot;format&quot;:&quot;&quot;,&quot;min&quot;:&quot;&quot;,&quot;max&quot;:&quot;&quot;,&quot;start&quot;:&quot;month&quot;,&quot;depth&quot;:&quot;month&quot;,&quot;showFooter&quot;:false,&quot;locale&quot;:&quot;es-CO&quot;,&quot;placeholder&quot;:&quot;&quot;,&quot;autoOpen&quot;:false,&quot;identifier&quot;:&quot;74_225&quot;}\" \/><span class=\"quform-field-icon quform-field-icon-right\"><i class=\"qicon-calendar\"><\/i><\/span><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_226 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_226\"><label class=\"quform-label-text\" for=\"quform_74_226_275521\">Edad<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_226\"><div class=\"quform-input quform-input-text quform-input-74_226 quform-cf\"><input type=\"text\" id=\"quform_74_226_275521\" name=\"quform_74_226\" class=\"quform-field quform-field-text quform-field-74_226\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_227 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_227\"><label class=\"quform-label-text\" for=\"quform_74_227_275521\">Sexo Biol\u00f3gico <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_227\"><div class=\"quform-input quform-input-select quform-input-74_227 quform-cf\"><select id=\"quform_74_227_275521\" name=\"quform_74_227\" class=\"quform-field quform-field-select quform-field-74_227\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Masculino\">Masculino<\/option><option value=\"Femenino \">Femenino <\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_228 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_228\"><label class=\"quform-label-text\" for=\"quform_74_228_275521\">Identidad de genero <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_228\"><div class=\"quform-input quform-input-select quform-input-74_228 quform-cf\"><select id=\"quform_74_228_275521\" name=\"quform_74_228\" class=\"quform-field quform-field-select quform-field-74_228\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Heterosexual\">Heterosexual<\/option><option value=\" Lesbiana\"> Lesbiana<\/option><option value=\" Gay\"> Gay<\/option><option value=\" Bisexual\"> Bisexual<\/option><option value=\" Transexual\"> Transexual<\/option><option value=\" Intersexual\"> Intersexual<\/option><option value=\" Queen\"> Queen<\/option><option value=\" No Binario\"> No Binario<\/option><option value=\" Ninguno\"> Ninguno<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_229 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_229\"><label class=\"quform-label-text\" for=\"quform_74_229_275521\">Estado Civil<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_229\"><div class=\"quform-input quform-input-select quform-input-74_229 quform-cf\"><select id=\"quform_74_229_275521\" name=\"quform_74_229\" class=\"quform-field quform-field-select quform-field-74_229\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Soltero\">Soltero<\/option><option value=\"Casado\">Casado<\/option><option value=\"Uni\u00f3n Libre\">Uni\u00f3n Libre<\/option><option value=\"Divorciado \">Divorciado <\/option><option value=\"Viudo (a)\">Viudo (a)<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_230 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_230\"><label class=\"quform-label-text\" for=\"quform_74_230_275521\">Direcci\u00f3n de residencia Actual<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_230\"><div class=\"quform-input quform-input-text quform-input-74_230 quform-cf\"><input type=\"text\" id=\"quform_74_230_275521\" name=\"quform_74_230\" class=\"quform-field quform-field-text quform-field-74_230\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_231 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_231\"><label class=\"quform-label-text\" for=\"quform_74_231_275521\">Barrio<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_231\"><div class=\"quform-input quform-input-text quform-input-74_231 quform-cf\"><input type=\"text\" id=\"quform_74_231_275521\" name=\"quform_74_231\" class=\"quform-field quform-field-text quform-field-74_231\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_232 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_232\"><label class=\"quform-label-text\" for=\"quform_74_232_275521\">Municipio<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_232\"><div class=\"quform-input quform-input-text quform-input-74_232 quform-cf\"><input type=\"text\" id=\"quform_74_232_275521\" name=\"quform_74_232\" class=\"quform-field quform-field-text quform-field-74_232\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_233 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_233\"><label class=\"quform-label-text\" for=\"quform_74_233_275521\">Departamento<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_233\"><div class=\"quform-input quform-input-text quform-input-74_233 quform-cf\"><input type=\"text\" id=\"quform_74_233_275521\" name=\"quform_74_233\" class=\"quform-field quform-field-text quform-field-74_233\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_234 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_234\"><label class=\"quform-label-text\" for=\"quform_74_234_275521\">Celular<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_234\"><div class=\"quform-input quform-input-text quform-input-74_234 quform-cf\"><input type=\"text\" id=\"quform_74_234_275521\" name=\"quform_74_234\" class=\"quform-field quform-field-text quform-field-74_234\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-email quform-element-74_235 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_235\"><label class=\"quform-label-text\" for=\"quform_74_235_275521\">Correo Electr\u00f3nico <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-74_235\"><div class=\"quform-input quform-input-email quform-input-74_235 quform-cf\"><input type=\"email\" id=\"quform_74_235_275521\" name=\"quform_74_235\" class=\"quform-field quform-field-email quform-field-74_235\" \/><\/div><p class=\"quform-description quform-description-below\">Debe ser Correo Institucional, de no ser no se tendr\u00e1 en cuenta la inscripci\u00f3n<\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_236 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_236\"><label class=\"quform-label-text\" for=\"quform_74_236_275521\">FACULTAD<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_236\"><div class=\"quform-input quform-input-select quform-input-74_236 quform-cf\"><select id=\"quform_74_236_275521\" name=\"quform_74_236\" class=\"quform-field quform-field-select quform-field-74_236\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Facultad de Ciencias de la Salud\">Facultad de Ciencias de la Salud<\/option><option value=\"Facultad de Ciencias B\u00e1sicas y Aplicadas\">Facultad de Ciencias B\u00e1sicas y Aplicadas<\/option><option value=\"Facultad de Ciencias Econ\u00f3micas y Administrativas\">Facultad de Ciencias Econ\u00f3micas y Administrativas<\/option><option value=\"Facultad de Ciencias Sociales y Humanas\">Facultad de Ciencias Sociales y Humanas<\/option><option value=\"Facultad de Ciencias de la Educaci\u00f3n\">Facultad de Ciencias de la Educaci\u00f3n<\/option><option value=\"Facultad de Ingenier\u00edas\">Facultad de Ingenier\u00edas<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_256 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_256\"><label class=\"quform-label-text\" for=\"quform_74_256_275521\">PROGRAMA<\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_256\"><div class=\"quform-input quform-input-select quform-input-74_256 quform-cf\"><select id=\"quform_74_256_275521\" name=\"quform_74_256\" class=\"quform-field quform-field-select quform-field-74_256\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"ADMINISTRACI\u00d3N DE EMPRESAS - AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO\">ADMINISTRACI\u00d3N DE EMPRESAS &#8211; AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO<\/option><option value=\"ADMINISTRACION DE EMPRESAS - RIOHACHA\">ADMINISTRACION DE EMPRESAS &#8211; RIOHACHA<\/option><option value=\"ADMINISTRACION DE EMPRESAS - VILLANUEVA\">ADMINISTRACION DE EMPRESAS &#8211; VILLANUEVA<\/option><option value=\"ADMINISTRACION MARITIMA Y PORTUARIA - RIOHACHA\">ADMINISTRACION MARITIMA Y PORTUARIA &#8211; RIOHACHA<\/option><option value=\"ADMINISTRACION PUBLICA - RIOHACHA\">ADMINISTRACION PUBLICA &#8211; RIOHACHA<\/option><option value=\"ADMINISTRACION TURISTICA Y HOTELERA - RIOHACHA\">ADMINISTRACION TURISTICA Y HOTELERA &#8211; RIOHACHA<\/option><option value=\"AGROECOLOGIA - RIOHACHA\">AGROECOLOGIA &#8211; RIOHACHA<\/option><option value=\"ARQUITECTURA - RIOHACHA\">ARQUITECTURA &#8211; RIOHACHA<\/option><option value=\"BIOLOGIA - RIOHACHA\">BIOLOGIA &#8211; RIOHACHA<\/option><option value=\"COMUNICACION SOCIAL - RIOHACHA\">COMUNICACION SOCIAL &#8211; RIOHACHA<\/option><option value=\"CONTADURIA PUBLICA - AMPLIACION LUGAR DE DESARROLLO MAICAO\">CONTADURIA PUBLICA &#8211; AMPLIACION LUGAR DE DESARROLLO MAICAO<\/option><option value=\"CONTADURIA PUBLICA - RIOHACHA\">CONTADURIA PUBLICA &#8211; RIOHACHA<\/option><option value=\"CONTADURIA PUBLICA - VILLANUEVA\">CONTADURIA PUBLICA &#8211; VILLANUEVA<\/option><option value=\"DERECHO - RIOHACHA\">DERECHO &#8211; RIOHACHA<\/option><option value=\"ECONOM\u00cdA - RIOHACHA\">ECONOM\u00cdA &#8211; RIOHACHA<\/option><option value=\"ENFERMERIA - RIOHACHA\">ENFERMERIA &#8211; RIOHACHA<\/option><option value=\"INGENIERIA AMBIENTAL - AMPLIACION LUGAR DE DESARROLLO FONSECA\">INGENIERIA AMBIENTAL &#8211; AMPLIACION LUGAR DE DESARROLLO FONSECA<\/option><option value=\"INGENIERIA AMBIENTAL - RIOHACHA\">INGENIERIA AMBIENTAL &#8211; RIOHACHA<\/option><option value=\"INGENIERIA CIVIL - RIOHACHA\">INGENIERIA CIVIL &#8211; RIOHACHA<\/option><option value=\"INGENIERIA DE SISTEMAS - AMPLIACION LUGAR DE DESARROLLO MAICAO\">INGENIERIA DE SISTEMAS &#8211; AMPLIACION LUGAR DE DESARROLLO MAICAO<\/option><option value=\"INGENIERIA DE SISTEMAS - RIOHACHA\">INGENIERIA DE SISTEMAS &#8211; RIOHACHA<\/option><option value=\"INGENIERIA INDUSTRIAL - RIOHACHA\">INGENIERIA INDUSTRIAL &#8211; RIOHACHA<\/option><option value=\"INGENIERIA MECANICA - RIOHACHA\">INGENIERIA MECANICA &#8211; RIOHACHA<\/option><option value=\"LICENCIATURA EN EDUCACION FISICA, RECREACION Y DEPORTE - RIOHACHA\">LICENCIATURA EN EDUCACION FISICA, RECREACION Y DEPORTE &#8211; RIOHACHA<\/option><option value=\"LICENCIATURA EN EDUCACI\u00d3N INFANTIL - AMPLIACION LUGAR DE DESARROLLO MAICAO\">LICENCIATURA EN EDUCACI\u00d3N INFANTIL &#8211; AMPLIACION LUGAR DE DESARROLLO MAICAO<\/option><option value=\"LICENCIATURA EN EDUCACI\u00d3N INFANTIL - RIOHACHA\">LICENCIATURA EN EDUCACI\u00d3N INFANTIL &#8211; RIOHACHA<\/option><option value=\"LICENCIATURA EN ETNOEDUCACION - RIOHACHA\">LICENCIATURA EN ETNOEDUCACION &#8211; RIOHACHA<\/option><option value=\"LICENCIATURA EN ETNOEDUCACION DISTANCIA - AMPLIACION LUGAR DE DESARROLLO MAICAO\">LICENCIATURA EN ETNOEDUCACION DISTANCIA &#8211; AMPLIACION LUGAR DE DESARROLLO MAICAO<\/option><option value=\"LICENCIATURA EN ETNOEDUCACION DISTANCIA - RIOHACHA\">LICENCIATURA EN ETNOEDUCACION DISTANCIA &#8211; RIOHACHA<\/option><option value=\"LICENCIATURA EN ETNOEDUCACION E INTERCULTURALIDAD - RIOHACHA\">LICENCIATURA EN ETNOEDUCACION E INTERCULTURALIDAD &#8211; RIOHACHA<\/option><option value=\"LICENCIATURA EN M\u00daSICA - RIOHACHA\">LICENCIATURA EN M\u00daSICA &#8211; RIOHACHA<\/option><option value=\"LICENCIATURA EN PEDAGOGIA INFANTIL - AMPLIACION LUGAR DE DESARROLLO MAICAO\">LICENCIATURA EN PEDAGOGIA INFANTIL &#8211; AMPLIACION LUGAR DE DESARROLLO MAICAO<\/option><option value=\"LICENCIATURA EN PEDAGOGIA INFANTIL DIURNA - RIOHACHA\">LICENCIATURA EN PEDAGOGIA INFANTIL DIURNA &#8211; RIOHACHA<\/option><option value=\"NEGOCIOS INTERNACIONALES - AMPLIACION LUGAR DE DESARROLLO MAICAO\">NEGOCIOS INTERNACIONALES &#8211; AMPLIACION LUGAR DE DESARROLLO MAICAO<\/option><option value=\"NEGOCIOS INTERNACIONALES - RIOHACHA\">NEGOCIOS INTERNACIONALES &#8211; RIOHACHA<\/option><option value=\"NUTRICION Y DIETETICA - RIOHACHA\">NUTRICION Y DIETETICA &#8211; RIOHACHA<\/option><option value=\"PSICOLOG\u00cdA - RIOHACHA\">PSICOLOG\u00cdA &#8211; RIOHACHA<\/option><option value=\"TECNICA PROFESIONAL EN OPERACIONES PORTUARIAS - RIOHACHA\">TECNICA PROFESIONAL EN OPERACIONES PORTUARIAS &#8211; RIOHACHA<\/option><option value=\"TECNICA PROFESIONAL EN PROCESOS ADMINISTRATIVOS PUBLICOS - RIOHACHA\">TECNICA PROFESIONAL EN PROCESOS ADMINISTRATIVOS PUBLICOS &#8211; RIOHACHA<\/option><option value=\"TECNOLOGIA EN GESTION DE COMERCIO INTERNACIONAL - AMPLIACION LUGAR DE DESARROLLO FONSECA\">TECNOLOGIA EN GESTION DE COMERCIO INTERNACIONAL &#8211; AMPLIACION LUGAR DE DESARROLLO FONSECA<\/option><option value=\"TECNOLOGIA EN GESTION DE COMERCIO INTERNACIONAL - AMPLIACION LUGAR DE DESARROLLO MAICAO\">TECNOLOGIA EN GESTION DE COMERCIO INTERNACIONAL &#8211; AMPLIACION LUGAR DE DESARROLLO MAICAO<\/option><option value=\"TECNOLOGIA EN GESTION DE COMERCIO INTERNACIONAL - AMPLIACION LUGAR DE DESARROLLO VILLANUEVA\">TECNOLOGIA EN GESTION DE COMERCIO INTERNACIONAL &#8211; AMPLIACION LUGAR DE DESARROLLO VILLANUEVA<\/option><option value=\"TECNOLOGIA EN GESTION DE COMERCIO INTERNACIONAL - RIOHACHA\">TECNOLOGIA EN GESTION DE COMERCIO INTERNACIONAL &#8211; RIOHACHA<\/option><option value=\"TECNOLOGIA EN GESTION DE REDES INFORMATICAS - AMPLIACION LUGAR DE DESARROLLO MAICAO\">TECNOLOGIA EN GESTION DE REDES INFORMATICAS &#8211; AMPLIACION LUGAR DE DESARROLLO MAICAO<\/option><option value=\"TECNOLOGIA EN GESTION DE REDES INFORMATICAS - RIOHACHA\">TECNOLOGIA EN GESTION DE REDES INFORMATICAS &#8211; RIOHACHA<\/option><option value=\"TECNOLOG\u00cdA EN GESTI\u00d3N NAVIERA Y PORTUARIA - RIOHACHA\">TECNOLOG\u00cdA EN GESTI\u00d3N NAVIERA Y PORTUARIA &#8211; RIOHACHA<\/option><option value=\"TECNOLOGIA EN GESTION PUBLICA - RIOHACHA\">TECNOLOGIA EN GESTION PUBLICA &#8211; RIOHACHA<\/option><option value=\"TRABAJO SOCIAL - AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO\">TRABAJO SOCIAL &#8211; AMPLIACI\u00d3N LUGAR DE DESARROLLO MAICAO<\/option><option value=\"TRABAJO SOCIAL - AMPLIACION LUGAR DE DESARROLLO VILLANUEVA\">TRABAJO SOCIAL &#8211; AMPLIACION LUGAR DE DESARROLLO VILLANUEVA<\/option><option value=\"TRABAJO SOCIAL - FONSECA\">TRABAJO SOCIAL &#8211; FONSECA<\/option><option value=\"TRABAJO SOCIAL - RIOHACHA\">TRABAJO SOCIAL &#8211; RIOHACHA<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_237 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_237\"><label class=\"quform-label-text\" for=\"quform_74_237_275521\">EPS<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_237\"><div class=\"quform-input quform-input-text quform-input-74_237 quform-cf\"><input type=\"text\" id=\"quform_74_237_275521\" name=\"quform_74_237\" class=\"quform-field quform-field-text quform-field-74_237\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-74_238 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">2. Servicio Solicitado <\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-74_239 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-74_240\"><div class=\"quform-element quform-element-select quform-element-74_241 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_241\"><label class=\"quform-label-text\" for=\"quform_74_241_275521\">Sede Docentes<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_241\"><div class=\"quform-input quform-input-select quform-input-74_241 quform-cf\"><select id=\"quform_74_241_275521\" name=\"quform_74_241\" class=\"quform-field quform-field-select quform-field-74_241\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Principal (Riohacha)\">Principal (Riohacha)<\/option><option value=\"Maicao\">Maicao<\/option><option value=\"Fonseca\">Fonseca<\/option><option value=\"Villanueva\">Villanueva<\/option><\/select><\/div><p class=\"quform-description quform-description-below\">Indique en que sede Estudia <\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_242 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_242\"><label class=\"quform-label-text\" for=\"quform_74_242_275521\">Disciplinas Deportivas sede Riohacha<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_242\"><div class=\"quform-input quform-input-select quform-input-74_242 quform-cf\"><select id=\"quform_74_242_275521\" name=\"quform_74_242\" class=\"quform-field quform-field-select quform-field-74_242\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n <\/option><option value=\"Atletismo\">Atletismo<\/option><option value=\"Actividad F\u00edsica Musicalizada\">Actividad F\u00edsica Musicalizada<\/option><option value=\"Deporte inclusivo\">Deporte inclusivo<\/option><option value=\"Baloncesto\">Baloncesto<\/option><option value=\"Tiro con arco\">Tiro con arco<\/option><option value=\"Tenis de mesa\">Tenis de mesa<\/option><option value=\"Taekwondo\">Taekwondo<\/option><option value=\"Patinaje\">Patinaje<\/option><option value=\"Juegos tradicionales\">Juegos tradicionales<\/option><option value=\"Voleibol\">Voleibol<\/option><option value=\"Softball\">Softball<\/option><option value=\"F\u00fatbol sala, Femenino\/Masculino\">F\u00fatbol sala, Femenino\/Masculino<\/option><option value=\"F\u00fatbol 11 Masculino\">F\u00fatbol 11 Masculino<\/option><option value=\"Karate Do\">Karate Do<\/option><option value=\"Kickball\">Kickball<\/option><option value=\"Porrismo Cheers\">Porrismo Cheers<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_243 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_243\"><label class=\"quform-label-text\" for=\"quform_74_243_275521\">Disciplinas Deportivas sede Villanueva<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_243\"><div class=\"quform-input quform-input-select quform-input-74_243 quform-cf\"><select id=\"quform_74_243_275521\" name=\"quform_74_243\" class=\"quform-field quform-field-select quform-field-74_243\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"F\u00fatbol\">F\u00fatbol<\/option><option value=\"F\u00fatbol Sala\">F\u00fatbol Sala<\/option><option value=\"Voleibol\">Voleibol<\/option><option value=\"Tenis de Mesa\">Tenis de Mesa<\/option><option value=\"Ajedrez \">Ajedrez <\/option><option value=\"Atletismo\">Atletismo<\/option><option value=\"Patinaje \">Patinaje <\/option><option value=\"Billar\">Billar<\/option><option value=\"Billar Pool\">Billar Pool<\/option><option value=\"Tejo\">Tejo<\/option><option value=\"Mini Tejo\">Mini Tejo<\/option><option value=\"Sapo\">Sapo<\/option><option value=\"Domino\">Domino<\/option><option value=\"Parques\">Parques<\/option><option value=\"Desafio\">Desafio<\/option><option value=\"Bolirana\">Bolirana<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_244 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_244\"><label class=\"quform-label-text\" for=\"quform_74_244_275521\">Disciplinas Deportivas sede Fonseca<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_244\"><div class=\"quform-input quform-input-select quform-input-74_244 quform-cf\"><select id=\"quform_74_244_275521\" name=\"quform_74_244\" class=\"quform-field quform-field-select quform-field-74_244\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"Futbol\">Futbol<\/option><option value=\"F\u00fatbol Sala\">F\u00fatbol Sala<\/option><option value=\"Voleibol\">Voleibol<\/option><option value=\"Baloncesto\">Baloncesto<\/option><option value=\"Patinaje\">Patinaje<\/option><option value=\"Ajedrez \">Ajedrez <\/option><option value=\"Billar\">Billar<\/option><option value=\"Billar Pool\">Billar Pool<\/option><option value=\"Tejo\">Tejo<\/option><option value=\"Mini Tejo\">Mini Tejo<\/option><option value=\"Sapo\">Sapo<\/option><option value=\"Domino\">Domino<\/option><option value=\"Parqu\u00e9s\">Parqu\u00e9s<\/option><option value=\"Desafio\">Desafio<\/option><option value=\"Bolirana\">Bolirana<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_245 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_245\"><label class=\"quform-label-text\" for=\"quform_74_245_275521\">Disciplinas Deportivas sede  Maicao <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_245\"><div class=\"quform-input quform-input-select quform-input-74_245 quform-cf\"><select id=\"quform_74_245_275521\" name=\"quform_74_245\" class=\"quform-field quform-field-select quform-field-74_245\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"F\u00fatbol\">F\u00fatbol<\/option><option value=\"Futbol Sala\">Futbol Sala<\/option><option value=\"Voleiball\">Voleiball<\/option><option value=\"Baloncesto\">Baloncesto<\/option><option value=\"Ajedrez\">Ajedrez<\/option><option value=\"Atletismo\">Atletismo<\/option><option value=\"Patinaje\">Patinaje<\/option><option value=\"Billar\">Billar<\/option><option value=\"Billar Pool\">Billar Pool<\/option><option value=\"Tejo\">Tejo<\/option><option value=\"Mini Tejo\">Mini Tejo<\/option><option value=\"Sapo\">Sapo<\/option><option value=\"Domino\">Domino<\/option><option value=\"Parques\">Parques<\/option><option value=\"Desafio\">Desafio<\/option><option value=\"Bolirana\">Bolirana<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-74_246 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">3. Informaci\u00f3n F\u00edsica <\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-74_247 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-74_248\"><div class=\"quform-element quform-element-text quform-element-74_249 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_249\"><label class=\"quform-label-text\" for=\"quform_74_249_275521\">Estatura<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_249\"><div class=\"quform-input quform-input-text quform-input-74_249 quform-cf\"><input type=\"text\" id=\"quform_74_249_275521\" name=\"quform_74_249\" class=\"quform-field quform-field-text quform-field-74_249\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_250 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_250\"><label class=\"quform-label-text\" for=\"quform_74_250_275521\">Peso<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_250\"><div class=\"quform-input quform-input-text quform-input-74_250 quform-cf\"><input type=\"text\" id=\"quform_74_250_275521\" name=\"quform_74_250\" class=\"quform-field quform-field-text quform-field-74_250\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_305 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_305\"><label class=\"quform-label-text\" for=\"quform_74_305_275521\">Grupo sanguineo<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_305\"><div class=\"quform-input quform-input-select quform-input-74_305 quform-cf\"><select id=\"quform_74_305_275521\" name=\"quform_74_305\" class=\"quform-field quform-field-select quform-field-74_305\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"A+\">A+<\/option><option value=\"A-\">A-<\/option><option value=\"B+\">B+<\/option><option value=\"B-\">B-<\/option><option value=\"AB+\">AB+<\/option><option value=\"AB-\">AB-<\/option><option value=\"O+\">O+<\/option><option value=\"O-\">O-<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_252 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_252\"><label class=\"quform-label-text\" for=\"quform_74_252_275521\">Padece alguna enfermedad F\u00edsica Actualmente?<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_252\"><div class=\"quform-input quform-input-select quform-input-74_252 quform-cf\"><select id=\"quform_74_252_275521\" name=\"quform_74_252\" class=\"quform-field quform-field-select quform-field-74_252\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"No\">No<\/option><option value=\"SI\">SI<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_253 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_253\"><label class=\"quform-label-text\" for=\"quform_74_253_275521\">\u00bfC\u00faal?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_253\"><div class=\"quform-input quform-input-text quform-input-74_253 quform-cf\"><input type=\"text\" id=\"quform_74_253_275521\" name=\"quform_74_253\" class=\"quform-field quform-field-text quform-field-74_253\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-74_254 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_254\"><label class=\"quform-label-text\" for=\"quform_74_254_275521\">Sufre o Ha sufrido alguna Fractura?<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-74_254\"><div class=\"quform-input quform-input-select quform-input-74_254 quform-cf\"><select id=\"quform_74_254_275521\" name=\"quform_74_254\" class=\"quform-field quform-field-select quform-field-74_254\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"No\">No<\/option><option value=\"Si\">Si<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-74_255 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-74_255\"><label class=\"quform-label-text\" for=\"quform_74_255_275521\">Donde?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-74_255\"><div class=\"quform-input quform-input-text quform-input-74_255 quform-cf\"><input type=\"text\" id=\"quform_74_255_275521\" name=\"quform_74_255\" class=\"quform-field quform-field-text quform-field-74_255\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-74_257 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-html quform-element-74_261 quform-cf\"><div class=\"quform-spacer\"><blockquote>\n<p style=\"text-align: center;\"><strong><a href=\"https:\/\/bienestaruniguajira.com.co\/wp-content\/uploads\/HORARIO-DISCIPLINAS-DEPORTIVAS-2025-2.pdf\" target=\"_blank\" rel=\"noopener\">HAGA CLICK PARA DESCARGAR EL HORARIO POR DISCIPLINA DEPORTIVA\u00a0\u00a0<\/a><\/strong><\/p>\n<\/blockquote><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-submit quform-element-74_390 quform-cf quform-button-style-theme\"><div class=\"quform-button-submit quform-button-submit-default quform-button-submit-74_390\"><button name=\"quform_submit\" type=\"submit\" class=\"quform-submit\" value=\"submit\"><span class=\"quform-button-text quform-button-submit-text\">Enviar Formulario<\/span><\/button><\/div><div class=\"quform-loading quform-loading-position-left quform-loading-type-spinner-1\"><div class=\"quform-loading-inner\"><div class=\"quform-loading-spinner\"><div class=\"quform-loading-spinner-inner\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-upload-progress-wrap\"><div class=\"quform-upload-progress-bar-wrap\"><div class=\"quform-upload-progress-bar\"><\/div><\/div><div class=\"quform-upload-info quform-cf\"><div class=\"quform-upload-filename\"><\/div><\/div><\/div><\/div><\/form><\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4963","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/bienestaruniguajira.com.co\/index.php\/wp-json\/wp\/v2\/pages\/4963","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bienestaruniguajira.com.co\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bienestaruniguajira.com.co\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bienestaruniguajira.com.co\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bienestaruniguajira.com.co\/index.php\/wp-json\/wp\/v2\/comments?post=4963"}],"version-history":[{"count":8,"href":"https:\/\/bienestaruniguajira.com.co\/index.php\/wp-json\/wp\/v2\/pages\/4963\/revisions"}],"predecessor-version":[{"id":5297,"href":"https:\/\/bienestaruniguajira.com.co\/index.php\/wp-json\/wp\/v2\/pages\/4963\/revisions\/5297"}],"wp:attachment":[{"href":"https:\/\/bienestaruniguajira.com.co\/index.php\/wp-json\/wp\/v2\/media?parent=4963"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}