{"id":5151,"date":"2025-08-04T15:53:31","date_gmt":"2025-08-04T20:53:31","guid":{"rendered":"https:\/\/bienestaruniguajira.com.co\/?page_id=5151"},"modified":"2026-07-30T18:10:59","modified_gmt":"2026-07-30T23:10:59","slug":"inscripcion-cultura-2026-2","status":"publish","type":"page","link":"https:\/\/bienestaruniguajira.com.co\/index.php\/inscripcion-cultura-2026-2\/","title":{"rendered":"Inscripci\u00f3n Cultura 2026-2"},"content":{"rendered":"\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n<div class=\"gb-container gb-container-e70ec715\">\n<div id=\"quform-834980\" class=\"quform quform-73 quform-theme-light quform-prevent-fouc\"><form id=\"quform-form-834980\" class=\"quform-form quform-form-73\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/5151#quform-834980\" method=\"post\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-options=\"{&quot;id&quot;:73,&quot;uniqueId&quot;:&quot;834980&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;83&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Estudiante&quot;}]},&quot;27&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;26&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Si&quot;,&quot;optionId&quot;:&quot;2&quot;}]},&quot;72&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;71&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Principal (Riohacha)&quot;}]},&quot;77&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;71&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;4&quot;,&quot;value&quot;:&quot;Villanueva&quot;}]},&quot;75&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;71&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Maicao&quot;}]},&quot;76&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;71&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;3&quot;,&quot;value&quot;:&quot;Fonseca&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;38&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;37&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Otro&quot;,&quot;optionId&quot;:&quot;5&quot;}]},&quot;84&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;83&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Docente, Funcionario o Graduado&quot;}]},&quot;104&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;26&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Si&quot;,&quot;optionId&quot;:&quot;2&quot;}]},&quot;114&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;113&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;1&quot;,&quot;value&quot;:&quot;Principal (Riohacha)&quot;}]},&quot;115&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;113&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;4&quot;,&quot;value&quot;:&quot;Villanueva&quot;}]},&quot;116&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;113&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;2&quot;,&quot;value&quot;:&quot;Maicao&quot;}]},&quot;117&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;all&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;113&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;optionId&quot;:&quot;3&quot;,&quot;value&quot;:&quot;Fonseca&quot;}]},&quot;123&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;128&quot;:{&quot;action&quot;:true,&quot;match&quot;:&quot;any&quot;,&quot;rules&quot;:[{&quot;elementId&quot;:&quot;37&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;Otro&quot;,&quot;optionId&quot;:&quot;5&quot;}]}},&quot;dependents&quot;:{&quot;83&quot;:[1,84],&quot;26&quot;:[27,104],&quot;71&quot;:[72,77,75,76],&quot;33&quot;:[34,123],&quot;37&quot;:[38,128],&quot;113&quot;:[114,115,116,117]},&quot;elementIds&quot;:[1,27,72,77,75,76,34,38,84,104,114,115,116,117,123,128],&quot;dependentElementIds&quot;:[&quot;83&quot;,&quot;26&quot;,&quot;71&quot;,&quot;33&quot;,&quot;37&quot;,&quot;113&quot;],&quot;animate&quot;:true},&quot;currentPageId&quot;:56,&quot;errorsIcon&quot;:&quot;&quot;,&quot;updateFancybox&quot;:true,&quot;hasPages&quot;:false,&quot;pages&quot;:[56],&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-73\"><input type=\"hidden\" name=\"quform_form_id\" value=\"73\" \/><input type=\"hidden\" name=\"quform_form_uid\" value=\"834980\" \/><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\/5151\" \/><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=\"56\" \/><input type=\"hidden\" name=\"quform_csrf_token\" value=\"Ms2kV6Xz5Lq4my9bXOsTqpJX5yL6NXl8ISAYNyH1\" \/><div class=\"quform-elements quform-elements-73 quform-cf quform-responsive-elements-phone-landscape\"><div class=\"quform-element quform-element-page quform-page-56 quform-page-73_56 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-73_83 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_83\"><label class=\"quform-label-text\" for=\"quform_73_83_834980\">Estamento Universitario<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_83\"><div class=\"quform-input quform-input-select quform-input-73_83 quform-cf\"><select id=\"quform_73_83_834980\" name=\"quform_73_83\" class=\"quform-field quform-field-select quform-field-73_83\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Estudiante\">Estudiante<\/option><option value=\"Docente, Funcionario o Graduado\">Docente, Funcionario o Graduado<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-73_1 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">FORMULARIO DE ESTUDIANTES INSCRIPCI\u00d3N A DISCIPLINAS CULTURALES 2026-1<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-73_57 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-73_58\"><div class=\"quform-element quform-element-group quform-element-73_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-73_59 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-73_60\"><div class=\"quform-element quform-element-text quform-element-73_5 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_5\"><label class=\"quform-label-text\" for=\"quform_73_5_834980\">Nombres y Apellidos<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_5\"><div class=\"quform-input quform-input-text quform-input-73_5 quform-cf\"><input type=\"text\" id=\"quform_73_5_834980\" name=\"quform_73_5\" class=\"quform-field quform-field-text quform-field-73_5\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_6 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_6\"><label class=\"quform-label-text\" for=\"quform_73_6_834980\">Documento de Identidad<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_6\"><div class=\"quform-input quform-input-text quform-input-73_6 quform-cf\"><input type=\"text\" id=\"quform_73_6_834980\" name=\"quform_73_6\" class=\"quform-field quform-field-text quform-field-73_6\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_49 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_49\"><label class=\"quform-label-text\" for=\"quform_73_49_834980\">C\u00f3digo Estudiantil <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_49\"><div class=\"quform-input quform-input-text quform-input-73_49 quform-cf\"><input type=\"text\" id=\"quform_73_49_834980\" name=\"quform_73_49\" class=\"quform-field quform-field-text quform-field-73_49\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_8 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_8\"><label class=\"quform-label-text\" for=\"quform_73_8_834980\">Edad<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_8\"><div class=\"quform-input quform-input-text quform-input-73_8 quform-cf\"><input type=\"text\" id=\"quform_73_8_834980\" name=\"quform_73_8\" class=\"quform-field quform-field-text quform-field-73_8\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-73_9 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_9\"><label class=\"quform-label-text\" for=\"quform_73_9_834980\">Sexo Biol\u00f3gico <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_9\"><div class=\"quform-input quform-input-select quform-input-73_9 quform-cf\"><select id=\"quform_73_9_834980\" name=\"quform_73_9\" class=\"quform-field quform-field-select quform-field-73_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-73_133 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_133\"><label class=\"quform-label-text\" for=\"quform_73_133_834980\">Identidad de de Genero<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_133\"><div class=\"quform-input quform-input-select quform-input-73_133 quform-cf\"><select id=\"quform_73_133_834980\" name=\"quform_73_133\" class=\"quform-field quform-field-select quform-field-73_133\"><option value=\"\" selected=\"selected\">Please select<\/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=\"Qeer\">Qeer<\/option><option value=\"No Binario\">No Binario<\/option><option value=\"Ninguno\">Ninguno<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-email quform-element-73_17 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_17\"><label class=\"quform-label-text\" for=\"quform_73_17_834980\"> Email Institucional<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-73_17\"><div class=\"quform-input quform-input-email quform-input-73_17 quform-cf\"><input type=\"email\" id=\"quform_73_17_834980\" name=\"quform_73_17\" class=\"quform-field quform-field-email quform-field-73_17\" value=\"@uniguajira.edu.co\" \/><\/div><p class=\"quform-description quform-description-below\">Solo se permite correo institucional, otro no ser\u00e1 tenido en cuenta para la inscripci\u00f3n<\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_16 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_16\"><label class=\"quform-label-text\" for=\"quform_73_16_834980\">Celular<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_16\"><div class=\"quform-input quform-input-text quform-input-73_16 quform-cf\"><input type=\"text\" id=\"quform_73_16_834980\" name=\"quform_73_16\" class=\"quform-field quform-field-text quform-field-73_16\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-73_79 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-text quform-element-73_78 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_78\"><label class=\"quform-label-text\" for=\"quform_73_78_834980\">Nombre de Contacto en caso de Emergencia<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_78\"><div class=\"quform-input quform-input-text quform-input-73_78 quform-cf\"><input type=\"text\" id=\"quform_73_78_834980\" name=\"quform_73_78\" class=\"quform-field quform-field-text quform-field-73_78\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_82 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_82\"><label class=\"quform-label-text\" for=\"quform_73_82_834980\">Numero de Contacto<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_82\"><div class=\"quform-input quform-input-text quform-input-73_82 quform-cf\"><input type=\"text\" id=\"quform_73_82_834980\" name=\"quform_73_82\" class=\"quform-field quform-field-text quform-field-73_82\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_13 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_13\"><label class=\"quform-label-text\" for=\"quform_73_13_834980\">Municipio<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_13\"><div class=\"quform-input quform-input-text quform-input-73_13 quform-cf\"><input type=\"text\" id=\"quform_73_13_834980\" name=\"quform_73_13\" class=\"quform-field quform-field-text quform-field-73_13\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_14 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_14\"><label class=\"quform-label-text\" for=\"quform_73_14_834980\">Departamento<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_14\"><div class=\"quform-input quform-input-text quform-input-73_14 quform-cf\"><input type=\"text\" id=\"quform_73_14_834980\" name=\"quform_73_14\" class=\"quform-field quform-field-text quform-field-73_14\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_21 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_21\"><label class=\"quform-label-text\" for=\"quform_73_21_834980\">EPS<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_21\"><div class=\"quform-input quform-input-text quform-input-73_21 quform-cf\"><input type=\"text\" id=\"quform_73_21_834980\" name=\"quform_73_21\" class=\"quform-field quform-field-text quform-field-73_21\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-73_26 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_26\"><label class=\"quform-label-text\" for=\"quform_73_26_834980\">Pertenece alg\u00fan grupo Etnico<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_26\"><div class=\"quform-input quform-input-select quform-input-73_26 quform-cf\"><select id=\"quform_73_26_834980\" name=\"quform_73_26\" class=\"quform-field quform-field-select quform-field-73_26\"><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-73_27 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_27\"><label class=\"quform-label-text\" for=\"quform_73_27_834980\">Cual?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_27\"><div class=\"quform-input quform-input-text quform-input-73_27 quform-cf\"><input type=\"text\" id=\"quform_73_27_834980\" name=\"quform_73_27\" class=\"quform-field quform-field-text quform-field-73_27\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-73_134 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_134\"><label class=\"quform-label-text\" for=\"quform_73_134_834980\">Facultad<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_134\"><div class=\"quform-input quform-input-select quform-input-73_134 quform-cf\"><select id=\"quform_73_134_834980\" name=\"quform_73_134\" class=\"quform-field quform-field-select quform-field-73_134\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"FACULTAD DE CIENCIAS B\u00c1SICAS Y APLICADAS\">FACULTAD DE CIENCIAS B\u00c1SICAS Y APLICADAS<\/option><option value=\"FACULTAD DE CIENCIAS DE LA EDUCACI\u00d3N\">FACULTAD DE CIENCIAS DE LA EDUCACI\u00d3N<\/option><option value=\"FACULTAD DE CIENCIAS ECON\u00d3MICAS Y ADMINISTRATIVAS\">FACULTAD DE CIENCIAS ECON\u00d3MICAS Y ADMINISTRATIVAS<\/option><option value=\"FACULTAD DE CIENCIAS SOCIALES Y HUMANAS\">FACULTAD DE CIENCIAS SOCIALES Y HUMANAS<\/option><option value=\"FACULTAD DE INGENIER\u00cdAS\">FACULTAD DE INGENIER\u00cdAS<\/option><option value=\"FACULTAD DE SALUD\">FACULTAD DE SALUD<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-73_47 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_47\"><label class=\"quform-label-text\" for=\"quform_73_47_834980\">Programa Acad\u00e9mico <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_47\"><div class=\"quform-input quform-input-select quform-input-73_47 quform-cf\"><select id=\"quform_73_47_834980\" name=\"quform_73_47\" class=\"quform-field quform-field-select quform-field-73_47\"><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-select quform-element-73_52 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_52\"><label class=\"quform-label-text\" for=\"quform_73_52_834980\">Semestre<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_52\"><div class=\"quform-input quform-input-select quform-input-73_52 quform-cf\"><select id=\"quform_73_52_834980\" name=\"quform_73_52\" class=\"quform-field quform-field-select quform-field-73_52\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-73_73 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_73\"><label class=\"quform-label-text\" for=\"quform_73_73_834980\">Materias Matriculadas<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_73\"><div class=\"quform-input quform-input-select quform-input-73_73 quform-cf\"><select id=\"quform_73_73_834980\" name=\"quform_73_73\" class=\"quform-field quform-field-select quform-field-73_73\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"M\u00e1s de 8\">M\u00e1s de 8<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-73_74 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_74\"><label class=\"quform-label-text\" for=\"quform_73_74_834980\">Promedio del Semestre<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_74\"><div class=\"quform-input quform-input-select quform-input-73_74 quform-cf\"><select id=\"quform_73_74_834980\" name=\"quform_73_74\" class=\"quform-field quform-field-select quform-field-73_74\"><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><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-73_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-73_62 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-73_63\"><div class=\"quform-element quform-element-select quform-element-73_71 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_71\"><label class=\"quform-label-text\" for=\"quform_73_71_834980\">Sede<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_71\"><div class=\"quform-input quform-input-select quform-input-73_71 quform-cf\"><select id=\"quform_73_71_834980\" name=\"quform_73_71\" class=\"quform-field quform-field-select quform-field-73_71\"><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><\/div><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-73_72 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_72\"><label class=\"quform-label-text\" id=\"quform_73_72_834980_label\">Servicio Solicitado<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-73_72\"><div class=\"quform-input quform-input-radio quform-input-73_72 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\" role=\"radiogroup\" aria-labelledby=\"quform_73_72_834980_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_72\" id=\"quform_73_72_834980_27\" class=\"quform-field quform-field-radio quform-field-73_72 quform-field-73_72_27\" value=\"Artes pl\u00e1sticas \" \/><label for=\"quform_73_72_834980_27\" class=\"quform-option-label quform-option-label-73_72_27\"><span class=\"quform-option-text\">Artes pl\u00e1sticas <\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_72\" id=\"quform_73_72_834980_25\" class=\"quform-field quform-field-radio quform-field-73_72 quform-field-73_72_25\" value=\"Danzas nuevas tendencias \" \/><label for=\"quform_73_72_834980_25\" class=\"quform-option-label quform-option-label-73_72_25\"><span class=\"quform-option-text\">Danzas nuevas tendencias <\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_72\" id=\"quform_73_72_834980_26\" class=\"quform-field quform-field-radio quform-field-73_72 quform-field-73_72_26\" value=\"Danzas folcl\u00f3ricas y \u00e9tnicas \" \/><label for=\"quform_73_72_834980_26\" class=\"quform-option-label quform-option-label-73_72_26\"><span class=\"quform-option-text\">Danzas folcl\u00f3ricas y \u00e9tnicas <\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_72\" id=\"quform_73_72_834980_31\" class=\"quform-field quform-field-radio quform-field-73_72 quform-field-73_72_31\" value=\"Grupo folcl\u00f3rico\" \/><label for=\"quform_73_72_834980_31\" class=\"quform-option-label quform-option-label-73_72_31\"><span class=\"quform-option-text\">Grupo folcl\u00f3rico<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_72\" id=\"quform_73_72_834980_28\" class=\"quform-field quform-field-radio quform-field-73_72 quform-field-73_72_28\" value=\"Coral \u00e9tnica \" \/><label for=\"quform_73_72_834980_28\" class=\"quform-option-label quform-option-label-73_72_28\"><span class=\"quform-option-text\">Coral \u00e9tnica <\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_72\" id=\"quform_73_72_834980_35\" class=\"quform-field quform-field-radio quform-field-73_72 quform-field-73_72_35\" value=\"Coro Institucional\" \/><label for=\"quform_73_72_834980_35\" class=\"quform-option-label quform-option-label-73_72_35\"><span class=\"quform-option-text\">Coro Institucional<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_72\" id=\"quform_73_72_834980_29\" class=\"quform-field quform-field-radio quform-field-73_72 quform-field-73_72_29\" value=\"Grupo vallenato \" \/><label for=\"quform_73_72_834980_29\" class=\"quform-option-label quform-option-label-73_72_29\"><span class=\"quform-option-text\">Grupo vallenato <\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_72\" id=\"quform_73_72_834980_33\" class=\"quform-field quform-field-radio quform-field-73_72 quform-field-73_72_33\" value=\"Musica Alternativa\" \/><label for=\"quform_73_72_834980_33\" class=\"quform-option-label quform-option-label-73_72_33\"><span class=\"quform-option-text\">Musica Alternativa<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_72\" id=\"quform_73_72_834980_32\" class=\"quform-field quform-field-radio quform-field-73_72 quform-field-73_72_32\" value=\"Modelaje\" \/><label for=\"quform_73_72_834980_32\" class=\"quform-option-label quform-option-label-73_72_32\"><span class=\"quform-option-text\">Modelaje<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_72\" id=\"quform_73_72_834980_30\" class=\"quform-field quform-field-radio quform-field-73_72 quform-field-73_72_30\" value=\"Semillero de guitarra \" \/><label for=\"quform_73_72_834980_30\" class=\"quform-option-label quform-option-label-73_72_30\"><span class=\"quform-option-text\">Semillero de guitarra <\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_72\" id=\"quform_73_72_834980_34\" class=\"quform-field quform-field-radio quform-field-73_72 quform-field-73_72_34\" value=\"Tambora\" \/><label for=\"quform_73_72_834980_34\" class=\"quform-option-label quform-option-label-73_72_34\"><span class=\"quform-option-text\">Tambora<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-73_77 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_77\"><label class=\"quform-label-text\" id=\"quform_73_77_834980_label\">Servicio Solicitado Villanueva<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-73_77\"><div class=\"quform-input quform-input-radio quform-input-73_77 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\" role=\"radiogroup\" aria-labelledby=\"quform_73_77_834980_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_77\" id=\"quform_73_77_834980_10\" class=\"quform-field quform-field-radio quform-field-73_77 quform-field-73_77_10\" value=\"Teatro\" \/><label for=\"quform_73_77_834980_10\" class=\"quform-option-label quform-option-label-73_77_10\"><span class=\"quform-option-text\">Teatro<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_77\" id=\"quform_73_77_834980_11\" class=\"quform-field quform-field-radio quform-field-73_77 quform-field-73_77_11\" value=\"Coro\" \/><label for=\"quform_73_77_834980_11\" class=\"quform-option-label quform-option-label-73_77_11\"><span class=\"quform-option-text\">Coro<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_77\" id=\"quform_73_77_834980_12\" class=\"quform-field quform-field-radio quform-field-73_77 quform-field-73_77_12\" value=\"Grupo vallenato\" \/><label for=\"quform_73_77_834980_12\" class=\"quform-option-label quform-option-label-73_77_12\"><span class=\"quform-option-text\">Grupo vallenato<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_77\" id=\"quform_73_77_834980_13\" class=\"quform-field quform-field-radio quform-field-73_77 quform-field-73_77_13\" value=\"Danza\" \/><label for=\"quform_73_77_834980_13\" class=\"quform-option-label quform-option-label-73_77_13\"><span class=\"quform-option-text\">Danza<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-73_75 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_75\"><label class=\"quform-label-text\" id=\"quform_73_75_834980_label\">Servicio Solicitado Maicao<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-73_75\"><div class=\"quform-input quform-input-radio quform-input-73_75 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\" role=\"radiogroup\" aria-labelledby=\"quform_73_75_834980_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_75\" id=\"quform_73_75_834980_21\" class=\"quform-field quform-field-radio quform-field-73_75 quform-field-73_75_21\" value=\"Teatro\" \/><label for=\"quform_73_75_834980_21\" class=\"quform-option-label quform-option-label-73_75_21\"><span class=\"quform-option-text\">Teatro<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_75\" id=\"quform_73_75_834980_22\" class=\"quform-field quform-field-radio quform-field-73_75 quform-field-73_75_22\" value=\"Danza\" \/><label for=\"quform_73_75_834980_22\" class=\"quform-option-label quform-option-label-73_75_22\"><span class=\"quform-option-text\">Danza<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_75\" id=\"quform_73_75_834980_23\" class=\"quform-field quform-field-radio quform-field-73_75 quform-field-73_75_23\" value=\"Modelaje\" \/><label for=\"quform_73_75_834980_23\" class=\"quform-option-label quform-option-label-73_75_23\"><span class=\"quform-option-text\">Modelaje<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_75\" id=\"quform_73_75_834980_24\" class=\"quform-field quform-field-radio quform-field-73_75 quform-field-73_75_24\" value=\"M\u00fasica\" \/><label for=\"quform_73_75_834980_24\" class=\"quform-option-label quform-option-label-73_75_24\"><span class=\"quform-option-text\">M\u00fasica<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-73_76 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_76\"><label class=\"quform-label-text\" id=\"quform_73_76_834980_label\">Servicio Solicitado Fonseca<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-73_76\"><div class=\"quform-input quform-input-radio quform-input-73_76 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\" role=\"radiogroup\" aria-labelledby=\"quform_73_76_834980_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_76\" id=\"quform_73_76_834980_18\" class=\"quform-field quform-field-radio quform-field-73_76 quform-field-73_76_18\" value=\"Danzas Folkl\u00f3ricas\" \/><label for=\"quform_73_76_834980_18\" class=\"quform-option-label quform-option-label-73_76_18\"><span class=\"quform-option-text\">Danzas Folkl\u00f3ricas<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_76\" id=\"quform_73_76_834980_19\" class=\"quform-field quform-field-radio quform-field-73_76 quform-field-73_76_19\" value=\"Danzas \u00c9tnicas y Urbanas\" \/><label for=\"quform_73_76_834980_19\" class=\"quform-option-label quform-option-label-73_76_19\"><span class=\"quform-option-text\">Danzas \u00c9tnicas y Urbanas<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_76\" id=\"quform_73_76_834980_20\" class=\"quform-field quform-field-radio quform-field-73_76 quform-field-73_76_20\" value=\"Teatro\" \/><label for=\"quform_73_76_834980_20\" class=\"quform-option-label quform-option-label-73_76_20\"><span class=\"quform-option-text\">Teatro<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_76\" id=\"quform_73_76_834980_21\" class=\"quform-field quform-field-radio quform-field-73_76 quform-field-73_76_21\" value=\"Clase de Acorde\u00f3n\" \/><label for=\"quform_73_76_834980_21\" class=\"quform-option-label quform-option-label-73_76_21\"><span class=\"quform-option-text\">Clase de Acorde\u00f3n<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_76\" id=\"quform_73_76_834980_22\" class=\"quform-field quform-field-radio quform-field-73_76 quform-field-73_76_22\" value=\"Clase de piano\" \/><label for=\"quform_73_76_834980_22\" class=\"quform-option-label quform-option-label-73_76_22\"><span class=\"quform-option-text\">Clase de piano<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_76\" id=\"quform_73_76_834980_23\" class=\"quform-field quform-field-radio quform-field-73_76 quform-field-73_76_23\" value=\"Canto Agrupaci\u00f3n vallenata\" \/><label for=\"quform_73_76_834980_23\" class=\"quform-option-label quform-option-label-73_76_23\"><span class=\"quform-option-text\">Canto Agrupaci\u00f3n vallenata<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_76\" id=\"quform_73_76_834980_24\" class=\"quform-field quform-field-radio quform-field-73_76 quform-field-73_76_24\" value=\"Solista (Canto)\" \/><label for=\"quform_73_76_834980_24\" class=\"quform-option-label quform-option-label-73_76_24\"><span class=\"quform-option-text\">Solista (Canto)<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_76\" id=\"quform_73_76_834980_25\" class=\"quform-field quform-field-radio quform-field-73_76 quform-field-73_76_25\" value=\"Guitarra\" \/><label for=\"quform_73_76_834980_25\" class=\"quform-option-label quform-option-label-73_76_25\"><span class=\"quform-option-text\">Guitarra<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-73_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-73_64 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-73_65\"><div class=\"quform-element quform-element-text quform-element-73_18 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_18\"><label class=\"quform-label-text\" for=\"quform_73_18_834980\">Grupo Sangu\u00edneo <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_18\"><div class=\"quform-input quform-input-text quform-input-73_18 quform-cf\"><input type=\"text\" id=\"quform_73_18_834980\" name=\"quform_73_18\" class=\"quform-field quform-field-text quform-field-73_18\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-73_33 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_33\"><label class=\"quform-label-text\" for=\"quform_73_33_834980\">Padece alguna enfermedad F\u00edsica Actualmente?<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_33\"><div class=\"quform-input quform-input-select quform-input-73_33 quform-cf\"><select id=\"quform_73_33_834980\" name=\"quform_73_33\" class=\"quform-field quform-field-select quform-field-73_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-73_34 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_34\"><label class=\"quform-label-text\" for=\"quform_73_34_834980\">Cual?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_34\"><div class=\"quform-input quform-input-text quform-input-73_34 quform-cf\"><input type=\"text\" id=\"quform_73_34_834980\" name=\"quform_73_34\" class=\"quform-field quform-field-text quform-field-73_34\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-73_35 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">4. Informaci\u00f3n de Inter\u00e9s <\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-73_66 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-73_67\"><div class=\"quform-element quform-element-select quform-element-73_37 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_37\"><label class=\"quform-label-text\" for=\"quform_73_37_834980\">Por cual medio se enter\u00f3 de esta convocatoria:<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_37\"><div class=\"quform-input quform-input-select quform-input-73_37 quform-cf\"><select id=\"quform_73_37_834980\" name=\"quform_73_37\" class=\"quform-field quform-field-select quform-field-73_37\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Radial\">Radial<\/option><option value=\"Saloneo \">Saloneo <\/option><option value=\"Pagina Web \">Pagina Web <\/option><option value=\"Amigo\">Amigo<\/option><option value=\"Otro\">Otro<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_38 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_38\"><label class=\"quform-label-text\" for=\"quform_73_38_834980\">Cual?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_38\"><div class=\"quform-input quform-input-text quform-input-73_38 quform-cf\"><input type=\"text\" id=\"quform_73_38_834980\" name=\"quform_73_38\" class=\"quform-field quform-field-text quform-field-73_38\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-73_43 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_43\"><label class=\"quform-label-text\" for=\"quform_73_43_834980\">\u00bfQu\u00e9 jornada tiene disponible para las pr\u00e1cticas?<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_43\"><div class=\"quform-input quform-input-select quform-input-73_43 quform-cf\"><select id=\"quform_73_43_834980\" name=\"quform_73_43\" class=\"quform-field quform-field-select quform-field-73_43\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Ma\u00f1ana\">Ma\u00f1ana<\/option><option value=\"Tarde\">Tarde<\/option><option value=\"Noche\">Noche<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-file quform-element-73_50 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_50\"><label class=\"quform-label-text\" for=\"quform_73_50_834980\">Carga Documento de Identidad<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-file quform-inner-73_50\"><div class=\"quform-input quform-input-file quform-input-73_50 quform-cf quform-button-style-theme\"><input type=\"file\" id=\"quform_73_50_834980\" name=\"quform_73_50[]\" class=\"quform-field quform-field-file quform-field-73_50 quform-field-file-enhanced\" data-config=\"{&quot;id&quot;:50,&quot;identifier&quot;:&quot;73_50&quot;,&quot;name&quot;:&quot;quform_73_50&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-73_84 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">FORMULARIO DOCENTES, FUNCIONARIOS Y GRADUADOS<\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-73_85 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-73_86\"><div class=\"quform-element quform-element-group quform-element-73_87 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-73_88 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-73_89\"><div class=\"quform-element quform-element-text quform-element-73_90 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_90\"><label class=\"quform-label-text\" for=\"quform_73_90_834980\">Nombres y Apellidos<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_90\"><div class=\"quform-input quform-input-text quform-input-73_90 quform-cf\"><input type=\"text\" id=\"quform_73_90_834980\" name=\"quform_73_90\" class=\"quform-field quform-field-text quform-field-73_90\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_91 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_91\"><label class=\"quform-label-text\" for=\"quform_73_91_834980\">Documento de Identidad<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_91\"><div class=\"quform-input quform-input-text quform-input-73_91 quform-cf\"><input type=\"text\" id=\"quform_73_91_834980\" name=\"quform_73_91\" class=\"quform-field quform-field-text quform-field-73_91\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_93 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_93\"><label class=\"quform-label-text\" for=\"quform_73_93_834980\">Edad<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_93\"><div class=\"quform-input quform-input-text quform-input-73_93 quform-cf\"><input type=\"text\" id=\"quform_73_93_834980\" name=\"quform_73_93\" class=\"quform-field quform-field-text quform-field-73_93\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-73_94 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_94\"><label class=\"quform-label-text\" for=\"quform_73_94_834980\">Sexo<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_94\"><div class=\"quform-input quform-input-select quform-input-73_94 quform-cf\"><select id=\"quform_73_94_834980\" name=\"quform_73_94\" class=\"quform-field quform-field-select quform-field-73_94\"><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-email quform-element-73_95 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_95\"><label class=\"quform-label-text\" for=\"quform_73_95_834980\"> Email Institucional<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-email quform-inner-73_95\"><div class=\"quform-input quform-input-email quform-input-73_95 quform-cf\"><input type=\"email\" id=\"quform_73_95_834980\" name=\"quform_73_95\" class=\"quform-field quform-field-email quform-field-73_95\" value=\"@uniguajira.edu.co\" \/><\/div><p class=\"quform-description quform-description-below\">Solo se permite correo institucional, otro no ser\u00e1 tenido en cuenta para la inscripci\u00f3n<\/p><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_96 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_96\"><label class=\"quform-label-text\" for=\"quform_73_96_834980\">Celular<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_96\"><div class=\"quform-input quform-input-text quform-input-73_96 quform-cf\"><input type=\"text\" id=\"quform_73_96_834980\" name=\"quform_73_96\" class=\"quform-field quform-field-text quform-field-73_96\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-73_97 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-text quform-element-73_98 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_98\"><label class=\"quform-label-text\" for=\"quform_73_98_834980\">Nombre de Contacto en caso de Emergencia<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_98\"><div class=\"quform-input quform-input-text quform-input-73_98 quform-cf\"><input type=\"text\" id=\"quform_73_98_834980\" name=\"quform_73_98\" class=\"quform-field quform-field-text quform-field-73_98\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_99 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_99\"><label class=\"quform-label-text\" for=\"quform_73_99_834980\">Numero de Contacto<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_99\"><div class=\"quform-input quform-input-text quform-input-73_99 quform-cf\"><input type=\"text\" id=\"quform_73_99_834980\" name=\"quform_73_99\" class=\"quform-field quform-field-text quform-field-73_99\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_100 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_100\"><label class=\"quform-label-text\" for=\"quform_73_100_834980\">Municipio<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_100\"><div class=\"quform-input quform-input-text quform-input-73_100 quform-cf\"><input type=\"text\" id=\"quform_73_100_834980\" name=\"quform_73_100\" class=\"quform-field quform-field-text quform-field-73_100\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_101 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_101\"><label class=\"quform-label-text\" for=\"quform_73_101_834980\">Departamento<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_101\"><div class=\"quform-input quform-input-text quform-input-73_101 quform-cf\"><input type=\"text\" id=\"quform_73_101_834980\" name=\"quform_73_101\" class=\"quform-field quform-field-text quform-field-73_101\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_102 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_102\"><label class=\"quform-label-text\" for=\"quform_73_102_834980\">EPS<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_102\"><div class=\"quform-input quform-input-text quform-input-73_102 quform-cf\"><input type=\"text\" id=\"quform_73_102_834980\" name=\"quform_73_102\" class=\"quform-field quform-field-text quform-field-73_102\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-73_103 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_103\"><label class=\"quform-label-text\" for=\"quform_73_103_834980\">Pertenece alg\u00fan grupo Etnico<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_103\"><div class=\"quform-input quform-input-select quform-input-73_103 quform-cf\"><select id=\"quform_73_103_834980\" name=\"quform_73_103\" class=\"quform-field quform-field-select quform-field-73_103\"><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-73_104 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_104\"><label class=\"quform-label-text\" for=\"quform_73_104_834980\">Cual?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_104\"><div class=\"quform-input quform-input-text quform-input-73_104 quform-cf\"><input type=\"text\" id=\"quform_73_104_834980\" name=\"quform_73_104\" class=\"quform-field quform-field-text quform-field-73_104\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_106 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_106\"><label class=\"quform-label-text\" for=\"quform_73_106_834980\">Dependencia o Facultad en que labora<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_106\"><div class=\"quform-input quform-input-text quform-input-73_106 quform-cf\"><input type=\"text\" id=\"quform_73_106_834980\" name=\"quform_73_106\" class=\"quform-field quform-field-text quform-field-73_106\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-73_110 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-73_111 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-73_112\"><div class=\"quform-element quform-element-select quform-element-73_182 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_182\"><label class=\"quform-label-text\" for=\"quform_73_182_834980\">GRUPO<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_182\"><div class=\"quform-input quform-input-select quform-input-73_182 quform-cf\"><select id=\"quform_73_182_834980\" name=\"quform_73_182\" class=\"quform-field quform-field-select quform-field-73_182\"><option value=\"\" selected=\"selected\">Please select<\/option><option value=\"DOCENTES\">DOCENTES<\/option><option value=\"FUNCIONARIOS\">FUNCIONARIOS<\/option><option value=\"GRADUADOS\">GRADUADOS<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-73_113 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_113\"><label class=\"quform-label-text\" for=\"quform_73_113_834980\">Sede<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_113\"><div class=\"quform-input quform-input-select quform-input-73_113 quform-cf\"><select id=\"quform_73_113_834980\" name=\"quform_73_113\" class=\"quform-field quform-field-select quform-field-73_113\"><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><\/div><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-73_114 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_114\"><label class=\"quform-label-text\" id=\"quform_73_114_834980_label\">Servicio Solicitado Riohacha<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-73_114\"><div class=\"quform-input quform-input-radio quform-input-73_114 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\" role=\"radiogroup\" aria-labelledby=\"quform_73_114_834980_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_114\" id=\"quform_73_114_834980_22\" class=\"quform-field quform-field-radio quform-field-73_114 quform-field-73_114_22\" value=\"Danzas nuevas tendencias\" \/><label for=\"quform_73_114_834980_22\" class=\"quform-option-label quform-option-label-73_114_22\"><span class=\"quform-option-text\">Danzas nuevas tendencias<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_114\" id=\"quform_73_114_834980_23\" class=\"quform-field quform-field-radio quform-field-73_114 quform-field-73_114_23\" value=\"Danzas folclor\u00edcas y \u00e9tnicas\" \/><label for=\"quform_73_114_834980_23\" class=\"quform-option-label quform-option-label-73_114_23\"><span class=\"quform-option-text\">Danzas folclor\u00edcas y \u00e9tnicas<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_114\" id=\"quform_73_114_834980_24\" class=\"quform-field quform-field-radio quform-field-73_114 quform-field-73_114_24\" value=\"Artes Plasticas\" \/><label for=\"quform_73_114_834980_24\" class=\"quform-option-label quform-option-label-73_114_24\"><span class=\"quform-option-text\">Artes Plasticas<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_114\" id=\"quform_73_114_834980_25\" class=\"quform-field quform-field-radio quform-field-73_114 quform-field-73_114_25\" value=\"Coral \u00e9tnicas\" \/><label for=\"quform_73_114_834980_25\" class=\"quform-option-label quform-option-label-73_114_25\"><span class=\"quform-option-text\">Coral \u00e9tnicas<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_114\" id=\"quform_73_114_834980_26\" class=\"quform-field quform-field-radio quform-field-73_114 quform-field-73_114_26\" value=\"Grupo vallenato\" \/><label for=\"quform_73_114_834980_26\" class=\"quform-option-label quform-option-label-73_114_26\"><span class=\"quform-option-text\">Grupo vallenato<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_114\" id=\"quform_73_114_834980_27\" class=\"quform-field quform-field-radio quform-field-73_114 quform-field-73_114_27\" value=\"Semillero de Guitarra\" \/><label for=\"quform_73_114_834980_27\" class=\"quform-option-label quform-option-label-73_114_27\"><span class=\"quform-option-text\">Semillero de Guitarra<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_114\" id=\"quform_73_114_834980_28\" class=\"quform-field quform-field-radio quform-field-73_114 quform-field-73_114_28\" value=\"Grupo folcl\u00f3rico\" \/><label for=\"quform_73_114_834980_28\" class=\"quform-option-label quform-option-label-73_114_28\"><span class=\"quform-option-text\">Grupo folcl\u00f3rico<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_114\" id=\"quform_73_114_834980_29\" class=\"quform-field quform-field-radio quform-field-73_114 quform-field-73_114_29\" value=\"Modelaje\" \/><label for=\"quform_73_114_834980_29\" class=\"quform-option-label quform-option-label-73_114_29\"><span class=\"quform-option-text\">Modelaje<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_114\" id=\"quform_73_114_834980_30\" class=\"quform-field quform-field-radio quform-field-73_114 quform-field-73_114_30\" value=\"Musica Alternativa\" \/><label for=\"quform_73_114_834980_30\" class=\"quform-option-label quform-option-label-73_114_30\"><span class=\"quform-option-text\">Musica Alternativa<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-73_115 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_115\"><label class=\"quform-label-text\" id=\"quform_73_115_834980_label\">Servicio Solicitado Villanueva<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-73_115\"><div class=\"quform-input quform-input-radio quform-input-73_115 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\" role=\"radiogroup\" aria-labelledby=\"quform_73_115_834980_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_115\" id=\"quform_73_115_834980_10\" class=\"quform-field quform-field-radio quform-field-73_115 quform-field-73_115_10\" value=\"Teatro\" \/><label for=\"quform_73_115_834980_10\" class=\"quform-option-label quform-option-label-73_115_10\"><span class=\"quform-option-text\">Teatro<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_115\" id=\"quform_73_115_834980_11\" class=\"quform-field quform-field-radio quform-field-73_115 quform-field-73_115_11\" value=\"Coro\" \/><label for=\"quform_73_115_834980_11\" class=\"quform-option-label quform-option-label-73_115_11\"><span class=\"quform-option-text\">Coro<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_115\" id=\"quform_73_115_834980_12\" class=\"quform-field quform-field-radio quform-field-73_115 quform-field-73_115_12\" value=\"Grupo vallenato\" \/><label for=\"quform_73_115_834980_12\" class=\"quform-option-label quform-option-label-73_115_12\"><span class=\"quform-option-text\">Grupo vallenato<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_115\" id=\"quform_73_115_834980_13\" class=\"quform-field quform-field-radio quform-field-73_115 quform-field-73_115_13\" value=\"Danza\" \/><label for=\"quform_73_115_834980_13\" class=\"quform-option-label quform-option-label-73_115_13\"><span class=\"quform-option-text\">Danza<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-73_116 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_116\"><label class=\"quform-label-text\" id=\"quform_73_116_834980_label\">Servicio Solicitado Maicao<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-73_116\"><div class=\"quform-input quform-input-radio quform-input-73_116 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\" role=\"radiogroup\" aria-labelledby=\"quform_73_116_834980_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_116\" id=\"quform_73_116_834980_16\" class=\"quform-field quform-field-radio quform-field-73_116 quform-field-73_116_16\" value=\"Teatro\" \/><label for=\"quform_73_116_834980_16\" class=\"quform-option-label quform-option-label-73_116_16\"><span class=\"quform-option-text\">Teatro<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_116\" id=\"quform_73_116_834980_17\" class=\"quform-field quform-field-radio quform-field-73_116 quform-field-73_116_17\" value=\"Danza\" \/><label for=\"quform_73_116_834980_17\" class=\"quform-option-label quform-option-label-73_116_17\"><span class=\"quform-option-text\">Danza<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_116\" id=\"quform_73_116_834980_18\" class=\"quform-field quform-field-radio quform-field-73_116 quform-field-73_116_18\" value=\"Modelaje\" \/><label for=\"quform_73_116_834980_18\" class=\"quform-option-label quform-option-label-73_116_18\"><span class=\"quform-option-text\">Modelaje<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_116\" id=\"quform_73_116_834980_19\" class=\"quform-field quform-field-radio quform-field-73_116 quform-field-73_116_19\" value=\"M\u00fasica\" \/><label for=\"quform_73_116_834980_19\" class=\"quform-option-label quform-option-label-73_116_19\"><span class=\"quform-option-text\">M\u00fasica<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-radio quform-element-73_117 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_117\"><label class=\"quform-label-text\" id=\"quform_73_117_834980_label\">Servicio Solicitado Fonseca<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-radio quform-inner-73_117\"><div class=\"quform-input quform-input-radio quform-input-73_117 quform-cf\"><div class=\"quform-options quform-cf quform-options-block quform-options-simple\" role=\"radiogroup\" aria-labelledby=\"quform_73_117_834980_label\"><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_117\" id=\"quform_73_117_834980_17\" class=\"quform-field quform-field-radio quform-field-73_117 quform-field-73_117_17\" value=\"Danzas Folkl\u00f3ricas\" \/><label for=\"quform_73_117_834980_17\" class=\"quform-option-label quform-option-label-73_117_17\"><span class=\"quform-option-text\">Danzas Folkl\u00f3ricas<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_117\" id=\"quform_73_117_834980_18\" class=\"quform-field quform-field-radio quform-field-73_117 quform-field-73_117_18\" value=\"Danzas \u00c9tnicas y Urbanas\" \/><label for=\"quform_73_117_834980_18\" class=\"quform-option-label quform-option-label-73_117_18\"><span class=\"quform-option-text\">Danzas \u00c9tnicas y Urbanas<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_117\" id=\"quform_73_117_834980_19\" class=\"quform-field quform-field-radio quform-field-73_117 quform-field-73_117_19\" value=\"Teatro\" \/><label for=\"quform_73_117_834980_19\" class=\"quform-option-label quform-option-label-73_117_19\"><span class=\"quform-option-text\">Teatro<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_117\" id=\"quform_73_117_834980_20\" class=\"quform-field quform-field-radio quform-field-73_117 quform-field-73_117_20\" value=\"Clase de Acorde\u00f3n\" \/><label for=\"quform_73_117_834980_20\" class=\"quform-option-label quform-option-label-73_117_20\"><span class=\"quform-option-text\">Clase de Acorde\u00f3n<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_117\" id=\"quform_73_117_834980_21\" class=\"quform-field quform-field-radio quform-field-73_117 quform-field-73_117_21\" value=\"Clase de piano\" \/><label for=\"quform_73_117_834980_21\" class=\"quform-option-label quform-option-label-73_117_21\"><span class=\"quform-option-text\">Clase de piano<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_117\" id=\"quform_73_117_834980_22\" class=\"quform-field quform-field-radio quform-field-73_117 quform-field-73_117_22\" value=\"Canto Agrupaci\u00f3n vallenata\" \/><label for=\"quform_73_117_834980_22\" class=\"quform-option-label quform-option-label-73_117_22\"><span class=\"quform-option-text\">Canto Agrupaci\u00f3n vallenata<\/span><\/label><\/div><div class=\"quform-option\"><input type=\"radio\" name=\"quform_73_117\" id=\"quform_73_117_834980_23\" class=\"quform-field quform-field-radio quform-field-73_117 quform-field-73_117_23\" value=\"Solista (Canto)\" \/><label for=\"quform_73_117_834980_23\" class=\"quform-option-label quform-option-label-73_117_23\"><span class=\"quform-option-text\">Solista (Canto)<\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-73_118 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-73_119 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-73_120\"><div class=\"quform-element quform-element-text quform-element-73_121 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_121\"><label class=\"quform-label-text\" for=\"quform_73_121_834980\">Grupo Sangu\u00edneo <span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_121\"><div class=\"quform-input quform-input-text quform-input-73_121 quform-cf\"><input type=\"text\" id=\"quform_73_121_834980\" name=\"quform_73_121\" class=\"quform-field quform-field-text quform-field-73_121\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-73_122 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_122\"><label class=\"quform-label-text\" for=\"quform_73_122_834980\">Padece alguna enfermedad F\u00edsica Actualmente?<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_122\"><div class=\"quform-input quform-input-select quform-input-73_122 quform-cf\"><select id=\"quform_73_122_834980\" name=\"quform_73_122\" class=\"quform-field quform-field-select quform-field-73_122\"><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-73_123 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_123\"><label class=\"quform-label-text\" for=\"quform_73_123_834980\">Cual?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_123\"><div class=\"quform-input quform-input-text quform-input-73_123 quform-cf\"><input type=\"text\" id=\"quform_73_123_834980\" name=\"quform_73_123\" class=\"quform-field quform-field-text quform-field-73_123\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-group quform-element-73_124 quform-cf quform-group-style-bordered\"><div class=\"quform-spacer\"><div class=\"quform-group-title-description\"><h4 class=\"quform-group-title\">4. Informaci\u00f3n de Inter\u00e9s <\/h4><\/div><div class=\"quform-child-elements\"><div class=\"quform-element quform-element-row quform-element-row-73_125 quform-1-columns quform-element-row-size-fixed quform-responsive-columns-phone-landscape\"><div class=\"quform-element quform-element-column quform-element-73_126\"><div class=\"quform-element quform-element-select quform-element-73_127 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_127\"><label class=\"quform-label-text\" for=\"quform_73_127_834980\">Por cual medio se enter\u00f3 de esta convocatoria:<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_127\"><div class=\"quform-input quform-input-select quform-input-73_127 quform-cf\"><select id=\"quform_73_127_834980\" name=\"quform_73_127\" class=\"quform-field quform-field-select quform-field-73_127\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Radial\">Radial<\/option><option value=\"Saloneo \">Saloneo <\/option><option value=\"Pagina Web \">Pagina Web <\/option><option value=\"Amigo\">Amigo<\/option><option value=\"Otro\">Otro<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-text quform-element-73_128 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_128\"><label class=\"quform-label-text\" for=\"quform_73_128_834980\">Cual?<\/label><\/div><div class=\"quform-inner quform-inner-text quform-inner-73_128\"><div class=\"quform-input quform-input-text quform-input-73_128 quform-cf\"><input type=\"text\" id=\"quform_73_128_834980\" name=\"quform_73_128\" class=\"quform-field quform-field-text quform-field-73_128\" \/><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-select quform-element-73_129 quform-cf quform-labels-left quform-element-required\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_129\"><label class=\"quform-label-text\" for=\"quform_73_129_834980\">\u00bfQu\u00e9 jornada tiene disponible para las pr\u00e1cticas?<span class=\"quform-required\">(requerido)<\/span><\/label><\/div><div class=\"quform-inner quform-inner-select quform-inner-73_129\"><div class=\"quform-input quform-input-select quform-input-73_129 quform-cf\"><select id=\"quform_73_129_834980\" name=\"quform_73_129\" class=\"quform-field quform-field-select quform-field-73_129\"><option value=\"\" selected=\"selected\">Seleccione una Opci\u00f3n<\/option><option value=\"Ma\u00f1ana\">Ma\u00f1ana<\/option><option value=\"Tarde\">Tarde<\/option><option value=\"Noche\">Noche<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"quform-element quform-element-file quform-element-73_132 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_132\"><label class=\"quform-label-text\" for=\"quform_73_132_834980\">Certificaci\u00f3n de Vinculaci\u00f3n Laboral<\/label><\/div><div class=\"quform-inner quform-inner-file quform-inner-73_132\"><div class=\"quform-input quform-input-file quform-input-73_132 quform-cf quform-button-style-theme\"><input type=\"file\" id=\"quform_73_132_834980\" name=\"quform_73_132[]\" class=\"quform-field quform-field-file quform-field-73_132 quform-field-file-enhanced\" data-config=\"{&quot;id&quot;:132,&quot;identifier&quot;:&quot;73_132&quot;,&quot;name&quot;:&quot;quform_73_132&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-73_183 quform-cf quform-labels-left quform-element-optional\"><div class=\"quform-spacer\"><div class=\"quform-label quform-label-73_183\"><label class=\"quform-label-text\" for=\"quform_73_183_834980\">Carga Documento de Identidad<\/label><\/div><div class=\"quform-inner quform-inner-file quform-inner-73_183\"><div class=\"quform-input quform-input-file quform-input-73_183 quform-cf quform-button-style-theme\"><input type=\"file\" id=\"quform_73_183_834980\" name=\"quform_73_183[]\" class=\"quform-field quform-field-file quform-field-73_183 quform-field-file-enhanced\" data-config=\"{&quot;id&quot;:183,&quot;identifier&quot;:&quot;73_183&quot;,&quot;name&quot;:&quot;quform_73_183&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-submit quform-element-73_68 quform-cf quform-button-style-theme\"><div class=\"quform-button-submit quform-button-submit-default quform-button-submit-73_68\"><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 class=\"quform-element-tree\"><label for=\"quform_73_0_834980\">This field should be left blank<\/label><input type=\"text\" id=\"quform_73_0_834980\" name=\"quform_73_0\" class=\"quform-field quform-field-tree quform-field-73_0\" tabindex=\"-1\" autocomplete=\"off\" \/><\/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>\n<\/div>\n\n\n<p><\/p>\n","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-5151","page","type-page","status-publish"],"_links":{"self":[{"href":"https:\/\/bienestaruniguajira.com.co\/index.php\/wp-json\/wp\/v2\/pages\/5151","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=5151"}],"version-history":[{"count":14,"href":"https:\/\/bienestaruniguajira.com.co\/index.php\/wp-json\/wp\/v2\/pages\/5151\/revisions"}],"predecessor-version":[{"id":5296,"href":"https:\/\/bienestaruniguajira.com.co\/index.php\/wp-json\/wp\/v2\/pages\/5151\/revisions\/5296"}],"wp:attachment":[{"href":"https:\/\/bienestaruniguajira.com.co\/index.php\/wp-json\/wp\/v2\/media?parent=5151"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}