{"id":1651,"date":"2024-03-04T21:59:06","date_gmt":"2024-03-04T20:59:06","guid":{"rendered":"https:\/\/technovationfrance.fr\/?page_id=1651"},"modified":"2024-06-10T13:17:24","modified_gmt":"2024-06-10T11:17:24","slug":"mentors-2","status":"publish","type":"page","link":"https:\/\/technovationfrance.fr\/index.php\/mentors-2\/","title":{"rendered":"Mentors"},"content":{"rendered":"\n<div class=\"wp-block-cover alignfull is-light\" style=\"min-height:580px;aspect-ratio:unset;\"><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim-40 has-background-dim\"><\/span><img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1707\" class=\"wp-block-cover__image-background wp-image-460\" alt=\"\" src=\"https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A9928-scaled.jpg\" data-object-fit=\"cover\" srcset=\"https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A9928-scaled.jpg 2560w, https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A9928-300x200.jpg 300w, https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A9928-1024x683.jpg 1024w, https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A9928-768x512.jpg 768w, https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A9928-1536x1024.jpg 1536w, https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A9928-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<h1 class=\"wp-block-heading has-text-align-left\">Inscription<br>mentors<\/h1>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-cover alignfull\" style=\"padding-top:0;padding-right:0;padding-bottom:0;padding-left:0;min-height:220px;aspect-ratio:unset;\"><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim-100 has-background-dim\" style=\"background-color:#0076cf\"><\/span><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<h2 class=\"wp-block-heading has-text-align-center has-medium-font-size\"><strong>S&rsquo;inscrire pour devenir mentor du programme<\/strong><br><strong>SAISON 2024\/2025 : du samedi 9 novembre 2024 au 23 avril 2025.<\/strong><\/h2>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-cover alignfull is-light\" style=\"padding-top:50px;padding-right:50px;padding-bottom:50px;padding-left:50px;min-height:222px;aspect-ratio:unset;\"><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim-100 has-background-dim\" style=\"background-color:#ffffff\"><\/span><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-vertically-aligned-center has-small-font-size\" style=\"grid-template-columns:30% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"http:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A9972-3-1024x683.jpg\" alt=\"\" class=\"wp-image-1025 size-full\" srcset=\"https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A9972-3-1024x683.jpg 1024w, https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A9972-3-300x200.jpg 300w, https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A9972-3-768x512.jpg 768w, https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A9972-3-1536x1024.jpg 1536w, https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A9972-3-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"has-text-color\" style=\"color:#1d1349;font-size:15px\">En tant que mentor de Technovation Girls, vous aurez l&rsquo;opportunit\u00e9 d&rsquo;accompagner un groupe de jeunes filles talentueuses (3 \u00e0 5 jeunes filles) dans la r\u00e9alisation de leur projet. Vous pourrez partager vos connaissances et vos comp\u00e9tences, les guider \u00e0 travers les diff\u00e9rentes \u00e9tapes du processus de d\u00e9veloppement d&rsquo;une application mobile et les aider \u00e0 r\u00e9soudre des probl\u00e8mes concrets.&nbsp;<\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-cover alignfull\" style=\"padding-top:50px;padding-right:50px;padding-bottom:50px;padding-left:50px;min-height:154px;aspect-ratio:unset;\"><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim-100 has-background-dim\" style=\"background-color:#0076cf\"><\/span><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<div class=\"wp-block-media-text alignwide is-stacked-on-mobile is-vertically-aligned-center has-small-font-size\" style=\"grid-template-columns:30% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"683\" height=\"1024\" src=\"http:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A0060-3-683x1024.jpg\" alt=\"\" class=\"wp-image-950 size-full\" srcset=\"https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A0060-3-683x1024.jpg 683w, https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A0060-3-200x300.jpg 200w, https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A0060-3-768x1152.jpg 768w, https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A0060-3-1024x1536.jpg 1024w, https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A0060-3-1366x2048.jpg 1366w, https:\/\/technovationfrance.fr\/wp-content\/uploads\/2023\/07\/328A0060-3-scaled.jpg 1707w\" sizes=\"auto, (max-width: 683px) 100vw, 683px\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"has-ast-global-color-5-color has-text-color\" style=\"font-size:15px\">Devenir mentor repr\u00e9sente un engagement minimum de 2 heures par semaine de novembre \u00e0 avril (hors vacances scolaires de la zone C). Chaque samedi matin de 10h30 \u00e0 12h30, vous suivez les cours avec les jeunes filles puis animez votre groupe lors de l\u2019atelier d\u20191 heure qui suit. Vous \u00eates 2 mentors par groupe ce qui vous permet de g\u00e9rer vos indisponibilit\u00e9s avec votre bin\u00f4me.<\/p>\n\n\n\n<p class=\"has-ast-global-color-5-color has-text-color\" style=\"font-size:15px\">Devenir mentor c\u2019est aussi rejoindre une communaut\u00e9 dynamique et connecter avec d&rsquo;autres professionnels lors des \u00e9v\u00e8nements organis\u00e9s par l\u2019association.<br><br>Les inscriptions ferment d\u00e8s que le programme est complet et au plus tard le 6 octobre 2024.<br><\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<p class=\"has-text-align-center has-ast-global-color-8-color has-text-color has-medium-font-size\"><strong><br>FORMULAIRE D&rsquo;INSCRIPTION <\/strong><\/p>\n\n\n\n<!-- Begin Brevo Form -->\n<!-- START - We recommend to place the below code in head tag of your website html  -->\n<style>\n  @font-face {\n    font-display: block;\n    font-family: Roboto;\n    src: url(https:\/\/assets.brevo.com\/font\/Roboto\/Latin\/normal\/normal\/7529907e9eaf8ebb5220c5f9850e3811.woff2) format(\"woff2\"), url(https:\/\/assets.brevo.com\/font\/Roboto\/Latin\/normal\/normal\/25c678feafdc175a70922a116c9be3e7.woff) format(\"woff\")\n  }\n\n  @font-face {\n    font-display: fallback;\n    font-family: Roboto;\n    font-weight: 600;\n    src: url(https:\/\/assets.brevo.com\/font\/Roboto\/Latin\/medium\/normal\/6e9caeeafb1f3491be3e32744bc30440.woff2) format(\"woff2\"), url(https:\/\/assets.brevo.com\/font\/Roboto\/Latin\/medium\/normal\/71501f0d8d5aa95960f6475d5487d4c2.woff) format(\"woff\")\n  }\n\n  @font-face {\n    font-display: fallback;\n    font-family: Roboto;\n    font-weight: 700;\n    src: url(https:\/\/assets.brevo.com\/font\/Roboto\/Latin\/bold\/normal\/3ef7cf158f310cf752d5ad08cd0e7e60.woff2) format(\"woff2\"), url(https:\/\/assets.brevo.com\/font\/Roboto\/Latin\/bold\/normal\/ece3a1d82f18b60bcce0211725c476aa.woff) format(\"woff\")\n  }\n\n  #sib-container input:-ms-input-placeholder {\n    text-align: left;\n    font-family: \"Helvetica\", sans-serif;\n    color: #ffffff;\n  }\n\n  #sib-container input::placeholder {\n    text-align: left;\n    font-family: \"Helvetica\", sans-serif;\n    color: #ffffff;\n  }\n\n  #sib-container textarea::placeholder {\n    text-align: left;\n    font-family: \"Helvetica\", sans-serif;\n    color: #ffffff;\n  }\n\n  #sib-container a {\n    text-decoration: underline;\n    color: #2BB2FC;\n  }\n\n.sib-form {\n    color: black;\n  }\n\n<\/style>\n<link rel=\"stylesheet\" href=\"https:\/\/sibforms.com\/forms\/end-form\/build\/sib-styles.css\">\n<!--  END - We recommend to place the above code in head tag of your website html -->\n\n<!-- START - We recommend to place the below code where you want the form in your website html  -->\n<div class=\"sib-form\" style=\"text-align: center;\n         background-color: #ffffff;                                 \">\n  <div id=\"sib-form-container\" class=\"sib-form-container\">\n    <div id=\"error-message\" class=\"sib-form-message-panel\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;max-width:540px;\">\n      <div class=\"sib-form-message-panel__text sib-form-message-panel__text--center\">\n        <svg viewBox=\"0 0 512 512\" class=\"sib-icon sib-notification__icon\">\n          <path d=\"M256 40c118.621 0 216 96.075 216 216 0 119.291-96.61 216-216 216-119.244 0-216-96.562-216-216 0-119.203 96.602-216 216-216m0-32C119.043 8 8 119.083 8 256c0 136.997 111.043 248 248 248s248-111.003 248-248C504 119.083 392.957 8 256 8zm-11.49 120h22.979c6.823 0 12.274 5.682 11.99 12.5l-7 168c-.268 6.428-5.556 11.5-11.99 11.5h-8.979c-6.433 0-11.722-5.073-11.99-11.5l-7-168c-.283-6.818 5.167-12.5 11.99-12.5zM256 340c-15.464 0-28 12.536-28 28s12.536 28 28 28 28-12.536 28-28-12.536-28-28-28z\" \/>\n        <\/svg>\n        <span class=\"sib-form-message-panel__inner-text\">\n                          Nous n&#039;avons pas pu confirmer votre inscription.\n                      <\/span>\n      <\/div>\n    <\/div>\n    <div><\/div>\n    <div id=\"success-message\" class=\"sib-form-message-panel\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#085229; background-color:#e7faf0; border-radius:3px; border-color:#13ce66;max-width:540px;\">\n      <div class=\"sib-form-message-panel__text sib-form-message-panel__text--center\">\n        <svg viewBox=\"0 0 512 512\" class=\"sib-icon sib-notification__icon\">\n          <path d=\"M256 8C119.033 8 8 119.033 8 256s111.033 248 248 248 248-111.033 248-248S392.967 8 256 8zm0 464c-118.664 0-216-96.055-216-216 0-118.663 96.055-216 216-216 118.664 0 216 96.055 216 216 0 118.663-96.055 216-216 216zm141.63-274.961L217.15 376.071c-4.705 4.667-12.303 4.637-16.97-.068l-85.878-86.572c-4.667-4.705-4.637-12.303.068-16.97l8.52-8.451c4.705-4.667 12.303-4.637 16.97.068l68.976 69.533 163.441-162.13c4.705-4.667 12.303-4.637 16.97.068l8.451 8.52c4.668 4.705 4.637 12.303-.068 16.97z\" \/>\n        <\/svg>\n        <span class=\"sib-form-message-panel__inner-text\">\n                          Votre demande d&#039;inscription est confirm\u00e9e.\n                      <\/span>\n      <\/div>\n    <\/div>\n    <div><\/div>\n    <div id=\"sib-container\" class=\"sib-container--large sib-container--vertical\" style=\"text-align:center; background-color:rgba(0,118,207,1); max-width:540px; border-radius:3px; border-width:1px; border-color:#C0CCD9; border-style:solid; direction:ltr\">\n      <form id=\"sib-form\" method=\"POST\" action=\"https:\/\/020d8c5f.sibforms.com\/serve\/MUIFADdeb1XXN6dP1bM3Aiqek5qKCmp7paA2JQW_K1XX49fNnANgb_c9JZXUAm3s07TFo7A2dglartMTtlFnu_-h5qq2Sjr-MOmp-gKSn3ba3jy4Oib6ks__UyUFxvkGcM1Qm9UUugKd1ZRG_T60-PchhghdZHgkItEOlMchiUN3-eo_niqDEz3r4fAv7ol2uYSjMaLxIndLJY5l\" data-type=\"subscription\">\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-input sib-form-block\">\n            <div class=\"form__entry entry_block\">\n              <div class=\"form__label-row \">\n                <label class=\"entry__label\" style=\"font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff;\" for=\"FIRSTNAME\" data-required=\"*\">Pr\u00e9nom<\/label>\n\n                <div class=\"entry__field\">\n                  <input class=\"input \" maxlength=\"200\" type=\"text\" id=\"FIRSTNAME\" name=\"FIRSTNAME\" autocomplete=\"off\" data-required=\"true\" required \/>\n                <\/div>\n              <\/div>\n\n              <label class=\"entry__error entry__error--primary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-input sib-form-block\">\n            <div class=\"form__entry entry_block\">\n              <div class=\"form__label-row \">\n                <label class=\"entry__label\" style=\"font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff;\" for=\"LASTNAME\" data-required=\"*\">Nom<\/label>\n\n                <div class=\"entry__field\">\n                  <input class=\"input \" maxlength=\"200\" type=\"text\" id=\"LASTNAME\" name=\"LASTNAME\" autocomplete=\"off\" data-required=\"true\" required \/>\n                <\/div>\n              <\/div>\n\n              <label class=\"entry__error entry__error--primary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-select sib-form-block\" data-required=\"true\">\n            <div class=\"form__entry entry_block\">\n              <div class=\"form__label-row \">\n                <label class=\"entry__label\" style=\"font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff;\" for=\"TITRE\" data-required=\"*\">Titre<\/label>\n                <div class=\"entry__field\">\n                  <select class=\"input\" id=\"TITRE\" name=\"TITRE\" data-required=\"true\">\n                    <option value=\"\" disabled selected hidden>Choisissez une valeur<\/option>\n\n                    <option class=\"sib-menu__item\" value=\"1\">\n                      Madame\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"2\">\n                      Monsieur\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"3\">\n                      Sans d\u00e9termination\n                    <\/option>\n                  <\/select>\n                <\/div>\n              <\/div>\n              <label class=\"entry__error entry__error--primary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-input sib-form-block\">\n            <div class=\"form__entry entry_block\">\n              <div class=\"form__label-row \">\n                <label class=\"entry__label\" style=\"font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff;\" for=\"EMAIL\" data-required=\"*\">E-mail<\/label>\n\n                <div class=\"entry__field\">\n                  <input class=\"input \" type=\"text\" id=\"EMAIL\" name=\"EMAIL\" autocomplete=\"off\" data-required=\"true\" required \/>\n                <\/div>\n              <\/div>\n\n              <label class=\"entry__error entry__error--primary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-sms-field sib-form-block\">\n            <div class=\"form__entry entry_block\">\n              <div class=\"form__label-row \">\n                <label class=\"entry__label\" style=\"font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff;\" for=\"SMS\" data-required=\"*\">Num\u00e9ro de t\u00e9l\u00e9phone<\/label>\n\n                <div class=\"sib-sms-input-wrapper\" style=\"direction:ltr\">\n                  <div class=\"sib-sms-input\" data-placeholder=\"\" data-required=\"1\" data-country-code=\"FR\" data-whatsapp-country-code=\"FR\" data-value=\"\" data-whatsappvalue=\"\" data-attributename=\"SMS\">\n                    <div class=\"entry__field\">\n                      <select class=\"input\" name=\"SMS__COUNTRY_CODE\" data-required=\"true\">\n                        <option value=\"+93\">\n                          +93 AF\n                        <\/option>\n                        <option value=\"+358\">\n                          +358 AX\n                        <\/option>\n                        <option value=\"+355\">\n                          +355 AL\n                        <\/option>\n                        <option value=\"+213\">\n                          +213 DZ\n                        <\/option>\n                        <option value=\"+1684\">\n                          +1684 AS\n                        <\/option>\n                        <option value=\"+376\">\n                          +376 AD\n                        <\/option>\n                        <option value=\"+244\">\n                          +244 AO\n                        <\/option>\n                        <option value=\"+1264\">\n                          +1264 AI\n                        <\/option>\n                        <option value=\"+672\">\n                          +672 AQ\n                        <\/option>\n                        <option value=\"+1268\">\n                          +1268 AG\n                        <\/option>\n                        <option value=\"+54\">\n                          +54 AR\n                        <\/option>\n                        <option value=\"+374\">\n                          +374 AM\n                        <\/option>\n                        <option value=\"+297\">\n                          +297 AW\n                        <\/option>\n                        <option value=\"+61\">\n                          +61 AU\n                        <\/option>\n                        <option value=\"+43\">\n                          +43 AT\n                        <\/option>\n                        <option value=\"+994\">\n                          +994 AZ\n                        <\/option>\n                        <option value=\"+1242\">\n                          +1242 BS\n                        <\/option>\n                        <option value=\"+973\">\n                          +973 BH\n                        <\/option>\n                        <option value=\"+880\">\n                          +880 BD\n                        <\/option>\n                        <option value=\"+1246\">\n                          +1246 BB\n                        <\/option>\n                        <option value=\"+375\">\n                          +375 BY\n                        <\/option>\n                        <option value=\"+32\">\n                          +32 BE\n                        <\/option>\n                        <option value=\"+501\">\n                          +501 BZ\n                        <\/option>\n                        <option value=\"+229\">\n                          +229 BJ\n                        <\/option>\n                        <option value=\"+1441\">\n                          +1441 BM\n                        <\/option>\n                        <option value=\"+975\">\n                          +975 BT\n                        <\/option>\n                        <option value=\"+591\">\n                          +591 BO\n                        <\/option>\n                        <option value=\"+599\">\n                          +599 BQ\n                        <\/option>\n                        <option value=\"+387\">\n                          +387 BA\n                        <\/option>\n                        <option value=\"+267\">\n                          +267 BW\n                        <\/option>\n                        <option value=\"+47\">\n                          +47 BV\n                        <\/option>\n                        <option value=\"+55\">\n                          +55 BR\n                        <\/option>\n                        <option value=\"+246\">\n                          +246 IO\n                        <\/option>\n                        <option value=\"+673\">\n                          +673 BN\n                        <\/option>\n                        <option value=\"+359\">\n                          +359 BG\n                        <\/option>\n                        <option value=\"+226\">\n                          +226 BF\n                        <\/option>\n                        <option value=\"+257\">\n                          +257 BI\n                        <\/option>\n                        <option value=\"+855\">\n                          +855 KH\n                        <\/option>\n                        <option value=\"+237\">\n                          +237 CM\n                        <\/option>\n                        <option value=\"+1\">\n                          +1 CA\n                        <\/option>\n                        <option value=\"+34\">\n                          +34 IC\n                        <\/option>\n                        <option value=\"+238\">\n                          +238 CV\n                        <\/option>\n                        <option value=\"+1345\">\n                          +1345 KY\n                        <\/option>\n                        <option value=\"+236\">\n                          +236 CF\n                        <\/option>\n                        <option value=\"+34\">\n                          +34 EA\n                        <\/option>\n                        <option value=\"+235\">\n                          +235 TD\n                        <\/option>\n                        <option value=\"+56\">\n                          +56 CL\n                        <\/option>\n                        <option value=\"+86\">\n                          +86 CN\n                        <\/option>\n                        <option value=\"+61\">\n                          +61 CX\n                        <\/option>\n                        <option value=\"+61\">\n                          +61 CC\n                        <\/option>\n                        <option value=\"+57\">\n                          +57 CO\n                        <\/option>\n                        <option value=\"+269\">\n                          +269 KM\n                        <\/option>\n                        <option value=\"+242\">\n                          +242 CG\n                        <\/option>\n                        <option value=\"+243\">\n                          +243 CD\n                        <\/option>\n                        <option value=\"+682\">\n                          +682 CK\n                        <\/option>\n                        <option value=\"+506\">\n                          +506 CR\n                        <\/option>\n                        <option value=\"+225\">\n                          +225 CI\n                        <\/option>\n                        <option value=\"+385\">\n                          +385 HR\n                        <\/option>\n                        <option value=\"+53\">\n                          +53 CU\n                        <\/option>\n                        <option value=\"+599\">\n                          +599 CW\n                        <\/option>\n                        <option value=\"+357\">\n                          +357 CY\n                        <\/option>\n                        <option value=\"+420\">\n                          +420 CZ\n                        <\/option>\n                        <option value=\"+45\">\n                          +45 DK\n                        <\/option>\n                        <option value=\"+253\">\n                          +253 DJ\n                        <\/option>\n                        <option value=\"+1767\">\n                          +1767 DM\n                        <\/option>\n                        <option value=\"+1809\">\n                          +1809 DO\n                        <\/option>\n                        <option value=\"+1829\">\n                          +1829 DO\n                        <\/option>\n                        <option value=\"+1849\">\n                          +1849 DO\n                        <\/option>\n                        <option value=\"+593\">\n                          +593 EC\n                        <\/option>\n                        <option value=\"+20\">\n                          +20 EG\n                        <\/option>\n                        <option value=\"+503\">\n                          +503 SV\n                        <\/option>\n                        <option value=\"+240\">\n                          +240 GQ\n                        <\/option>\n                        <option value=\"+291\">\n                          +291 ER\n                        <\/option>\n                        <option value=\"+372\">\n                          +372 EE\n                        <\/option>\n                        <option value=\"+251\">\n                          +251 ET\n                        <\/option>\n                        <option value=\"+500\">\n                          +500 FK\n                        <\/option>\n                        <option value=\"+298\">\n                          +298 FO\n                        <\/option>\n                        <option value=\"+679\">\n                          +679 FJ\n                        <\/option>\n                        <option value=\"+358\">\n                          +358 FI\n                        <\/option>\n                        <option value=\"+33\">\n                          +33 FR\n                        <\/option>\n                        <option value=\"+594\">\n                          +594 GF\n                        <\/option>\n                        <option value=\"+689\">\n                          +689 PF\n                        <\/option>\n                        <option value=\"+262\">\n                          +262 TF\n                        <\/option>\n                        <option value=\"+241\">\n                          +241 GA\n                        <\/option>\n                        <option value=\"+220\">\n                          +220 GM\n                        <\/option>\n                        <option value=\"+995\">\n                          +995 GE\n                        <\/option>\n                        <option value=\"+49\">\n                          +49 DE\n                        <\/option>\n                        <option value=\"+233\">\n                          +233 GH\n                        <\/option>\n                        <option value=\"+350\">\n                          +350 GI\n                        <\/option>\n                        <option value=\"+30\">\n                          +30 GR\n                        <\/option>\n                        <option value=\"+299\">\n                          +299 GL\n                        <\/option>\n                        <option value=\"+1473\">\n                          +1473 GD\n                        <\/option>\n                        <option value=\"+590\">\n                          +590 GP\n                        <\/option>\n                        <option value=\"+1671\">\n                          +1671 GU\n                        <\/option>\n                        <option value=\"+502\">\n                          +502 GT\n                        <\/option>\n                        <option value=\"+44\">\n                          +44 GG\n                        <\/option>\n                        <option value=\"+224\">\n                          +224 GN\n                        <\/option>\n                        <option value=\"+245\">\n                          +245 GW\n                        <\/option>\n                        <option value=\"+592\">\n                          +592 GY\n                        <\/option>\n                        <option value=\"+509\">\n                          +509 HT\n                        <\/option>\n                        <option value=\"+672\">\n                          +672 HM\n                        <\/option>\n                        <option value=\"+379\">\n                          +379 VA\n                        <\/option>\n                        <option value=\"+504\">\n                          +504 HN\n                        <\/option>\n                        <option value=\"+852\">\n                          +852 HK\n                        <\/option>\n                        <option value=\"+36\">\n                          +36 HU\n                        <\/option>\n                        <option value=\"+354\">\n                          +354 IS\n                        <\/option>\n                        <option value=\"+91\">\n                          +91 IN\n                        <\/option>\n                        <option value=\"+62\">\n                          +62 ID\n                        <\/option>\n                        <option value=\"+98\">\n                          +98 IR\n                        <\/option>\n                        <option value=\"+964\">\n                          +964 IQ\n                        <\/option>\n                        <option value=\"+353\">\n                          +353 IE\n                        <\/option>\n                        <option value=\"+44\">\n                          +44 IM\n                        <\/option>\n                        <option value=\"+972\">\n                          +972 IL\n                        <\/option>\n                        <option value=\"+39\">\n                          +39 IT\n                        <\/option>\n                        <option value=\"+1876\">\n                          +1876 JM\n                        <\/option>\n                        <option value=\"+81\">\n                          +81 JP\n                        <\/option>\n                        <option value=\"+44\">\n                          +44 JE\n                        <\/option>\n                        <option value=\"+962\">\n                          +962 JO\n                        <\/option>\n                        <option value=\"+7\">\n                          +7 KZ\n                        <\/option>\n                        <option value=\"+254\">\n                          +254 KE\n                        <\/option>\n                        <option value=\"+686\">\n                          +686 KI\n                        <\/option>\n                        <option value=\"+850\">\n                          +850 KP\n                        <\/option>\n                        <option value=\"+82\">\n                          +82 KR\n                        <\/option>\n                        <option value=\"+965\">\n                          +965 KW\n                        <\/option>\n                        <option value=\"+996\">\n                          +996 KG\n                        <\/option>\n                        <option value=\"+856\">\n                          +856 LA\n                        <\/option>\n                        <option value=\"+371\">\n                          +371 LV\n                        <\/option>\n                        <option value=\"+961\">\n                          +961 LB\n                        <\/option>\n                        <option value=\"+266\">\n                          +266 LS\n                        <\/option>\n                        <option value=\"+231\">\n                          +231 LR\n                        <\/option>\n                        <option value=\"+218\">\n                          +218 LY\n                        <\/option>\n                        <option value=\"+423\">\n                          +423 LI\n                        <\/option>\n                        <option value=\"+370\">\n                          +370 LT\n                        <\/option>\n                        <option value=\"+352\">\n                          +352 LU\n                        <\/option>\n                        <option value=\"+853\">\n                          +853 MO\n                        <\/option>\n                        <option value=\"+389\">\n                          +389 MK\n                        <\/option>\n                        <option value=\"+261\">\n                          +261 MG\n                        <\/option>\n                        <option value=\"+265\">\n                          +265 MW\n                        <\/option>\n                        <option value=\"+60\">\n                          +60 MY\n                        <\/option>\n                        <option value=\"+960\">\n                          +960 MV\n                        <\/option>\n                        <option value=\"+223\">\n                          +223 ML\n                        <\/option>\n                        <option value=\"+356\">\n                          +356 MT\n                        <\/option>\n                        <option value=\"+692\">\n                          +692 MH\n                        <\/option>\n                        <option value=\"+596\">\n                          +596 MQ\n                        <\/option>\n                        <option value=\"+222\">\n                          +222 MR\n                        <\/option>\n                        <option value=\"+230\">\n                          +230 MU\n                        <\/option>\n                        <option value=\"+262\">\n                          +262 YT\n                        <\/option>\n                        <option value=\"+52\">\n                          +52 MX\n                        <\/option>\n                        <option value=\"+691\">\n                          +691 FM\n                        <\/option>\n                        <option value=\"+373\">\n                          +373 MD\n                        <\/option>\n                        <option value=\"+377\">\n                          +377 MC\n                        <\/option>\n                        <option value=\"+976\">\n                          +976 MN\n                        <\/option>\n                        <option value=\"+382\">\n                          +382 ME\n                        <\/option>\n                        <option value=\"+1664\">\n                          +1664 MS\n                        <\/option>\n                        <option value=\"+212\">\n                          +212 MA\n                        <\/option>\n                        <option value=\"+258\">\n                          +258 MZ\n                        <\/option>\n                        <option value=\"+95\">\n                          +95 MM\n                        <\/option>\n                        <option value=\"+264\">\n                          +264 NA\n                        <\/option>\n                        <option value=\"+674\">\n                          +674 NR\n                        <\/option>\n                        <option value=\"+977\">\n                          +977 NP\n                        <\/option>\n                        <option value=\"+31\">\n                          +31 NL\n                        <\/option>\n                        <option value=\"+687\">\n                          +687 NC\n                        <\/option>\n                        <option value=\"+64\">\n                          +64 NZ\n                        <\/option>\n                        <option value=\"+505\">\n                          +505 NI\n                        <\/option>\n                        <option value=\"+227\">\n                          +227 NE\n                        <\/option>\n                        <option value=\"+234\">\n                          +234 NG\n                        <\/option>\n                        <option value=\"+683\">\n                          +683 NU\n                        <\/option>\n                        <option value=\"+672\">\n                          +672 NF\n                        <\/option>\n                        <option value=\"+1670\">\n                          +1670 MP\n                        <\/option>\n                        <option value=\"+47\">\n                          +47 NO\n                        <\/option>\n                        <option value=\"+968\">\n                          +968 OM\n                        <\/option>\n                        <option value=\"+92\">\n                          +92 PK\n                        <\/option>\n                        <option value=\"+680\">\n                          +680 PW\n                        <\/option>\n                        <option value=\"+970\">\n                          +970 PS\n                        <\/option>\n                        <option value=\"+507\">\n                          +507 PA\n                        <\/option>\n                        <option value=\"+675\">\n                          +675 PG\n                        <\/option>\n                        <option value=\"+595\">\n                          +595 PY\n                        <\/option>\n                        <option value=\"+51\">\n                          +51 PE\n                        <\/option>\n                        <option value=\"+63\">\n                          +63 PH\n                        <\/option>\n                        <option value=\"+64\">\n                          +64 PN\n                        <\/option>\n                        <option value=\"+48\">\n                          +48 PL\n                        <\/option>\n                        <option value=\"+351\">\n                          +351 PT\n                        <\/option>\n                        <option value=\"+1787\">\n                          +1787 PR\n                        <\/option>\n                        <option value=\"+974\">\n                          +974 QA\n                        <\/option>\n                        <option value=\"+383\">\n                          +383 XK\n                        <\/option>\n                        <option value=\"+262\">\n                          +262 RE\n                        <\/option>\n                        <option value=\"+40\">\n                          +40 RO\n                        <\/option>\n                        <option value=\"+7\">\n                          +7 RU\n                        <\/option>\n                        <option value=\"+250\">\n                          +250 RW\n                        <\/option>\n                        <option value=\"+590\">\n                          +590 BL\n                        <\/option>\n                        <option value=\"+290\">\n                          +290 SH\n                        <\/option>\n                        <option value=\"+1869\">\n                          +1869 KN\n                        <\/option>\n                        <option value=\"+1758\">\n                          +1758 LC\n                        <\/option>\n                        <option value=\"+590\">\n                          +590 MF\n                        <\/option>\n                        <option value=\"+508\">\n                          +508 PM\n                        <\/option>\n                        <option value=\"+1784\">\n                          +1784 VC\n                        <\/option>\n                        <option value=\"+685\">\n                          +685 WS\n                        <\/option>\n                        <option value=\"+378\">\n                          +378 SM\n                        <\/option>\n                        <option value=\"+239\">\n                          +239 ST\n                        <\/option>\n                        <option value=\"+966\">\n                          +966 SA\n                        <\/option>\n                        <option value=\"+221\">\n                          +221 SN\n                        <\/option>\n                        <option value=\"+381\">\n                          +381 RS\n                        <\/option>\n                        <option value=\"+248\">\n                          +248 SC\n                        <\/option>\n                        <option value=\"+232\">\n                          +232 SL\n                        <\/option>\n                        <option value=\"+65\">\n                          +65 SG\n                        <\/option>\n                        <option value=\"+1721\">\n                          +1721 SX\n                        <\/option>\n                        <option value=\"+421\">\n                          +421 SK\n                        <\/option>\n                        <option value=\"+386\">\n                          +386 SI\n                        <\/option>\n                        <option value=\"+677\">\n                          +677 SB\n                        <\/option>\n                        <option value=\"+252\">\n                          +252 SO\n                        <\/option>\n                        <option value=\"+27\">\n                          +27 ZA\n                        <\/option>\n                        <option value=\"+500\">\n                          +500 GS\n                        <\/option>\n                        <option value=\"+211\">\n                          +211 SS\n                        <\/option>\n                        <option value=\"+34\">\n                          +34 ES\n                        <\/option>\n                        <option value=\"+94\">\n                          +94 LK\n                        <\/option>\n                        <option value=\"+249\">\n                          +249 SD\n                        <\/option>\n                        <option value=\"+597\">\n                          +597 SR\n                        <\/option>\n                        <option value=\"+47\">\n                          +47 SJ\n                        <\/option>\n                        <option value=\"+268\">\n                          +268 SZ\n                        <\/option>\n                        <option value=\"+46\">\n                          +46 SE\n                        <\/option>\n                        <option value=\"+41\">\n                          +41 CH\n                        <\/option>\n                        <option value=\"+963\">\n                          +963 SY\n                        <\/option>\n                        <option value=\"+886\">\n                          +886 TW\n                        <\/option>\n                        <option value=\"+992\">\n                          +992 TJ\n                        <\/option>\n                        <option value=\"+255\">\n                          +255 TZ\n                        <\/option>\n                        <option value=\"+66\">\n                          +66 TH\n                        <\/option>\n                        <option value=\"+670\">\n                          +670 TL\n                        <\/option>\n                        <option value=\"+228\">\n                          +228 TG\n                        <\/option>\n                        <option value=\"+690\">\n                          +690 TK\n                        <\/option>\n                        <option value=\"+676\">\n                          +676 TO\n                        <\/option>\n                        <option value=\"+1868\">\n                          +1868 TT\n                        <\/option>\n                        <option value=\"+216\">\n                          +216 TN\n                        <\/option>\n                        <option value=\"+90\">\n                          +90 TR\n                        <\/option>\n                        <option value=\"+993\">\n                          +993 TM\n                        <\/option>\n                        <option value=\"+1649\">\n                          +1649 TC\n                        <\/option>\n                        <option value=\"+688\">\n                          +688 TV\n                        <\/option>\n                        <option value=\"+256\">\n                          +256 UG\n                        <\/option>\n                        <option value=\"+380\">\n                          +380 UA\n                        <\/option>\n                        <option value=\"+971\">\n                          +971 AE\n                        <\/option>\n                        <option value=\"+44\">\n                          +44 GB\n                        <\/option>\n                        <option value=\"+1\">\n                          +1 US\n                        <\/option>\n                        <option value=\"+246\">\n                          +246 UM\n                        <\/option>\n                        <option value=\"+598\">\n                          +598 UY\n                        <\/option>\n                        <option value=\"+998\">\n                          +998 UZ\n                        <\/option>\n                        <option value=\"+678\">\n                          +678 VU\n                        <\/option>\n                        <option value=\"+58\">\n                          +58 VE\n                        <\/option>\n                        <option value=\"+84\">\n                          +84 VN\n                        <\/option>\n                        <option value=\"+1284\">\n                          +1284 VG\n                        <\/option>\n                        <option value=\"+1340\">\n                          +1340 VI\n                        <\/option>\n                        <option value=\"+681\">\n                          +681 WF\n                        <\/option>\n                        <option value=\"+212\">\n                          +212 EH\n                        <\/option>\n                        <option value=\"+967\">\n                          +967 YE\n                        <\/option>\n                        <option value=\"+260\">\n                          +260 ZM\n                        <\/option>\n                        <option value=\"+263\">\n                          +263 ZW\n                        <\/option>\n                      <\/select>\n                    <\/div>\n                    <div class=\"entry__field\" style=\"width: 100%\">\n                      <input type=\"tel\" type=\"text\" class=\"input\" id=\"SMS\" name=\"SMS\" autocomplete=\"off\" placeholder=\"SMS\" data-required=\"true\" required \/>\n                    <\/div>\n                  <\/div>\n                  <div class=\"sib-sms-tooltip\">\n                    <div class=\"sib-sms-tooltip__box\">\n                      Le champ SMS doit contenir entre 6 et 19 chiffres et inclure le code pays sans utiliser +\/0 (ex. : 33xxxxxxxxx pour la France)\n                    <\/div>\n                    <span class=\"sib-sms-tooltip__icon\">?<\/span>\n                  <\/div>\n                <\/div>\n              <\/div>\n\n              <label class=\"entry__error entry__error--primary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n              <label class=\"entry__error entry__error--secondary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n\n          <div class=\"sib-input  sib-form-block\">\n            <div class=\"form__entry\">\n              <div class=\"form__label-row \">\n                <label class=\"entry__label\" style=\"font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff;\" for=\"DATE_DE_NAISSANCE\" data-required=\"*\">Date de naissance<\/label>\n                <div class=\"entry__field\">\n                  <input maxlength=\"200\" type=\"text\" data-type=\"date\" class=\"input \" pattern=\"^([0-2][0-9]|(3)[0-1])(-)(((0)[0-9])|((1)[0-2]))(-)\\d{4}$\" title=\"dd-mm-yyyy\" data-format=\"dd-mm-yyyy\" id=\"DATE_DE_NAISSANCE\" name=\"DATE_DE_NAISSANCE\" autocomplete=\"off\" data-required=\"true\" required \/>\n                <\/div>\n              <\/div>\n              <label class=\"entry__error entry__error--primary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n              <label class=\"entry__specification\" style=\"font-size:12px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff; text-align:left\">\n                dd-mm-yyyy\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-select sib-form-block\" data-required=\"true\">\n            <div class=\"form__entry entry_block\">\n              <div class=\"form__label-row \">\n                <label class=\"entry__label\" style=\"font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff;\" for=\"DEPARTEMENT\" data-required=\"*\">D\u00e9partement<\/label>\n                <div class=\"entry__field\">\n                  <select class=\"input\" id=\"DEPARTEMENT\" name=\"DEPARTEMENT\" data-required=\"true\">\n                    <option value=\"\" disabled selected hidden>Choisissez une valeur<\/option>\n\n                    <option class=\"sib-menu__item\" value=\"1\">\n                      01 &#8211; Ain\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"2\">\n                      02 &#8211; Aisne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"3\">\n                      03 &#8211; Allier\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"4\">\n                      04 &#8211; Alpes-de-Haute-Provence\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"5\">\n                      05 &#8211; Hautes-alpes\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"6\">\n                      06 &#8211; Alpes-maritimes\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"7\">\n                      07 &#8211; Ard\u00e8che\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"8\">\n                      08 &#8211; Ardennes\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"9\">\n                      09 &#8211; Ari\u00e8ge\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"10\">\n                      10 &#8211; Aube\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"11\">\n                      11 &#8211; Aude\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"12\">\n                      12 &#8211; Aveyron\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"13\">\n                      13 &#8211; Bouches-du-Rh\u00f4ne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"14\">\n                      14 &#8211; Calvados\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"15\">\n                      15 &#8211; Cantal\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"16\">\n                      16 &#8211; Charente\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"17\">\n                      17 &#8211; Charente-maritime\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"18\">\n                      18 &#8211; Cher\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"19\">\n                      19 &#8211; Corr\u00e8ze\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"20\">\n                      2A &#8211; Corse-du-sud\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"21\">\n                      2B &#8211; Haute-Corse\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"22\">\n                      21 &#8211; C\u00f4te-d&#039;Or\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"23\">\n                      22 &#8211; C\u00f4tes-d&#039;Armor\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"24\">\n                      23 &#8211; Creuse\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"25\">\n                      24 &#8211; Dordogne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"26\">\n                      25 &#8211; Doubs\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"27\">\n                      26 &#8211; Dr\u00f4me\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"28\">\n                      27 &#8211; Eure\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"29\">\n                      28 &#8211; Eure-et-loir\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"30\">\n                      29 &#8211; Finist\u00e8re\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"31\">\n                      30 &#8211; Gard\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"32\">\n                      31 &#8211; Haute-garonne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"33\">\n                      32 &#8211; Gers\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"34\">\n                      33 &#8211; Gironde\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"35\">\n                      34 &#8211; H\u00e9rault\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"36\">\n                      35 &#8211; Ille-et-vilaine\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"37\">\n                      36 &#8211; Indre\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"38\">\n                      37 &#8211; Indre-et-loire\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"39\">\n                      38 &#8211; Is\u00e8re\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"40\">\n                      39 &#8211; Jura\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"41\">\n                      40 &#8211; Landes\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"42\">\n                      41 &#8211; Loir-et-cher\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"43\">\n                      42 &#8211; Loire\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"44\">\n                      43 &#8211; Haute-loire\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"45\">\n                      44 &#8211; Loire-atlantique\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"46\">\n                      45 &#8211; Loiret\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"47\">\n                      46 &#8211; Lot\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"48\">\n                      47 &#8211; Lot-et-garonne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"49\">\n                      48 &#8211; Loz\u00e8re\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"50\">\n                      49 &#8211; Maine-et-loire\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"51\">\n                      50 &#8211; Manche\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"52\">\n                      51 &#8211; Marne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"53\">\n                      52 &#8211; Haute-marne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"54\">\n                      53 &#8211; Mayenne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"55\">\n                      54 &#8211; Meurthe-et-moselle\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"56\">\n                      55 &#8211; Meuse\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"57\">\n                      56 &#8211; Morbihan\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"58\">\n                      57 &#8211; Moselle\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"59\">\n                      58 &#8211; Ni\u00e8vre\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"60\">\n                      59 &#8211; Nord\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"61\">\n                      60 &#8211; Oise\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"62\">\n                      61 &#8211; Orne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"63\">\n                      62 &#8211; Pas-de-calais\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"64\">\n                      63 &#8211; Puy-de-d\u00f4me\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"65\">\n                      64 &#8211; Pyr\u00e9n\u00e9es-atlantiques\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"66\">\n                      65 &#8211; Hautes-Pyr\u00e9n\u00e9es\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"67\">\n                      66 &#8211; Pyr\u00e9n\u00e9es-orientales\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"68\">\n                      67 &#8211; Bas-rhin\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"69\">\n                      68 &#8211; Haut-rhin\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"70\">\n                      69 &#8211; Rh\u00f4ne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"71\">\n                      70 &#8211; Haute-sa\u00f4ne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"72\">\n                      71 &#8211; Sa\u00f4ne-et-loire\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"73\">\n                      72 &#8211; Sarthe\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"74\">\n                      73 &#8211; Savoie\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"75\">\n                      74 &#8211; Haute-savoie\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"76\">\n                      75 &#8211; Paris\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"77\">\n                      76 &#8211; Seine-maritime\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"78\">\n                      77 &#8211; Seine-et-marne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"79\">\n                      78 &#8211; Yvelines\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"80\">\n                      79 &#8211; Deux-s\u00e8vres\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"81\">\n                      80 &#8211; Somme\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"82\">\n                      81 &#8211; Tarn\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"83\">\n                      82 &#8211; Tarn-et-Garonne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"84\">\n                      83 &#8211; Var\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"85\">\n                      84 &#8211; Vaucluse\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"86\">\n                      85 &#8211; Vend\u00e9e\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"87\">\n                      86 &#8211; Vienne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"88\">\n                      87 &#8211; Haute-vienne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"89\">\n                      88 &#8211; Vosges\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"90\">\n                      89 &#8211; Yonne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"91\">\n                      90 &#8211; Territoire de belfort\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"92\">\n                      91 &#8211; Essonne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"93\">\n                      92 &#8211; Hauts-de-seine\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"94\">\n                      93 &#8211; Seine-Saint-Denis\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"95\">\n                      94 &#8211; Val-de-marne\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"96\">\n                      95 &#8211; Val-d&#039;Oise\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"97\">\n                      971 &#8211; Guadeloupe\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"98\">\n                      972 &#8211; Martinique\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"99\">\n                      973 &#8211; Guyane\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"100\">\n                      974 &#8211; La r\u00e9union\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"101\">\n                      976 &#8211; Mayotte\n                    <\/option>\n                  <\/select>\n                <\/div>\n              <\/div>\n              <label class=\"entry__error entry__error--primary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-input sib-form-block\">\n            <div class=\"form__entry entry_block\">\n              <div class=\"form__label-row \">\n                <label class=\"entry__label\" style=\"font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff;\" for=\"INTITULE_POSTE_ACTUEL\" data-required=\"*\">Intitul\u00e9 de poste actuel<\/label>\n\n                <div class=\"entry__field\">\n                  <input class=\"input \" maxlength=\"200\" type=\"text\" id=\"INTITULE_POSTE_ACTUEL\" name=\"INTITULE_POSTE_ACTUEL\" autocomplete=\"off\" data-required=\"true\" required \/>\n                <\/div>\n              <\/div>\n\n              <label class=\"entry__error entry__error--primary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-select sib-form-block\" data-required=\"true\">\n            <div class=\"form__entry entry_block\">\n              <div class=\"form__label-row \">\n                <label class=\"entry__label\" style=\"font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff;\" for=\"EXPERIENCE_PROFESSIONELLE\" data-required=\"*\">Nombre d&#039;ann\u00e9es d&#039;exp\u00e9rience professionnelle<\/label>\n                <div class=\"entry__field\">\n                  <select class=\"input\" id=\"EXPERIENCE_PROFESSIONELLE\" name=\"EXPERIENCE_PROFESSIONELLE\" data-required=\"true\">\n                    <option value=\"\" disabled selected hidden>Choisissez une valeur<\/option>\n\n                    <option class=\"sib-menu__item\" value=\"1\">\n                      0-1 an\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"2\">\n                      2-4 ans\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"3\">\n                      5-9 ans\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"4\">\n                      10 ans et plus\n                    <\/option>\n                  <\/select>\n                <\/div>\n              <\/div>\n              <label class=\"entry__error entry__error--primary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-input sib-form-block\">\n            <div class=\"form__entry entry_block\">\n              <div class=\"form__label-row \">\n                <label class=\"entry__label\" style=\"font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff;\" for=\"ENTREPRISE\" data-required=\"*\">Entreprise<\/label>\n\n                <div class=\"entry__field\">\n                  <input class=\"input \" maxlength=\"200\" type=\"text\" id=\"ENTREPRISE\" name=\"ENTREPRISE\" autocomplete=\"off\" data-required=\"true\" required \/>\n                <\/div>\n              <\/div>\n\n              <label class=\"entry__error entry__error--primary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-select sib-form-block\" data-required=\"true\">\n            <div class=\"form__entry entry_block\">\n              <div class=\"form__label-row \">\n                <label class=\"entry__label\" style=\"font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff;\" for=\"SECTEUR_ACTIVITE\" data-required=\"*\">Secteur d&#039;activit\u00e9<\/label>\n                <div class=\"entry__field\">\n                  <select class=\"input\" id=\"SECTEUR_ACTIVITE\" name=\"SECTEUR_ACTIVITE\" data-required=\"true\">\n                    <option value=\"\" disabled selected hidden>Choisissez une valeur<\/option>\n\n                    <option class=\"sib-menu__item\" value=\"1\">\n                      Agriculture, Agroalimentaire, Environnement\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"2\">\n                      Arts, Culture\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"3\">\n                      B\u00e2timent, Travaux publics\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"4\">\n                      Commerce, Gestion, \u00c9conomie, Management\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"5\">\n                      Droit, Sciences politiques, S\u00e9curit\u00e9\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"6\">\n                      Enseignement, Formation\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"7\">\n                      H\u00f4tellerie, Restauration, Tourisme\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"8\">\n                      Industrie\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"9\">\n                      Information, communication\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"10\">\n                      Lettres, Langues, Sciences humaines\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"11\">\n                      Sant\u00e9\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"12\">\n                      Sciences\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"13\">\n                      Social\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"14\">\n                      Sport, Animation\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"15\">\n                      Transports, Logistique\n                    <\/option>\n                  <\/select>\n                <\/div>\n              <\/div>\n              <label class=\"entry__error entry__error--primary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-form-block\" style=\"font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff; background-color:transparent; text-align:left\">\n            <div class=\"sib-text-form-block\">\n              <p>Informations compl\u00e9mentaires<\/p>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-select sib-form-block\" data-required=\"true\">\n            <div class=\"form__entry entry_block\">\n              <div class=\"form__label-row \">\n                <label class=\"entry__label\" style=\"font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff;\" for=\"EXPERIENCE_MENTOR\" data-required=\"*\">Avez-vous d\u00e9j\u00e0 \u00e9t\u00e9 mentor pour Technovation Girls France ?<\/label>\n                <div class=\"entry__field\">\n                  <select class=\"input\" id=\"EXPERIENCE_MENTOR\" name=\"EXPERIENCE_MENTOR\" data-required=\"true\">\n                    <option value=\"\" disabled selected hidden>Choisissez une valeur<\/option>\n\n                    <option class=\"sib-menu__item\" value=\"1\">\n                      Oui\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"2\">\n                      Non\n                    <\/option>\n                  <\/select>\n                <\/div>\n              <\/div>\n              <label class=\"entry__error entry__error--primary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-input sib-form-block\">\n            <div class=\"form__entry entry_block\">\n              <div class=\"form__label-row \">\n                <label class=\"entry__label\" style=\"font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff;\" for=\"POURQUOI_DEVENIR_MENTOR\" data-required=\"*\">Pourquoi souhaitez-vous devenir mentor pour Technovation Girls France ?<\/label>\n\n                <div class=\"entry__field\">\n                  <textarea rows=\"2\" class=\"input \" maxlength=\"500\" id=\"POURQUOI_DEVENIR_MENTOR\" name=\"POURQUOI_DEVENIR_MENTOR\" autocomplete=\"off\" data-required=\"true\" required><\/textarea>\n                <\/div>\n              <\/div>\n\n              <label class=\"entry__error entry__error--primary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-select sib-form-block\" data-required=\"true\">\n            <div class=\"form__entry entry_block\">\n              <div class=\"form__label-row \">\n                <label class=\"entry__label\" style=\"font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff;\" for=\"COMMENT_AVEZ_VOUS_CONNU_TECHNOVATION\" data-required=\"*\">Comment avez-vous connu Technovation Girls France ?<\/label>\n                <div class=\"entry__field\">\n                  <select class=\"input\" id=\"COMMENT_AVEZ_VOUS_CONNU_TECHNOVATION\" name=\"COMMENT_AVEZ_VOUS_CONNU_TECHNOVATION\" data-required=\"true\">\n                    <option value=\"\" disabled selected hidden>Choisissez une valeur<\/option>\n\n                    <option class=\"sib-menu__item\" value=\"1\">\n                      Site Web de Technovation\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"2\">\n                      R\u00e9seaux sociaux\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"3\">\n                      Article de presse\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"4\">\n                      Recommandation d&#039;un proche\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"5\">\n                      \u00c9tablissement scolaire\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"6\">\n                      Association partenaire\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"7\">\n                      \u00c9v\u00e9nement\n                    <\/option>\n                    <option class=\"sib-menu__item\" value=\"8\">\n                      Autre\n                    <\/option>\n                  <\/select>\n                <\/div>\n              <\/div>\n              <label class=\"entry__error entry__error--primary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-radiobutton-group sib-form-block\" data-required=\"true\">\n            <div class=\"form__entry entry_mcq\">\n              <div class=\"form__label-row \">\n                <label class=\"entry__label\" style=\"font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff;\" for=\"ACCORD_EMAIL_PROGRAMME\" data-required=\"*\">Acceptez-vous de recevoir par email les actualit\u00e9s de Technovation Girls France ?<\/label>\n                <div>\n                  <div class=\"entry__choice\" style=\"\">\n                    <label>\n                      <input \/type=\"radio\" name=\"ACCORD_EMAIL_PROGRAMME\" class=\"input_replaced\" value=\"1\" required>\n                      <span class=\"radio-button\" style=\"margin-left: \"><\/span><span style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff; background-color:transparent;\">Oui<\/span> <\/label>\n                  <\/div>\n                  <div class=\"entry__choice\" style=\"\">\n                    <label>\n                      <input \/type=\"radio\" name=\"ACCORD_EMAIL_PROGRAMME\" class=\"input_replaced\" value=\"2\" required>\n                      <span class=\"radio-button\" style=\"margin-left: \"><\/span><span style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff; background-color:transparent;\">Non<\/span> <\/label>\n                  <\/div>\n                <\/div>\n              <\/div>\n              <label class=\"entry__error entry__error--primary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-radiobutton-group sib-form-block\" data-required=\"true\">\n            <div class=\"form__entry entry_mcq\">\n              <div class=\"form__label-row \">\n                <label class=\"entry__label\" style=\"font-weight: 700; text-align:left; font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff;\" for=\"ENGAGEMENT_TEMPS\" data-required=\"*\">En devenant mentor de Technovation Girls France, vous vous engagez \u00e0 lib\u00e9rer en moyenne 2 \u00e0 3 heures par semaine pendant la dur\u00e9e du programme pour accompagner votre groupe.<\/label>\n                <div>\n                  <div class=\"entry__choice\" style=\"\">\n                    <label>\n                      <input \/type=\"radio\" name=\"ENGAGEMENT_TEMPS\" class=\"input_replaced\" value=\"1\" required>\n                      <span class=\"radio-button\" style=\"margin-left: \"><\/span><span style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff; background-color:transparent;\">J&#039;ai compris<\/span> <\/label>\n                  <\/div>\n                <\/div>\n              <\/div>\n              <label class=\"entry__error entry__error--primary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-form-block\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#ffffff; background-color:transparent; text-align:left\">\n            <div class=\"sib-text-form-block\">\n              <p><a href=\"https:\/\/technovationfrance.fr\/index.php\/conditions-generales\/\" target=\"_blank\" rel=\"noopener\">Conditions g\u00e9n\u00e9rales<\/a><\/p>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-captcha sib-form-block\">\n            <div class=\"form__entry entry_block\">\n              <div class=\"form__label-row \">\n                <script>\n                  function handleCaptchaResponse() {\n                    var event = new Event('captchaChange');\n                    document.getElementById('sib-captcha').dispatchEvent(event);\n                  }\n                <\/script>\n                <div class=\"g-recaptcha sib-visible-recaptcha\" id=\"sib-captcha\" data-sitekey=\"6LeM-wcnAAAAAJfrAx1vLFbwKOf_qE0yMbk6VHfu\" data-callback=\"handleCaptchaResponse\" style=\"direction:ltr\"><\/div>\n              <\/div>\n              <label class=\"entry__error entry__error--primary\" style=\"font-size:16px; text-align:left; font-family:&quot;Helvetica&quot;, sans-serif; color:#661d1d; background-color:#ffeded; border-radius:3px; border-color:#ff4949;\">\n              <\/label>\n            <\/div>\n          <\/div>\n        <\/div>\n        <div style=\"padding: 8px 0;\">\n          <div class=\"sib-form-block\" style=\"text-align: left\">\n            <button class=\"sib-form-block__button sib-form-block__button-with-loader\" style=\"font-size:16px; text-align:left; font-weight:700; font-family:&quot;Helvetica&quot;, sans-serif; color:#FFFFFF; background-color:#3E4857; border-radius:3px; border-width:0px;\" form=\"sib-form\" type=\"submit\">\n              <svg class=\"icon clickable__icon progress-indicator__icon sib-hide-loader-icon\" viewBox=\"0 0 512 512\">\n                <path d=\"M460.116 373.846l-20.823-12.022c-5.541-3.199-7.54-10.159-4.663-15.874 30.137-59.886 28.343-131.652-5.386-189.946-33.641-58.394-94.896-95.833-161.827-99.676C261.028 55.961 256 50.751 256 44.352V20.309c0-6.904 5.808-12.337 12.703-11.982 83.556 4.306 160.163 50.864 202.11 123.677 42.063 72.696 44.079 162.316 6.031 236.832-3.14 6.148-10.75 8.461-16.728 5.01z\" \/>\n              <\/svg>\n              S&#039;INSCRIRE\n            <\/button>\n          <\/div>\n        <\/div>\n\n        <input type=\"text\" name=\"email_address_check\" value=\"\" 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