{"id":11786,"date":"2018-10-23T15:41:27","date_gmt":"2018-10-23T13:41:27","guid":{"rendered":"https:\/\/www.dfh-ufa.org\/fr\/?page_id=11786"},"modified":"2026-10-21T11:36:09","modified_gmt":"2026-10-21T09:36:09","slug":"formulaire-dinscription","status":"publish","type":"page","link":"https:\/\/www.dfh-ufa.org\/fr\/lufa\/lufa-en-bref\/organisation\/organes\/le-conseil-duniversite\/formulaire-dinscription","title":{"rendered":"Formulaire d&rsquo;inscription"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_95' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Inscription \u00e0 la prochaine r\u00e9union du conseil d'universit\u00e9 des 3 et 4 d\u00e9cembre 2026<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_95'  action='\/fr\/wp-json\/wp\/v2\/pages\/11786' data-formid='95' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_95' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_95_12\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_12\">Merci de bien vouloir remplir le formulaire d'inscription jusqu\u2019au 27\/11\/2026 inclus.<br>\nPour tout renseignement compl\u00e9mentaire, veuillez contacter M. H\u00e9r\u00e9-Derrien (+49 681 938 12 181) <br>\n<br>\n<em>*champs obligatoires<\/em><\/li><li id=\"field_95_2\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_2\"><label class='gfield_label gform-field-label' for='input_95_2' >Nom, pr\u00e9nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_95_2' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_95_3\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_95_3\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Adresse e-mail<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_95_3_container'>\n                                <span id='input_95_3_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_95_3' class='gform-field-label gform-field-label--type-sub '>Veuillez saisir votre adresse e-mail<\/label>\n                                    <input class='' type='email' name='input_3' id='input_95_3' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <span id='input_95_3_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_95_3_2' class='gform-field-label gform-field-label--type-sub '>Veuillez confirmer votre adresse e-mail<\/label>\n                                    <input class='' type='email' name='input_3_2' id='input_95_3_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_95_27\"  class=\"gfield gfield--type-phone field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_27\"><label class='gfield_label gform-field-label' for='input_95_27' >Num\u00e9ro de portable<\/label><div class='ginput_container ginput_container_phone'><input name='input_27' id='input_95_27' type='tel' value='' class='medium'    aria-invalid=\"false\" aria-describedby=\"gfield_description_95_27\"  \/><\/div><div class='gfield_description' id='gfield_description_95_27'>Veuillez indiquer votre num\u00e9ro de portable : <\/div><\/li><li id=\"field_95_19\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_19\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_95_4\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_95_4\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Participation \u00e0 la r\u00e9union \u00e0 Sarrebruck<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_95_4'><li class='gchoice gchoice_95_4_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.1' type='checkbox'  value='le 03\/12\/2026'  id='choice_95_4_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_95_4_1' id='label_95_4_1' class='gform-field-label gform-field-label--type-inline'>le 03\/12\/2026<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_95_4_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.2' type='checkbox'  value='le 04\/12\/2026'  id='choice_95_4_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_95_4_2' id='label_95_4_2' class='gform-field-label gform-field-label--type-inline'>le 04\/12\/2026<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_95_4_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.3' type='checkbox'  value='Je ne participerai pas'  id='choice_95_4_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_95_4_3' id='label_95_4_3' class='gform-field-label gform-field-label--type-inline'>Je ne participerai pas<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_95_29\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_29\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_95_35\"  class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_35\"><label class='gfield_label gform-field-label' for='input_95_35' >Je serai repr\u00e9sent\u00e9\u00b7e par \/ Je donne procuration \u00e0<\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_95_35' type='text' value='' class='large'  aria-describedby=\"gfield_description_95_35\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_95_35'>Veuillez indiquer le nom de la personne qui vous repr\u00e9sentera et nous envoyer le formulaire de procuration de vote compl\u00e9t\u00e9\n(pas de formulaire n\u00e9cessaire pour les minist\u00e8res de tutelle)<\/div><\/li><li id=\"field_95_39\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_39\"><a href=\"https:\/\/www.dfh-ufa.org\/app\/uploads\/2026\/10\/F-Procuration-de-vote_07-2026.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Formulaire de procuration<\/a><\/li><li id=\"field_95_36\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_36\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_95_15\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_95_15\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Avez-vous besoin d&#039;une chambre d&#039;h\u00f4tel ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_95_15'><li class='gchoice gchoice_95_15_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.1' type='checkbox'  value='du 2 au 3 d\u00e9cembre'  id='choice_95_15_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_95_15_1' id='label_95_15_1' class='gform-field-label gform-field-label--type-inline'>du 2 au 3 d\u00e9cembre<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_95_15_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.2' type='checkbox'  value='du 3 au 4 d\u00e9cembre'  id='choice_95_15_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_95_15_2' id='label_95_15_2' class='gform-field-label gform-field-label--type-inline'>du 3 au 4 d\u00e9cembre<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_95_15_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_15.3' type='checkbox'  value='pas de r\u00e9servation souhait\u00e9e'  id='choice_95_15_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_95_15_3' id='label_95_15_3' class='gform-field-label gform-field-label--type-inline'>pas de r\u00e9servation souhait\u00e9e<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_95_22\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_22\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_95_16\"  class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_16\"><label class='gfield_label gform-field-label' for='input_95_16' >Vous pouvez indiquer votre pr\u00e9f\u00e9rence, nous en tiendrons compte dans la limite des places disponibles :<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_16' id='input_95_16' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_95_21\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_21\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_95_17\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_95_17\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >D\u00e9jeuner et d\u00eener du 3 d\u00e9cembre :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_95_17'><li class='gchoice gchoice_95_17_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.1' type='checkbox'  value='Participation au d\u00e9jeuner du 3 d\u00e9cembre d\u00e8s 13h00'  id='choice_95_17_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_95_17_1' id='label_95_17_1' class='gform-field-label gform-field-label--type-inline'>Participation au d\u00e9jeuner du 3 d\u00e9cembre d\u00e8s 13h00<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_95_17_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.2' type='checkbox'  value='Je ne participerai pas au d\u00e9jeuner'  id='choice_95_17_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_95_17_2' id='label_95_17_2' class='gform-field-label gform-field-label--type-inline'>Je ne participerai pas au d\u00e9jeuner<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_95_17_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.3' type='checkbox'  value='Participation au d\u00eener du 3 d\u00e9cembre d\u00e8s 18h30'  id='choice_95_17_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_95_17_3' id='label_95_17_3' class='gform-field-label gform-field-label--type-inline'>Participation au d\u00eener du 3 d\u00e9cembre d\u00e8s 18h30<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_95_17_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.4' type='checkbox'  value='Je ne participerai pas au d\u00eener'  id='choice_95_17_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_95_17_4' id='label_95_17_4' class='gform-field-label gform-field-label--type-inline'>Je ne participerai pas au d\u00eener<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_95_31\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_31\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_95_42\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_42\"><label class='gfield_label gform-field-label'  >D\u00e9jeuner du 4 d\u00e9cembre :<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_95_42'>\n\t\t\t<li class='gchoice gchoice_95_42_0'>\n\t\t\t\t<input name='input_42' type='radio' value='Participation au d\u00e9jeuner du 4 d\u00e9cembre d\u00e8s 12h00'  id='choice_95_42_0'    \/>\n\t\t\t\t<label for='choice_95_42_0' id='label_95_42_0' class='gform-field-label gform-field-label--type-inline'>Participation au d\u00e9jeuner du 4 d\u00e9cembre d\u00e8s 12h00<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_95_42_1'>\n\t\t\t\t<input name='input_42' type='radio' value='Je ne participerai pas au d\u00e9jeuner'  id='choice_95_42_1'    \/>\n\t\t\t\t<label for='choice_95_42_1' id='label_95_42_1' class='gform-field-label gform-field-label--type-inline'>Je ne participerai pas au d\u00e9jeuner<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_95_26\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_26\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_95_11\"  class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_11\"><label class='gfield_label gform-field-label'  >Sp\u00e9cificit\u00e9 alimentaire :<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_95_11'>\n\t\t\t<li class='gchoice gchoice_95_11_0'>\n\t\t\t\t<input name='input_11' type='radio' value='v\u00e9g\u00e9tarien'  id='choice_95_11_0'    \/>\n\t\t\t\t<label for='choice_95_11_0' id='label_95_11_0' class='gform-field-label gform-field-label--type-inline'>v\u00e9g\u00e9tarien<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_95_11_1'>\n\t\t\t\t<input name='input_11' type='radio' value='pas de sp\u00e9cificit\u00e9'  id='choice_95_11_1'    \/>\n\t\t\t\t<label for='choice_95_11_1' id='label_95_11_1' class='gform-field-label gform-field-label--type-inline'>pas de sp\u00e9cificit\u00e9<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_95_11_2'>\n\t\t\t\t<input name='input_11' type='radio' value='gf_other_choice'  id='choice_95_11_2'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_95_11_other' name='input_11_other' type='text' value='Autre' aria-label='Autre' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Autre\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Autre\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_95_18\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_18\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_95_38\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_38\"><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_95_46\"  class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_46\"><label class='gfield_label gform-field-label'  >Consentement \u00e0 l&#039;enregistrement et \u00e0 la transcription de la r\u00e9union<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_95_46'>\n\t\t\t<li class='gchoice gchoice_95_46_0'>\n\t\t\t\t<input name='input_46' type='radio' value='Je consens \u00e0 ce que mes interventions soient enregistr\u00e9es dans le but de faciliter la r\u00e9daction du proc\u00e8s-verbal de s\u00e9ance et transcrites automatiquement \u00e0 l\u2019aide du service de transcription IA &quot;Good Tape&quot;'  id='choice_95_46_0'    \/>\n\t\t\t\t<label for='choice_95_46_0' id='label_95_46_0' class='gform-field-label gform-field-label--type-inline'>Je consens \u00e0 ce que mes interventions soient enregistr\u00e9es dans le but de faciliter la r\u00e9daction du proc\u00e8s-verbal de s\u00e9ance et transcrites automatiquement \u00e0 l\u2019aide du service de transcription IA \"Good Tape\"<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_95_46_1'>\n\t\t\t\t<input name='input_46' type='radio' value='Je refuse l\u2019enregistrement et la transcription de mes interventions \u00e0 l\u2019aide d\u2019un outil d\u2019intelligence artificielle.'  id='choice_95_46_1'    \/>\n\t\t\t\t<label for='choice_95_46_1' id='label_95_46_1' class='gform-field-label gform-field-label--type-inline'>Je refuse l\u2019enregistrement et la transcription de mes interventions \u00e0 l\u2019aide d\u2019un outil d\u2019intelligence artificielle.<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_95_47\"  class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_95_47\">Ce consentement est donn\u00e9 librement et ne constitue pas une condition pr\u00e9alable \u00e0 la participation \u00e0 la r\u00e9union ; il peut \u00eatre r\u00e9voqu\u00e9 \u00e0 tout moment avec effet pour l\u2019avenir. 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