{"id":592,"date":"2025-08-03T20:34:54","date_gmt":"2025-08-03T18:34:54","guid":{"rendered":"http:\/\/139.84.233.196\/acbf.org\/?page_id=592"},"modified":"2026-04-02T11:29:32","modified_gmt":"2026-04-02T09:29:32","slug":"acbf-network-individuals-registration-form","status":"publish","type":"page","link":"https:\/\/acbf.quatrohaus.com\/fr\/acbf-network-individuals-registration-form\/","title":{"rendered":"Formulaire d'inscription au r\u00e9seau ACBF\u00a0: individus"},"content":{"rendered":"<p>Bienvenue ! Nous vous remercions de l'int\u00e9r\u00eat que vous portez aux travaux de la Fondation pour le renforcement des capacit\u00e9s en Afrique (ACBF). L'ACBF souhaite revitaliser le r\u00e9seau des hommes et des femmes d'exception qui ont b\u00e9n\u00e9fici\u00e9 de ses programmes de renforcement des capacit\u00e9s en Afrique et rester en contact avec eux. Nous vous remercions du temps que vous consacrerez \u00e0 remplir ce formulaire d'inscription. Les donn\u00e9es collect\u00e9es seront conserv\u00e9es en toute s\u00e9curit\u00e9 par la Fondation pour la communication avec ses anciens b\u00e9n\u00e9ficiaires.<\/p>\n\n\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"forminator-guttenberg\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-591 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-591\" data-uid=\"69d534738b1e0\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-591\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-591 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"591\"\n\t\t\t\t data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69d534738b1e0\" action=\"\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-4\"><div class=\"forminator-field\"><select  id=\"forminator-form-591__field--select-1_69d534738b1e0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Select Title\" data-search=\"false\" data-search-placeholder=\"Select Title\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-591__field--select-1_69d534738b1e0-label\"><option value=\"\"  >S\u00e9lectionnez le titre<\/option><option value=\"one\"  data-calculation=\"0\">Miss<\/option><option value=\"two\"  data-calculation=\"0\">Ms<\/option><option value=\"Mr\"  data-calculation=\"0\">Mr<\/option><option value=\"Mrs\"  data-calculation=\"0\">Mrs<\/option><option value=\"Dr\"  data-calculation=\"0\">Dr<\/option><\/select><\/div><\/div><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-4\"><div class=\"forminator-field\"><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"Pr\u00e9nom\" id=\"forminator-field-name-1_69d534738b1e0\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-4\"><div class=\"forminator-field\"><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"Deuxi\u00e8me pr\u00e9nom\" id=\"forminator-field-text-1_69d534738b1e0\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"Nom de jeune fille\" id=\"forminator-field-text-2_69d534738b1e0\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"Nom de famille\" id=\"forminator-field-text-3_69d534738b1e0\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"Nationalit\u00e9\" id=\"forminator-field-text-4_69d534738b1e0\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6\"><div class=\"forminator-row\"><div id=\"address-1-street_address\" class=\"forminator-col\"><div class=\"forminator-field\"><input type=\"text\" name=\"address-1-street_address\" placeholder=\"Adresse\" id=\"forminator-field-address-1-street_address_69d534738b1e0\" class=\"forminator-input\" data-required=\"\" aria-required=\"false\" autocomplete=\"address-line1\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-2\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><input type=\"email\" name=\"email-2\" value=\"\" placeholder=\"Courriel (travail)\" id=\"forminator-field-email-2_69d534738b1e0\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Num\u00e9ro de t\u00e9l\u00e9phone (portable)\" id=\"forminator-field-phone-1_69d534738b1e0\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"Organisation\" id=\"forminator-field-text-6_69d534738b1e0\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"Email (personnel)\" id=\"forminator-field-email-1_69d534738b1e0\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-6\"><div class=\"forminator-field\"><input name=\"number-1\" value=\"\" placeholder=\"Des ann\u00e9es d&#039;interactions avec l&#039;ACBF\" id=\"forminator-field-number-1_69d534738b1e0\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"\" data-decimals=\"0\" aria-required=\"false\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"150\" \/><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Titre de la profession\/fonction\" id=\"forminator-field-text-5_69d534738b1e0\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-6\"><div class=\"forminator-field\"><select  id=\"forminator-form-591__field--select-2_69d534738b1e0\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Relationship with ACBF\" data-search=\"false\" data-search-placeholder=\"Relationship with ACBF\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-591__field--select-2_69d534738b1e0-label\"><option value=\"\"  >Relation avec l'ACBF<\/option><option value=\"one\"  data-calculation=\"0\">Former Intern<\/option><option value=\"two\"  data-calculation=\"0\">Former Staff Member<\/option><option value=\"Former-Grantee\"  data-calculation=\"0\">Former Grantee<\/option><option value=\"Former-Board-Member\"  data-calculation=\"0\">Former Board Member<\/option><\/select><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"Personne-ressource de l&#039;organisation\" id=\"forminator-field-text-7_69d534738b1e0\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-6\"><div class=\"forminator-field\"><textarea name=\"textarea-1\" placeholder=\"Adresse physique de l&#039;organisation\" id=\"forminator-field-textarea-1_69d534738b1e0\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-6\"><div class=\"forminator-field\"><textarea name=\"textarea-2\" placeholder=\"Quel impact l\u2019ACBF a-t-elle eu sur votre vie?\" id=\"forminator-field-textarea-2_69d534738b1e0\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Soumettre<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"740a0f7f58\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/592\" \/><input type=\"hidden\" name=\"form_id\" value=\"591\"><input type=\"hidden\" name=\"page_id\" value=\"592\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/acbf.quatrohaus.com\/fr\/acbf-network-individuals-registration-form\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_18\" class=\"forminator-hidden\" aria-hidden=\"true\">Veuillez ne pas remplir ce champ. <input id=\"input_18\" type=\"text\" name=\"input_18\" value=\"\" autocomplete=\"off\"><\/label><input type=\"hidden\" name=\"trp-form-language\" value=\"fr\"\/><\/form><\/div>","protected":false},"excerpt":{"rendered":"<p>Welcome! Thank you for your interest in the work of the African&#8230;<\/p>","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-592","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/acbf.quatrohaus.com\/fr\/wp-json\/wp\/v2\/pages\/592","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/acbf.quatrohaus.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/acbf.quatrohaus.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/acbf.quatrohaus.com\/fr\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/acbf.quatrohaus.com\/fr\/wp-json\/wp\/v2\/comments?post=592"}],"version-history":[{"count":2,"href":"https:\/\/acbf.quatrohaus.com\/fr\/wp-json\/wp\/v2\/pages\/592\/revisions"}],"predecessor-version":[{"id":2916,"href":"https:\/\/acbf.quatrohaus.com\/fr\/wp-json\/wp\/v2\/pages\/592\/revisions\/2916"}],"wp:attachment":[{"href":"https:\/\/acbf.quatrohaus.com\/fr\/wp-json\/wp\/v2\/media?parent=592"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}