{"id":436,"date":"2020-12-07T08:35:21","date_gmt":"2020-12-07T07:35:21","guid":{"rendered":"https:\/\/mwb.com.pl\/autyzm\/?page_id=436"},"modified":"2020-12-07T08:44:45","modified_gmt":"2020-12-07T07:44:45","slug":"formularz","status":"publish","type":"page","link":"https:\/\/mwb.com.pl\/autyzm\/formularz\/","title":{"rendered":"Formularz"},"content":{"rendered":"<script>\n                            if (window.qmn_quiz_data === undefined) {\n                                    window.qmn_quiz_data = new Object();\n                            }\n                    <\/script><script>window.qmn_quiz_data[\"2\"] = {\"quiz_id\":\"2\",\"quiz_name\":\"Formularz\",\"disable_answer\":\"0\",\"ajax_show_correct\":\"0\",\"progress_bar\":\"0\",\"contact_info_location\":\"0\",\"qpages\":{\"1\":{\"id\":\"1\",\"quizID\":\"2\",\"pagekey\":\"1wRU1ZPI\",\"hide_prevbtn\":\"0\"}},\"skip_validation_time_expire\":\"1\",\"timer_limit_val\":0,\"disable_scroll_next_previous_click\":\"0\",\"disable_scroll_on_result\":0,\"disable_first_page\":0,\"enable_result_after_timer_end\":\"0\",\"enable_quick_result_mc\":\"0\",\"end_quiz_if_wrong\":0,\"form_disable_autofill\":0,\"disable_mathjax\":0,\"enable_quick_correct_answer_info\":\"0\",\"quick_result_correct_answer_text\":\"Prawid\\u0142owa odpowied\\u017a\",\"quick_result_wrong_answer_text\":\"Nieprawid\\u0142owa odpowied\\u017a\",\"quiz_processing_message\":\"\",\"quiz_limit_choice\":\"Limit of choice is reached.\",\"not_allow_after_expired_time\":0,\"scheduled_time_end\":false,\"prevent_reload\":0,\"limit_email_based_submission\":0,\"total_user_tries\":0,\"is_logged_in\":false,\"error_messages\":{\"email_error_text\":\"Nieprawid\\u0142owy adres e-mail\",\"number_error_text\":\"To pole musi by\\u0107 liczb\\u0105\",\"incorrect_error_text\":\"Wprowadzony tekst nie jest poprawny.\",\"empty_error_text\":\"Prosz\\u0119 o wype\\u0142nienie wszystkich wymaganych p\\u00f3l.\",\"url_error_text\":\"The entered URL is not valid!\",\"minlength_error_text\":\"Required atleast %minlength% characters.\",\"maxlength_error_text\":\"Maximum %maxlength% characters allowed.\",\"recaptcha_error_text\":\"ReCaptcha is missing\"},\"first_page\":false,\"questions_settings\":[]}\n                    <\/script>\t\t<div class='qsm-quiz-container qsm-quiz-container-2 qmn_quiz_container mlw_qmn_quiz  quiz_theme_default  '>\n\t\t\t\t\t\t\t\t<form name=\"quizForm2\" id=\"quizForm2\" action=\"\/autyzm\/wp-json\/wp\/v2\/pages\/436\" method=\"POST\" class=\"qsm-quiz-form qmn_quiz_form mlw_quiz_form\" novalidate enctype=\"multipart\/form-data\">\n\t\t\t\t<input type=\"hidden\" name=\"qsm_hidden_questions\" id=\"qsm_hidden_questions\" value=\"\">\n\t\t\t\t<input type=\"hidden\" name=\"qsm_nonce\" id=\"qsm_nonce_2\" value=\"d817324c33\">\n\t\t\t\t<input type=\"hidden\" name=\"qsm_unique_key\" id=\"qsm_unique_key_2\" value=\"69dbcd84c1d5b\">\n\t\t\t\t<div id=\"mlw_error_message\" class=\"qsm-error-message qmn_error_message_section\"><\/div>\n\t\t\t\t<span id=\"mlw_top_of_quiz\"><\/span>\n\t\t\t\t\t\t\t<section class=\"qsm-page \">\n\t\t\t\t\t\t\t\t<div class=\"quiz_section quiz_begin\">\n\t\t\t\t\t\t<div class='qsm-before-message mlw_qmn_message_before'>\n\t\t\t\t<p>&nbsp;<\/p>\n<h4 style=\"text-align: center\">FORMULARZ ZG\u0141OSZENIOWY<\/h4>\n<h4 style=\"text-align: center\">WEBINARIUM: PAKIET EDUKACYJNY \u201eAUTYZM BLI\u017bEJ\u201d<\/h4>\n<p>&nbsp;<\/p>\n<p>Zg\u0142aszam si\u0119 na wydarzenie:<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-3 question-section-id-9 \" data-qid=\"9\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'><label class=\"qsm-question-title-label\" for=\"question9\">Imi\u0119 <\/label><\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<input  type=\"text\" class=\"mlw_answer_open_text mlwRequiredText\" id=\"question9\" name=\"question9\"   Placeholder=\"\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-3 question-section-id-10 \" data-qid=\"10\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'><label class=\"qsm-question-title-label\" for=\"question10\">Nazwisko <\/label><\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<input  type=\"text\" class=\"mlw_answer_open_text mlwRequiredText\" id=\"question10\" name=\"question10\"   Placeholder=\"\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-3 question-section-id-11 \" data-qid=\"11\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'><label class=\"qsm-question-title-label\" for=\"question11\">Adres e-mail <\/label><\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<input  type=\"text\" class=\"mlw_answer_open_text mlwRequiredText\" id=\"question11\" name=\"question11\"   Placeholder=\"\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-0 question-section-id-15 \" data-qid=\"15\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'>Jestem: <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<fieldset>\n\t\t<legend><\/legend>\n\t<div class='qmn_radio_answers mlwRequiredRadio'>\n\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question15-1 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question15\" id=\"question15_1\" value=\"0\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question15_1\">\n\t\t\t\t\tnauczycielem\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question15-2 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question15\" id=\"question15_2\" value=\"1\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question15_2\">\n\t\t\t\t\tedukatorem w instytucji kultury\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question15-3 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question15\" id=\"question15_3\" value=\"2\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question15_3\">\n\t\t\t\t\trodzicem\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"qmn_mc_answer_wrap  mrq_checkbox_class\" id=\"question15-4 \">\n\t\t\t\t\t\t\t\t\t\t\t<input type='radio' class='qmn_quiz_radio qmn-multiple-choice-input ' name=\"question15\" id=\"question15_4\" value=\"3\" \/>\n\t\t\t\t\t<label class=\"qsm-input-label\" for=\"question15_4\">\n\t\t\t\t\tinne\t\t\t\t\t<\/label>\n\t\t\t\t\t \t\t\t\t<\/div>\n\t\t\t\t\t \t\t\t<label style=\"display: none !important;\" for=\"question15_none\">None<\/label>\n\t\t\t<input type=\"radio\" style=\"display: none;\" name=\"question15\" id=\"question15_none\" checked=\"checked\" value=\"\" \/>\n\t\t\t\t<\/div>\n\t<\/fieldset>\n\t<input type=\"hidden\" name=\"answer_limit_keys_15\" value=\"\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-3 question-section-id-13 \" data-qid=\"13\">\n\t\t\t\t\t\t<div class='mlw_qmn_new_question'><label class=\"qsm-question-title-label\" for=\"question13\">W przypadku wyboru odpowiedzi inne - prosz\u0119 poda\u0107 jakie: <\/label><\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<input  type=\"text\" class=\"mlw_answer_open_text \" id=\"question13\" name=\"question13\"   Placeholder=\"\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"quiz_section qsm-question-wrapper question-type-9 question-section-id-14 \" data-qid=\"14\">\n\t\t\t\t\t<span class=\"mlw_qmn_question\">\n\t\t\t<div class='mlw_qmn_new_question'>W celu ochrony przed spamem prosz\u0119 przepisa\u0107 tekst z obrazka. <\/div>\n\t\t\t<div class='mlw_qmn_question  qsm_remove_bold' >\n\t\t<p><\/p>\n\t<\/div>\n\t\t<\/span>\n\t<div class=\"mlw_captchaWrap\">\n\t\t<canvas alt=\"\" id=\"mlw_captcha\" class=\"mlw_captcha\" width=\"100\" height=\"50\"><\/canvas>\n\t<\/div>\n\t<input type=\"text\" class=\"mlw_answer_open_text mlwRequiredCaptcha\" id=\"mlw_captcha_text\" name=\"mlw_user_captcha\"\/>\n\t<input type=\"hidden\" name=\"mlw_code_captcha\" id=\"mlw_code_captcha\" value=\"none\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"quiz_section\">\n\t\t\t\t\t\t<div class='qsm-after-message mlw_qmn_message_end'>\n\t\t\t\t\t\t\t<p><strong>Klauzula informacyjna<\/strong><br \/>\n1. Administratorem Pani\/Pana danych osobowych jest Muzeum Wojska w Bia\u0142ymstoku z siedzib\u0105 w Bia\u0142ymstoku (15-089), przy ulicy Kili\u0144skiego 7 (\u201eAdministrator\u201d).<br \/>\n2. Administrator wyznaczy\u0142 inspektora ochrony danych osobowych,  z kt\u00f3rym mo\u017cna si\u0119 skontaktowa\u0107 poprzez e-mail: iod@mwb.com.pl lub pisemnie na adres siedziby administratora z dopiskiem IOD. Z inspektorem ochrony danych osobowych mo\u017cna si\u0119 kontaktowa\u0107 we wszystkich sprawach dotycz\u0105cych przetwarzania danych osobowych oraz korzystania z praw zwi\u0105zanych z przetwarzaniem danych w Muzeum Wojska w Bia\u0142ymstoku. W sprawach zwi\u0105zanych z celem przetwarzania danych osobowych mo\u017cna te\u017c kontaktowa\u0107 si\u0119 na adres email: mwilczko@mwb.com.pl.<br \/>\n3. Pani\/Pana dane osobowe s\u0105 przetwarzane w celu:<br \/>\n\u2212 podj\u0119cia na Pani\/Pana \u017c\u0105danie dzia\u0142a\u0144 zmierzaj\u0105cych do realizacji umowy o uczestnictwo w konferencji\/spotkaniu (art. 6 ust. 1 b RODO);<br \/>\n- realizacja zadania publicznego w postaci organizacji zaj\u0119\u0107 kulturalno-edukacyjnych, kt\u00f3re realizujemy w interesie publicznym - podstawa prawna: art. 6 ust. 1e RODO<br \/>\n- w celach nawi\u0105zania kontaktu \u2013 podstawa prawna art. 6 ust. 1f RODO jako usprawiedliwionego interesu administratora<br \/>\n4. Odbiorc\u0105 Pani\/Pana danych osobowych mog\u0105 by\u0107 podmioty dostarczaj\u0105ce i utrzymuj\u0105ce infrastruktur\u0119 IT, podmioty po\u015brednicz\u0105ce w organizacji lub wsp\u00f3\u0142organizuj\u0105ce wydarzenie, kontrahenci \u015bwiadcz\u0105cy us\u0142ugi na zlecenie Administratora oraz podmioty powi\u0105zane organizacyjnie z Administratorem w tym w szczeg\u00f3lno\u015bci Ministerstwo Kultury i Dziedzictwa Narodowego.<br \/>\n5. Pani\/Pana dane osobowe nie b\u0119d\u0105 przekazywane do pa\u0144stwa trzeciego\/organizacji mi\u0119dzynarodowej.<br \/>\n6. Pani\/Pana dane osobowe b\u0119d\u0105 przetwarzane przez okres 1 roku od momentu zako\u0144czenia si\u0119 wydarzenia lub w terminach wynikaj\u0105cych z powszechnie obowi\u0105zuj\u0105cych przepis\u00f3w prawa.<br \/>\n7. Ma Pani\/Pan prawo \u017c\u0105dania: dost\u0119pu do Pani\/Pana danych osobowych, ich sprostowania, usuni\u0119cia, ograniczenia przetwarzania, przeniesienia danych, jak r\u00f3wnie\u017c prawo do zg\u0142oszenia sprzeciwu.<br \/>\n8. Przys\u0142uguje Pani\/Panu prawo do wniesienia skargi do organu nadzorczego w\u0142a\u015bciwego dla ochrony danych osobowych.<br \/>\n9. Podanie danych osobowych jest dobrowolne, aczkolwiek ich niepodanie skutkowa\u0107 b\u0119dzie brakiem mo\u017cliwo\u015bci udzia\u0142u w wydarzeniu.<br \/>\n10.Pani\/Pana dane osobowe nie b\u0119d\u0105 podlega\u0142y zautomatyzowanemu podejmowaniu decyzji, w tym profilowaniu. <\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/section>\n\t\t\t\t\t<input type=\"hidden\" name=\"qmn_question_list\" value=\"9Q10Q11Q15Q13Q14Q\" \/>\n\t\t\t\t\t\t\t<div id=\"mlw_error_message_bottom\" class=\"qsm-error-message qmn_error_message_section\"><\/div>\n\t\t\t\t\t<input type=\"hidden\" name=\"qmn_all_questions_count\" id=\"qmn_all_questions_count\" value=\"6\" \/>\n\t\t\t\t\t<input type=\"hidden\" name=\"total_questions\" id=\"total_questions\" value=\"5\" \/>\n\t\t\t\t\t<input type=\"hidden\" name=\"timer\" id=\"timer\" value=\"0\" \/>\n\t\t\t\t\t<input type=\"hidden\" name=\"timer_ms\" id=\"timer_ms\" value=\"0\"\/>\n\t\t\t\t\t<input type=\"hidden\" class=\"qmn_quiz_id\" name=\"qmn_quiz_id\" id=\"qmn_quiz_id\" value=\"2\" \/>\n\t\t\t\t\t<input type='hidden' name='complete_quiz' value='confirmation' \/>\n\t\t\t\t\t\t\t\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t<div style=\"display: none;\" class=\"qsm-popup qsm-popup-slide\" id=\"modal-4\" aria-hidden=\"false\"><div class=\"qsm-popup__overlay\" tabindex=\"-1\" data-micromodal-close=\"\"><div class=\"qsm-popup__container qmn_quiz_container\" role=\"dialog\" aria-modal=\"true\"><div class=\"qsm-popup__content\"><img decoding=\"async\" src=\"https:\/\/mwb.com.pl\/autyzm\/wp-content\/plugins\/quiz-master-next\/assets\/clock.png\" alt=\"clock.png\"\/><p class=\"qsm-time-up-text\"> Time's up<\/p><\/div><footer class=\"qsm-popup__footer\"><button class=\"qsm-popup-secondary-button qmn_btn\" data-micromodal-close=\"\" aria-label=\"Close this dialog window\" onclick=\"location.reload();\">Cancel<\/button><\/footer><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/page_front-page.php","meta":{"h5ap_radio_sources":[],"footnotes":""},"class_list":["post-436","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mwb.com.pl\/autyzm\/wp-json\/wp\/v2\/pages\/436","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mwb.com.pl\/autyzm\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mwb.com.pl\/autyzm\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mwb.com.pl\/autyzm\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mwb.com.pl\/autyzm\/wp-json\/wp\/v2\/comments?post=436"}],"version-history":[{"count":4,"href":"https:\/\/mwb.com.pl\/autyzm\/wp-json\/wp\/v2\/pages\/436\/revisions"}],"predecessor-version":[{"id":440,"href":"https:\/\/mwb.com.pl\/autyzm\/wp-json\/wp\/v2\/pages\/436\/revisions\/440"}],"wp:attachment":[{"href":"https:\/\/mwb.com.pl\/autyzm\/wp-json\/wp\/v2\/media?parent=436"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}