{"id":42,"date":"2026-08-22T21:13:25","date_gmt":"2026-08-23T01:13:25","guid":{"rendered":"https:\/\/pam.dev.yconsulting.fr\/?page_id=42"},"modified":"2026-08-22T21:13:25","modified_gmt":"2026-08-23T01:13:25","slug":"demande-dadhesion-pam","status":"publish","type":"page","link":"https:\/\/pam.dev.yconsulting.fr\/en\/demande-dadhesion-pam\/","title":{"rendered":"PAM Membership Application"},"content":{"rendered":"\t\t<section class=\"pam-portal pam-membership\">\n\t\t\t<header class=\"pam-portal__header\">\n\t\t\t\t<h2>Professional membership application<\/h2>\n\t\t\t\t<p>The information will be reviewed by the PAM team before your account is created.<\/p>\n\t\t\t<\/header>\n\t\t\t\t\t\t\t<div class=\"pam-form-shell\" data-pam-form=\"membership_form_id\"><div class=\"jet-fb-form-block\" data-is-block=\"jet-forms\/form-block\"><style id=\"jet-form-builder-134-inline-css\"><\/style><form  class=\"jet-form-builder layout-column submit-type-ajax\" action=\"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/pages\/42\/?01V7Oz=6aY47R4Q6O4R&amp;method=reload\" method=\"POST\" data-form-id=\"134\" data-layout=\"column\" enctype=\"multipart\/form-data\" data-clear=\"1\" novalidate=\"null\" ssr_validation_method=\"rest\"><input type=\"hidden\" id=\"_wpnonce_134\" name=\"_wpnonce\" value=\"2a2698e022\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/42\" \/>\r\n<input type=\"hidden\" name=\"_jfb_current_render_states[]\" value=\"DEFAULT.STATE\" data-jfb-sync \/><input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_booking_form_id\" data-field-name=\"_jet_engine_booking_form_id\" value=\"134\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_refer\" data-field-name=\"_jet_engine_refer\" value=\"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/pages\/42\/\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"__queried_post_id\" data-field-name=\"__queried_post_id\" value=\"42\">\n\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"pam_membership_token\" data-field-name=\"pam_membership_token\" data-jfb-sync=\"null\">\n\n\n\n<div class=\"pam-honeypot\" aria-hidden=\"true\"><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Website<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"pam_website\" id=\"pam_website\" type=\"text\" data-field-name=\"pam_website\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_pFPCOnuX\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n<h3 class=\"wp-block-heading\">Organization<\/h3>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Organization name <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"organization_name\" id=\"organization_name\" type=\"text\" data-field-name=\"organization_name\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_riS9lb6o\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Sector <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" required=\"required\" name=\"network_type\" data-field-name=\"network_type\" id=\"network_type\" data-jfb-sync=\"null\">\n\t\t<option value=\"health\" >Health network<\/option><option value=\"community\" >Community partner<\/option><option value=\"school\" >School network<\/option><option value=\"legal\" >Legal network<\/option><option value=\"other\" >Other<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Address <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"organization_address\" id=\"organization_address\" type=\"text\" data-field-name=\"organization_address\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_T2pi39hu\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">City <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"organization_city\" id=\"organization_city\" type=\"text\" data-field-name=\"organization_city\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_627xV38i\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Postal code <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"organization_postal_code\" id=\"organization_postal_code\" type=\"text\" data-field-name=\"organization_postal_code\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_yZMntfHY\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Phone<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"organization_phone\" id=\"organization_phone\" type=\"tel\" data-field-name=\"organization_phone\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_L2gwiDxq\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Email address<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"organization_email\" id=\"organization_email\" type=\"email\" data-field-name=\"organization_email\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_U8GMvV0u\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<h3 class=\"wp-block-heading\">Professional<\/h3>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">First name <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"first_name\" id=\"first_name\" type=\"text\" data-field-name=\"first_name\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_niv6XVhD\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Last name <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"last_name\" id=\"last_name\" type=\"text\" data-field-name=\"last_name\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_pF2O4Tbx\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Job title <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"job_title\" id=\"job_title\" type=\"text\" data-field-name=\"job_title\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_VvR6O0H1\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Phone <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"phone\" id=\"phone\" type=\"tel\" data-field-name=\"phone\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_S9A8pzeJ\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Login email address <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input required=\"required\" name=\"email\" id=\"email\" type=\"email\" data-field-name=\"email\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_7eIM5xDS\">\n\t\t\t\t\t<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-select-field wp-block-jet-forms-select-field\">\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Communication language <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t<select class=\"jet-form-builder__field select-field\" required=\"required\" name=\"preferred_language\" data-field-name=\"preferred_language\" id=\"preferred_language\" data-jfb-sync=\"null\">\n\t\t<option value=\"fr\" >French<\/option><option value=\"en\" >English<\/option>\t<\/select>\n<\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"privacy_consent\" value=\"1\" data-field-name=\"privacy_consent\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" required=\"required\" data-default-val=\"[&quot;&quot;]\"><span>I agree that this information may be used by the PAM team to review my membership application and create my account if it is accepted.<\/span><\/label><\/div><\/div>\n<\/div>\n\n<div  class=\"jet-form-builder-row field-type-submit-field\" >\n\t<div data-type=\"submit\" class=\"jet-form-builder__action-button-wrapper jet-form-builder__submit-wrap\">\n\t<button class=\"jet-form-builder__action-button jet-form-builder__submit submit-type-ajax\" type=\"submit\">Submit my application<\/button>\n\t<\/div>\n\t\n<\/div>\t<div class=\"jet-form-builder-messages-wrap\" data-form-id=\"134\"><\/div>\n<\/form>\n<\/div><\/div>\t\t\t\t\t<\/section>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_zipai_imported":false,"_zipai_import_id":"","footnotes":""},"class_list":["post-42","page","type-page","status-publish","hentry"],"spectra_blocks_featured_image_url":null,"spectra_blocks_author_info":{"display_name":"ycimper","avatar_url":"https:\/\/secure.gravatar.com\/avatar\/014526916e1b0452cecec9e784afe367d396892db2b27f8dc9e30d6a9ce71736?s=96&d=mm&r=g","author_link":"https:\/\/pam.dev.yconsulting.fr\/en\/author\/ycimper\/","description":""},"_links":{"self":[{"href":"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/pages\/42","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/comments?post=42"}],"version-history":[{"count":1,"href":"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/pages\/42\/revisions"}],"predecessor-version":[{"id":43,"href":"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/pages\/42\/revisions\/43"}],"wp:attachment":[{"href":"https:\/\/pam.dev.yconsulting.fr\/en\/wp-json\/wp\/v2\/media?parent=42"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}