{"id":6779,"date":"2025-08-30T11:32:09","date_gmt":"2025-08-30T15:32:09","guid":{"rendered":"https:\/\/eurekaenrichment.org\/?page_id=6779"},"modified":"2025-08-30T11:32:14","modified_gmt":"2025-08-30T15:32:14","slug":"formulario-interes","status":"publish","type":"page","link":"https:\/\/eurekaenrichment.org\/en\/formulario-interes\/","title":{"rendered":"formulario-interes"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-af269ef2-41f7-4809-94a9-0b0a8452741b\" id=\"wpforms-6771\"><form id=\"wpforms-form-6771\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"6771\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/en\/wp-json\/wp\/v2\/pages\/6779\" data-token=\"3373b1579303e20de6953a9d9e60c448\" data-token-time=\"1789936569\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-6771-field_79-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"79\"><div id=\"wpforms-6771-field_79\" class=\"wpforms-field-medium wpforms-field-row\"><h1 style=\"text-align:left\"><span style=\"text-decoration:underline\"><strong>Formulario de inter\u00e9s<\/strong><\/span><\/h1>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-5000 size-medium\" src=\"https:\/\/eurekaenrichment.org\/wp-content\/uploads\/2024\/02\/Eureka-STEM-94x92-in-300x294.png\" alt=\"\" width=\"300\" height=\"294\" srcset=\"https:\/\/eurekaenrichment.org\/wp-content\/uploads\/2024\/02\/Eureka-STEM-94x92-in-300x294.png 300w, https:\/\/eurekaenrichment.org\/wp-content\/uploads\/2024\/02\/Eureka-STEM-94x92-in-1024x1002.png 1024w, https:\/\/eurekaenrichment.org\/wp-content\/uploads\/2024\/02\/Eureka-STEM-94x92-in-768x752.png 768w, https:\/\/eurekaenrichment.org\/wp-content\/uploads\/2024\/02\/Eureka-STEM-94x92-in-1536x1503.png 1536w, https:\/\/eurekaenrichment.org\/wp-content\/uploads\/2024\/02\/Eureka-STEM-94x92-in-2048x2004.png 2048w, https:\/\/eurekaenrichment.org\/wp-content\/uploads\/2024\/02\/Eureka-STEM-94x92-in-510x499.png 510w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-6771-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"1\"><label class=\"wpforms-field-label\">Nombre del Contacto  | Contact Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6771-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" required><label for=\"wpforms-6771-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-6771-field_1-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][1][middle]\" ><label for=\"wpforms-6771-field_1-middle\" class=\"wpforms-field-sublabel after\">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6771-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" required><label for=\"wpforms-6771-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-6771-field_75-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"75\"><label class=\"wpforms-field-label\" for=\"wpforms-6771-field_75\">Posici\u00f3n \/ Title <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6771-field_75\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][75]\" required><div class=\"wpforms-field-description\">Principal, maestro(a), etc. \/ Principal, teacher, etc.<\/div><\/div><div id=\"wpforms-6771-field_76-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"76\"><label class=\"wpforms-field-label\" for=\"wpforms-6771-field_76\">Nombre de escuela u organizaci\u00f3n\/ Name of School or Organization <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6771-field_76\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][76]\" required><\/div><div id=\"wpforms-6771-field_80-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"80\"><label class=\"wpforms-field-label\" for=\"wpforms-6771-field_80\">Tipo de escuela u organizaci\u00f3n\/ Type of School or Organization <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-6771-field_80\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][80]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212; Select Choice &#8212;<\/option><option value=\"Private School\"  class=\"choice-1 depth-1\"  >Private School<\/option><option value=\"Public School\"  class=\"choice-2 depth-1\"  >Public School<\/option><option value=\"Home School\"  class=\"choice-3 depth-1\"  >Home School<\/option><option value=\"Non-Profit Organization\"  class=\"choice-4 depth-1\"  >Non-Profit Organization<\/option><option value=\"For Profit Organization\"  class=\"choice-5 depth-1\"  >For Profit Organization<\/option><\/select><\/div><div id=\"wpforms-6771-field_81-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"81\"><label class=\"wpforms-field-label\" for=\"wpforms-6771-field_81\">Municipio de la escuela u organizaci\u00f3n \/ School or Organization Municipality<\/label><input type=\"text\" id=\"wpforms-6771-field_81\" class=\"wpforms-field-small\" name=\"wpforms[fields][81]\" ><\/div><div id=\"wpforms-6771-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"2\"><label class=\"wpforms-field-label\">Email del contacto | Contact Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-6771-field_2\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][2][primary]\" spellcheck=\"false\" required><label for=\"wpforms-6771-field_2\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-6771-field_2-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-6771-field_2\" name=\"wpforms[fields][2][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-6771-field_2-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-6771-field_3-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-6771-field_3\">Tel\u00e9fono del contacto | Contact Phone Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-6771-field_3\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][3]\" aria-label=\"Tel\u00e9fono del contacto | Contact Phone Number\" required><\/div><div id=\"wpforms-6771-field_77-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns\" data-field-type=\"checkbox\" data-field-id=\"77\"><label class=\"wpforms-field-label\">Escoja todos los programas que le interese \/ Select all programs of interest <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-6771-field_77\" class=\"wpforms-field-required wpforms-image-choices wpforms-image-choices-modern\"><li class=\"choice-1 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-6771-field_77_1\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><img decoding=\"async\" src=\"https:\/\/eurekaenrichment.org\/wp-content\/uploads\/2024\/11\/Spelling-Bee.png\" alt=\"National Spelling Bee (1-8)\" title=\"National Spelling Bee (1-8)\"><\/span><input type=\"checkbox\" id=\"wpforms-6771-field_77_1\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][77][]\" value=\"National Spelling Bee (1-8)\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">National Spelling Bee (1-8)<\/span><\/label><\/li><li class=\"choice-2 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-6771-field_77_2\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><img decoding=\"async\" src=\"https:\/\/eurekaenrichment.org\/wp-content\/uploads\/2024\/11\/FLL-D.png\" alt=\"FIRST LEGO League Discover (PK-1)\" title=\"FIRST LEGO League Discover (PK-1)\"><\/span><input type=\"checkbox\" id=\"wpforms-6771-field_77_2\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][77][]\" value=\"FIRST LEGO League Discover (PK-1)\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">FIRST LEGO League Discover (PK-1)<\/span><\/label><\/li><li class=\"choice-3 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-6771-field_77_3\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><img decoding=\"async\" src=\"https:\/\/eurekaenrichment.org\/wp-content\/uploads\/2024\/11\/FLL-E.png\" alt=\"FIRST LEGO League Explore (2-4)\" title=\"FIRST LEGO League Explore (2-4)\"><\/span><input type=\"checkbox\" id=\"wpforms-6771-field_77_3\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][77][]\" value=\"FIRST LEGO League Explore (2-4)\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">FIRST LEGO League Explore (2-4)<\/span><\/label><\/li><li class=\"choice-4 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-6771-field_77_4\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><img decoding=\"async\" src=\"https:\/\/eurekaenrichment.org\/wp-content\/uploads\/2024\/11\/FLL-C.png\" alt=\"FIRST LEGO League Challenge (4-8)\" title=\"FIRST LEGO League Challenge (4-8)\"><\/span><input type=\"checkbox\" id=\"wpforms-6771-field_77_4\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][77][]\" value=\"FIRST LEGO League Challenge (4-8)\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">FIRST LEGO League Challenge (4-8)<\/span><\/label><\/li><li class=\"choice-5 depth-1 wpforms-image-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-6771-field_77_5\" tabindex=\"0\"><span class=\"wpforms-image-choices-image\"><img decoding=\"async\" src=\"https:\/\/eurekaenrichment.org\/wp-content\/uploads\/2024\/11\/FTC.png\" alt=\"FIRST Tech Challenge (7-12)\" title=\"FIRST Tech Challenge (7-12)\"><\/span><input type=\"checkbox\" id=\"wpforms-6771-field_77_5\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][77][]\" value=\"FIRST Tech Challenge (7-12)\" tabindex=\"-1\" required ><span class=\"wpforms-image-choices-label\">FIRST Tech Challenge (7-12)<\/span><\/label><\/li><\/ul><\/div><div id=\"wpforms-6771-field_71-container\" class=\"wpforms-field wpforms-field-captcha\" data-field-type=\"captcha\" data-field-id=\"71\"><label class=\"wpforms-field-label\" for=\"wpforms-6771-field_71\">Custom Captcha <span class=\"wpforms-required-label\">*<\/span><\/label>\t\t\t<div class=\"wpforms-captcha-math\">\n\t\t\t\t<span id=\"wpforms-6771-field_71-question\" class=\"wpforms-captcha-equation\">\n\t\t\t\t\t<span class=\"n1\">9<\/span>\n\t\t\t\t\t\t\t<span class=\"cal\">*<\/span>\n\t\t\t\t\t\t\t<span class=\"n2\">7<\/span>\t\t\t\t\t<span class=\"e\">=<\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"text\" id=\"wpforms-6771-field_71\" class=\"wpforms-field-medium wpforms-field-required a\" data-rule-wpf-captcha=\"math\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][71][a]\" aria-describedby=\"wpforms-6771-field_71-question\" required>\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][71][cal]\" class=\"cal\">\n\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][71][n2]\" class=\"n2\">\n\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][71][n1]\" class=\"n1\">\n\t\t\t<\/div>\n\t\t\t<\/div><\/div><!-- 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