{"id":3084,"date":"2019-03-27T16:41:40","date_gmt":"2019-03-27T16:41:40","guid":{"rendered":"https:\/\/jewishconversion.ca\/?page_id=3084"},"modified":"2019-03-28T16:52:02","modified_gmt":"2019-03-28T16:52:02","slug":"application","status":"publish","type":"page","link":"https:\/\/jewishconversion.ca\/fr\/application\/","title":{"rendered":"Application"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3084\" class=\"elementor elementor-3084 elementor-2680\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c7aaef1 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c7aaef1\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3ca4a49 sc_layouts_column_icons_position_left\" data-id=\"3ca4a49\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-db93ada elementor-widget elementor-widget-spacer\" data-id=\"db93ada\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8c291d7 elementor-widget elementor-widget-heading\" data-id=\"8c291d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Application de Conversion<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c379217 elementor-widget elementor-widget-spacer\" data-id=\"c379217\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-02d0241 elementor-widget elementor-widget-shortcode\" data-id=\"02d0241\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3083-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"3083\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/fr\/wp-json\/wp\/v2\/pages\/3084#wpcf7-f3083-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"3083\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3083-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:3083,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false}}\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"columns_wrap\">\n    <h1 class=\"title-form\">\n        <span class=\"decoration-title-form\">Identification<\/span>\n    <\/h1>\n    <p class=\"text-form-application\">Ins\u00e9rer la photo<\/p>\n    <div class=\"column-1_2.5 img-form\">  \n        <span class=\"wpcf7-form-control-wrap\" data-name=\"file-945\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file img-block-form\" accept=\".jpg,.jpeg,.png\" aria-invalid=\"false\" type=\"file\" name=\"file-945\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_3 custom-column2\">\n        <p class=\"text-form-application\">Nom de famille<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"nom-famille\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom-famille\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_3 custom-column1\">\n        <p class=\"text-form-application\">Pr\u00e9nom<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"prenom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"prenom\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_3 custom-column4\">\n        <p class=\"text-form-application\">Autres pr\u00e9noms<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"autres-prenoms\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"autres-prenoms\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    \n    <div class=\"column-1_2 custom-column1\">\n        <p class=\"text-form-application\">Nom \u00e0 la naissance<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"nom-naissance\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom-naissance\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2 custom-column1\">\n        <p class=\"text-form-application\">\u00c9tat civile<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"etat-civile\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"etat-civile\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_3 custom-column1\">\n        <p class=\"text-form-application\">Addresse<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"addresse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"addresse\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_4 custom-column2\">\n        <p class=\"text-form-application\">Apt.<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"apt\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"apt\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_4 custom-column2\">\n        <p class=\"text-form-application\">Ville<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"ville\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"ville\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_3 custom-column3\">\n        <p class=\"text-form-application\">Code postal<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"post-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"post-code\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Addresse de couriel<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"courriel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"example@gmail.com\" value=\"\" type=\"email\" name=\"courriel\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Telephone<\/p>\n        <span class=\"wpcf7-form-control-wrap telephone\"><input type=\"text\" value=\"\" name=\"telephone\" class=\"wpcf7-form-control wpcf7-mask wpcf7mf-mask mask-margin\" size=\"40\" aria-required=\"\" aria-invalid=\"\" placeholder=\"___-___-____\" data-mask=\"___-___-____\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Cell<\/p>\n        <span class=\"wpcf7-form-control-wrap cellphone\"><input type=\"text\" value=\"\" name=\"cellphone\" class=\"wpcf7-form-control wpcf7-mask wpcf7mf-mask mask-margin\" size=\"40\" aria-required=\"\" aria-invalid=\"\" placeholder=\"___-___-____\" data-mask=\"___-___-____\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Date de naissance<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"date-naissance\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date date-box\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-naissance\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Lieu de naissance<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"lieu-naissance\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"lieu-naissance\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <h1 class=\"title-form\">\n        <span class=\"decoration-title-form\">Education<\/span>\n    <\/h1>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Education<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"education\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"education\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Diplome\/Certificat<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"diplome-certificat\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"diplome-certificat\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Institution<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"institution\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"institution\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Date de education<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"date-education\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date date-box\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-education\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <h1 class=\"title-form\">\n        <span class=\"decoration-title-form\">Emploi<\/span>\n    <\/h1>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Emploi presentement<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"emploi-presentement\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"emploi-presentement\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Fonction<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"fonction\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fonction\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Nombres d\u2019ann\u00e9es \u00e0 cet emploi<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"nombres-cet-emploi\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nombres-cet-emploi\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Nom de l\u2019employeur<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"nom-employeur\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom-employeur\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Num\u00e9ro de t\u00e9l\u00e9phone de l\u2019employeur<\/p>\n        <span class=\"wpcf7-form-control-wrap numero-telephone-emplo\"><input type=\"text\" value=\"\" name=\"numero-telephone-emplo\" class=\"wpcf7-form-control wpcf7-mask wpcf7mf-mask mask-margin\" size=\"40\" aria-required=\"\" aria-invalid=\"\" placeholder=\"___-___-____\" data-mask=\"___-___-____\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Employeur pr\u00e9c\u00e9dent<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"employeur-precedent\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"employeur-precedent\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Nombres d\u2019ann\u00e9es<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"nombres-annees\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nombres-annees\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <h1 class=\"title-form\">\n        <span class=\"decoration-title-form\">Information familiale et autres relations<\/span>\n    <\/h1>\n    <h2 class=\"subtitle-form\">\n        <span class=\"decoration-title-form\">1.P\u00e8re<\/span>\n    <\/h2>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Nom<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"pere-nom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pere-nom\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Lieu de naissance<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"lieu-de-naissance\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"lieu-de-naissance\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_3 custom-column1\">\n        <p class=\"text-form-application\">Vivant?<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"pere-vivant\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pere-vivant\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_3 custom-column1\">\n        <p class=\"text-form-application\">Age<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"pere-age\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pere-age\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_3 custom-column1\">\n        <p class=\"text-form-application\">Proffesion<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"pere-proffesion\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pere-proffesion\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Religion<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"pere-religion\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pere-religion\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">\u00c8tat civil<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"pere-etat-civil\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pere-etat-civil\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <h2 class=\"subtitle-form\">\n        <span class=\"decoration-title-form\">2.M\u00e8re<\/span>\n    <\/h2>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Nom<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"mere-nom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mere-nom\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Nom \u00e0 la naissance<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"nom-ala-naissance\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom-ala-naissance\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Lieu de naissance<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"mere-lieu-naissance\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mere-lieu-naissance\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_3 custom-column1\">\n        <p class=\"text-form-application\">Vivant?<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"mere-vivant\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mere-vivant\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_3 custom-column1\">\n        <p class=\"text-form-application\">Age<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"mere-age\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mere-age\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_3 custom-column1\">\n        <p class=\"text-form-application\">Proffesion<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"mere-proffesion\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mere-proffesion\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Religion<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"mere-religion\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mere-religion\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">\u00c8tat civil<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"mere-etat-civil\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mere-etat-civil\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <h2 class=\"subtitle-form\">\n        <span class=\"decoration-title-form\">3.Fr\u00e8re et soeurs<\/span>\n    <\/h2>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Noms des fr\u00e8res et soeurs<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"nom-freres-soeurs\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom-freres-soeurs\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Avez-vous d\u00e9ja \u00e9t\u00e9 mari\u00e9?<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"avez-vous-marie\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"avez-vous-marie\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Avez-vous des enfants?<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"avez-vous-enfants\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"avez-vous-enfants\" \/><\/span>\n    <\/div>\n    <p class=\"paragraph-form-application1\">(Si oui, veuillez remplir les information ci-dessous)<\/p>\n    <p class=\"paragraph-form-application1\">(3.Cont)<\/p>\n<\/div>\n<div class=\"columns_wrap\">\n   <table class=\"form-app-space\">\n    <thead>\n    <th>Nom de l\u2019enfant<\/th>\n    <th>Age<\/th>\n    <th>Habite avec vous<\/th>\n    <th>Vous visite<\/th>\n    <\/thead>\n    <tbody>\n    <tr>\n    <td class=\"table-form\"><span class=\"wpcf7-form-control-wrap\" data-name=\"tnom-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text table-box\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tnom-1\" \/><\/span><\/td>\n    <td class=\"table-form\"><span class=\"wpcf7-form-control-wrap\" data-name=\"tage-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text table-box\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tage-1\" \/><\/span><\/td>\n    <td class=\"table-form\"><span class=\"wpcf7-form-control-wrap\" data-name=\"thabite-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text table-box\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"thabite-1\" \/><\/span><\/td>\n    <td class=\"table-form\"><span class=\"wpcf7-form-control-wrap\" data-name=\"tvisite-1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text table-box\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tvisite-1\" \/><\/span><\/td>\n    <\/tr>\n    <tr>\n    <td class=\"table-form\"><span class=\"wpcf7-form-control-wrap\" data-name=\"tnom-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text table-box\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tnom-2\" \/><\/span><\/td>\n    <td class=\"table-form\"><span class=\"wpcf7-form-control-wrap\" data-name=\"tage-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text table-box\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tage-2\" \/><\/span><\/td>\n    <td class=\"table-form\"><span class=\"wpcf7-form-control-wrap\" data-name=\"thabite-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text table-box\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"thabite-2\" \/><\/span><\/td>\n    <td class=\"table-form\"><span class=\"wpcf7-form-control-wrap\" data-name=\"tvisite-2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text table-box\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tvisite-2\" \/><\/span><\/td>\n    <\/tr>\n    <tr>\n    <td class=\"table-form\"><span class=\"wpcf7-form-control-wrap\" data-name=\"tnom-3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text table-box\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tnom-3\" \/><\/span><\/td>\n    <td class=\"table-form\"><span class=\"wpcf7-form-control-wrap\" data-name=\"tage-3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text table-box\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tage-3\" \/><\/span><\/td>\n    <td class=\"table-form\"><span class=\"wpcf7-form-control-wrap\" data-name=\"thabite-3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text table-box\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"thabite-3\" \/><\/span><\/td>\n    <td class=\"table-form\"><span class=\"wpcf7-form-control-wrap\" data-name=\"tvisite-3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text table-box\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tvisite-3\" \/><\/span><\/td>\n    <\/tr>\n    <tr>\n    <td class=\"table-form\"><span class=\"wpcf7-form-control-wrap\" data-name=\"tnom-4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text table-box\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tnom-4\" \/><\/span><\/td>\n    <td class=\"table-form\"><span class=\"wpcf7-form-control-wrap\" data-name=\"tage-4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text table-box\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tage-4\" \/><\/span><\/td>\n    <td class=\"table-form\"><span class=\"wpcf7-form-control-wrap\" data-name=\"thabite-4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text table-box\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"thabite-4\" \/><\/span><\/td>\n    <td class=\"table-form\"><span class=\"wpcf7-form-control-wrap\" data-name=\"tvisite-4\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text table-box\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tvisite-4\" \/><\/span><\/td>\n    <\/tr>\n    <\/tbody>\n   <\/table>\n<\/div>\n<div class=\"columns_wrap\">\n    <h2 class=\"subtitle-form\">\n        <span class=\"decoration-title-form\">4.Autres relations<\/span>\n    <\/h2>\n    <div class=\"column-1_1\">\n        <p class=\"text-form-application\">Avez vous une relation personelle importante avec une personne de religion juive?<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"point-four-avez\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"point-four-avez\" \/><\/span>\n    <\/div>\n    <p class=\"paragraph-form-application1\">Si oui, veuillez lui faire remplir le <b>Questionnaire B<\/b> ci-joint.<\/p>\n<\/div>\n<div class=\"columns_wrap\">\n    <h2 class=\"title-form subtitle-form1\">\n        <span class=\"decoration-title-form\">Questions<\/span>\n    <\/h2>\n    <p class=\"paragraph-form-application1\">R\u00e9pondez \u00e0 chaque question le plus compl\u00e8tement possible.<\/p>\n<\/div>\n<div class=\"columns_wrap\">\n    <p class=\"text-form-application\">1.D\u00e9crivez votre pass\u00e9 religieux et le milieu familiale.<\/p>\n    <div class=\"column-1_1\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"question-area-1\"><textarea cols=\"40\" rows=\"4\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"question-area-1\"><\/textarea><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <p class=\"text-form-application\">2.Quelle a \u00e9t\u00e9 votre \u00e9ducation religieuse jusqu\u2019\u00e0 pr\u00e9sent?<\/p>\n    <div class=\"column-1_1\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"question-area-2\"><textarea cols=\"40\" rows=\"4\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"question-area-2\"><\/textarea><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <p class=\"text-form-application\">3.Depuis combien de temps avez-vous pens\u00e9 \u00e0 vous convertir au Juda\u00efsme? Comment votre int\u00e9r\u00eat a-t-il \u00e9t\u00e9 \u00e9veill\u00e9?<\/p>\n    <div class=\"column-1_1\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"question-area-3\"><textarea cols=\"40\" rows=\"4\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"question-area-3\"><\/textarea><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <p class=\"text-form-application\">4.Quelle a \u00e9t\u00e9votre experience Juive jusqu\u2019\u00e0 pr\u00e9sent?<\/p>\n    <div class=\"column-1_1\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"question-area-4\"><textarea cols=\"40\" rows=\"4\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"question-area-4\"><\/textarea><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <p class=\"text-form-application\">5.Livres  sur  des  sujets  juifs  que  vous  avez  lus  (titres,  auteurs  et \u00e9ditions) et cours suivi.<\/p>\n    <div class=\"column-1_1\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"question-area-5\"><textarea cols=\"40\" rows=\"4\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"question-area-5\"><\/textarea><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <p class=\"text-form-application\">6.Avez vous des probl\u00e8mes de sant\u00e9? Si oui, veuillez expliquer.<\/p>\n    <div class=\"column-1_1\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"question-area-6\"><textarea cols=\"40\" rows=\"4\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"question-area-6\"><\/textarea><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <p class=\"text-form-application\">7.Prenez-vous des medicaments? Si oui, lesquels?<\/p>\n    <div class=\"column-1_1\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"question-area-7\"><textarea cols=\"40\" rows=\"4\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"question-area-7\"><\/textarea><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <p class=\"text-form-application\">8.Etes vous pr\u00e9sentement trait\u00e9(e) par un m\u00e9d\u00e9cin ou un th\u00e9rapeute?Si oui, pourquoi?<\/p>\n    <div class=\"column-1_1\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"question-area-8\"><textarea cols=\"40\" rows=\"4\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"question-area-8\"><\/textarea><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <p class=\"text-form-application\">9.Y a-t-il ou y a-t-il eu des maladies s\u00e9rieuses dans votre famille. Pr\u00e9cisez s\u2019il-vou-pla\u00eet.<\/p>\n    <div class=\"column-1_1\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"question-area-9\"><textarea cols=\"40\" rows=\"4\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"question-area-9\"><\/textarea><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <p class=\"text-form-application\">10.Etes vous parrain\u00e9(e) par un rabbin orthodox? Si oui, veuillez indiquer son nom, addresse et t\u00e9l\u00e9phone.<\/p>\n    <div class=\"column-1_1\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"question-area-10\"><textarea cols=\"40\" rows=\"4\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"question-area-10\"><\/textarea><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <p class=\"text-form-application\">11.Veuillez indiquer les noms, addresses et telephones de deux r\u00e9pondants:<\/p>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application section-quest-11\">1.Nom<span class=\"wpcf7-form-control-wrap\" data-name=\"nom-question-11\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom-question-11\" \/><\/span><\/p>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application section-quest-11-1\">Telephone<span class=\"wpcf7-form-control-wrap tel-question-11\"><input type=\"text\" value=\"\" name=\"tel-question-11\" class=\"wpcf7-form-control wpcf7-mask wpcf7mf-mask mask-margin\" size=\"40\" aria-required=\"\" aria-invalid=\"\" placeholder=\"___-___-____\" data-mask=\"___-___-____\" \/><\/span><\/p>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application section-quest-11\">Addresse<span class=\"wpcf7-form-control-wrap\" data-name=\"addresse-question-11\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"addresse-question-11\" \/><\/span><\/p>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application section-quest-11-1\">Relation<span class=\"wpcf7-form-control-wrap\" data-name=\"relation-question-11\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"relation-question-11\" \/><\/span><\/p>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application section-quest-11\">2.Nom<span class=\"wpcf7-form-control-wrap\" data-name=\"nom2-question-11\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom2-question-11\" \/><\/span><\/p>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application section-quest-11-1\">Telephone<span class=\"wpcf7-form-control-wrap tel2-question-11\"><input type=\"text\" value=\"\" name=\"tel2-question-11\" class=\"wpcf7-form-control wpcf7-mask wpcf7mf-mask mask-margin\" size=\"40\" aria-required=\"\" aria-invalid=\"\" placeholder=\"___-___-____\" data-mask=\"___-___-____\" \/><\/span><\/p>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application section-quest-11\">Addresse<span class=\"wpcf7-form-control-wrap\" data-name=\"addresse2-question-11\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"addresse2-question-11\" \/><\/span><\/p>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application section-quest-11-1\">Relation<span class=\"wpcf7-form-control-wrap\" data-name=\"relation2-question-11\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"relation2-question-11\" \/><\/span><\/p>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <p class=\"text-form-application text-bold\">J\u2019ai lu et compl\u00e9t\u00e9 cette demande de conversion de mon mieux.Des frais non remboursables de $300.00 comptant sons exiges avec cette application avant qu\u2019un rendez vous soit fixe avec la commission Rabbinique de Conversion.<\/p>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Signature du (de la) candidat(e)<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"app-signa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"app-signa\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Date \u00e0 laquelle le formulaire est rempli<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"date-form-rempli\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date-form-rempli\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <hr\/>\n    <h2 class=\"title-form subtitle-form1\">\n        <span class=\"decoration-title-form\">Questionnaire B<\/span>\n    <\/h2>\n    <p class=\"paragraph-form-application\">(Pour le partenaire Juif)<\/p>\n<\/div>\n<div class=\"columns_wrap\">\n    <h1 class=\"title-form\">\n        <span class=\"decoration-title-form\">Identification<\/span>\n    <\/h1>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Nom de famille<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"famille-nomB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"famille-nomB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Pr\u00e9nom<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"prenomB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"prenomB\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2 custom-column1\">\n        <p class=\"text-form-application\">Lieu de naissance<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"lieu-naissanceB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"lieu-naissanceB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2 custom-column1\">\n        <p class=\"text-form-application\">Date de naissance<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"date-naissanceB\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date date-box\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-naissanceB\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_3 custom-column1\">\n        <p class=\"text-form-application\">Addresse<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"addresseB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"addresseB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_4 custom-column2\">\n        <p class=\"text-form-application\">Apt.<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"aptB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"aptB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_4 custom-column2\">\n        <p class=\"text-form-application\">Ville<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"villeB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"villeB\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_3 custom-column3\">\n        <p class=\"text-form-application\">Code postal<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"post-codeB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"post-codeB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Courriel<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"courielB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email\" aria-invalid=\"false\" placeholder=\"example@gmail.com\" value=\"\" type=\"email\" name=\"courielB\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">T\u00e9l\u00e9phone<\/p>\n        <span class=\"wpcf7-form-control-wrap telephoneB\"><input type=\"text\" value=\"\" name=\"telephoneB\" class=\"wpcf7-form-control wpcf7-mask wpcf7mf-mask mask-margin\" size=\"40\" aria-required=\"\" aria-invalid=\"\" placeholder=\"___-___-____\" data-mask=\"___-___-____\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Cell<\/p>\n        <span class=\"wpcf7-form-control-wrap cellphoneB\"><input type=\"text\" value=\"\" name=\"cellphoneB\" class=\"wpcf7-form-control wpcf7-mask wpcf7mf-mask mask-margin\" size=\"40\" aria-required=\"\" aria-invalid=\"\" placeholder=\"___-___-____\" data-mask=\"___-___-____\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <h1 class=\"title-form\">\n        <span class=\"decoration-title-form\">Emploi<\/span>\n    <\/h1>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Place d\u2019emploi<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"place-emploiB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"place-emploiB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Position<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"positionB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"positionB\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Nombres d\u2019ann\u00e9es<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"nombres-anneesB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nombres-anneesB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Nom de l\u2019employeur<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"nom-employeurB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom-employeurB\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Telephone de l\u2019employeur<\/p>\n        <span class=\"wpcf7-form-control-wrap telephone-employeurB\"><input type=\"text\" value=\"\" name=\"telephone-employeurB\" class=\"wpcf7-form-control wpcf7-mask wpcf7mf-mask mask-margin\" size=\"40\" aria-required=\"\" aria-invalid=\"\" placeholder=\"___-___-____\" data-mask=\"___-___-____\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <h1 class=\"title-form\">\n        <span class=\"decoration-title-form\">Information Personnelle<\/span>\n    <\/h1>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">\u00c9tat Civil<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"etat-civilB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"etat-civilB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Avez vous des enfants?<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"avez-vous-enfantsB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"avez-vous-enfantsB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Si oui, quelle sont leurs \u00e2ges?<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"quelle-leurs-agesB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"quelle-leurs-agesB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Juif de naissance?<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"juif-naissanceB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"juif-naissanceB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Si non, converti par Rabbin<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"converti-rabbinB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"converti-rabbinB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Adopt\u00e9?<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"adopteB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"adopteB\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <h2 class=\"subtitle-form\">\n        <span class=\"decoration-title-form\">P\u00e8re<\/span>\n    <\/h2>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">P\u00e8re est-il Cohen, Levi ou Isra\u00ebl?<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"pere-cohen-israelB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pere-cohen-israelB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">P\u00e8re est-il vivant?<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"pere-vivantB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pere-vivantB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Proffesion<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"pere-proffesionB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pere-proffesionB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">\u00c8tat civile<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"etat-civileB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"etat-civileB\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <h2 class=\"subtitle-form\">\n        <span class=\"decoration-title-form\">M\u00e8re<\/span>\n    <\/h2>\n    <div class=\"column-1_1\">\n        <p class=\"text-form-application\">Nom et pr\u00e9nom(s) de la m\u00e8re<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"nom-prenom-mereB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom-prenom-mereB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">M\u00e8re n\u00e9e d\u2019une m\u00e8re Juive?<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"mere-juiveB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mere-juiveB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Si non, converti par Rabbin<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"mere-converti-rabbinB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mere-converti-rabbinB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">M\u00e8re a-t-elle \u00e9tait adopt\u00e9e?<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"mere-etait-adopteedB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mere-etait-adopteedB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Nom \u00e0 la naissance<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"mere-nom-naissanceB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mere-nom-naissanceB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Nom H\u00e9breu<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"mere-nom-hebreuB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mere-nom-hebreuB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">M\u00e8re est-elle vivante?<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"mere-estelle-vivanteB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mere-estelle-vivanteB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Etat civile<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"mere-etat-civileB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mere-etat-civileB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Proffession<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"mere-proffesionB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mere-proffesionB\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <h2 class=\"title-form subtitle-form1\">\n        <span class=\"decoration-title-form\">Questions<\/span>\n    <\/h2>\n<\/div>\n<div class=\"columns_wrap\">\n    <p class=\"text-form-application\">1.D\u00e9crivez votre \u00e9ducation Juive formelle et informelle jusqu\u2019aujourdh\u2019ui?<\/p>\n    <div class=\"column-1_1\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"question-area-1B\"><textarea cols=\"40\" rows=\"4\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"question-area-1B\"><\/textarea><\/span>\n    <\/div>\n    <p class=\"text-form-application\">2.Combien de temps connaissez vous votre partenaire?<\/p>\n    <div class=\"column-1_1\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"question-area-2B\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"question-area-2B\" \/><\/span>\n    <\/div>\n    <p class=\"text-form-application\">3.Etes vos parents au courant de cette relation?<\/p>\n    <div class=\"column-1_1\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"question-area-3B\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"question-area-3B\" \/><\/span>\n    <\/div>\n    <p class=\"text-form-application\">4.Etes vous pr\u00e8s a assister \u00e0 des cours et de participer compl\u00e8tement dans ce processus?<\/p>\n    <div class=\"column-1_1\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"question-area-4B\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"question-area-4B\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap\">\n    <div class=\"column-1_2\">\n        <p class=\"text-form-application\">Signature du (de la) partenaire<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"signature-partenaireB\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date date-box\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"signature-partenaireB\" \/><\/span>\n    <\/div>\n    <div class=\"column-1_2 form-app-space2\">\n        <p class=\"text-form-application\">Date<\/p>\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"lastone-DateB\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"lastone-DateB\" \/><\/span>\n    <\/div>\n<\/div>\n<div class=\"columns_wrap sc_align_left\">\n    <div class=\"column-1_1\">\n        <input class=\"wpcf7-form-control wpcf7-submit has-spinner btn-contact-form\" type=\"submit\" value=\"Submit\" \/>\n    <\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5911209 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5911209\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-extended\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3f30dc3 sc_layouts_column_icons_position_left\" data-id=\"3f30dc3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1989e81 elementor-widget elementor-widget-spacer\" data-id=\"1989e81\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Application de Conversion<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3084","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/jewishconversion.ca\/fr\/wp-json\/wp\/v2\/pages\/3084","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jewishconversion.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/jewishconversion.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/jewishconversion.ca\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jewishconversion.ca\/fr\/wp-json\/wp\/v2\/comments?post=3084"}],"version-history":[{"count":5,"href":"https:\/\/jewishconversion.ca\/fr\/wp-json\/wp\/v2\/pages\/3084\/revisions"}],"predecessor-version":[{"id":3094,"href":"https:\/\/jewishconversion.ca\/fr\/wp-json\/wp\/v2\/pages\/3084\/revisions\/3094"}],"wp:attachment":[{"href":"https:\/\/jewishconversion.ca\/fr\/wp-json\/wp\/v2\/media?parent=3084"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}