{"id":419,"date":"2017-11-29T13:58:13","date_gmt":"2017-11-29T15:58:13","guid":{"rendered":"https:\/\/saude.ufpr.br\/medtrab\/?page_id=419"},"modified":"2023-02-01T08:59:04","modified_gmt":"2023-02-01T11:59:04","slug":"fichadeincricao","status":"publish","type":"page","link":"https:\/\/saude.ufpr.br\/medtrab\/fichadeincricao\/","title":{"rendered":"Ficha de inscri\u00e7\u00e3o &#8211; Medicina do Trabalho"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f421-o1\" lang=\"pt-BR\" dir=\"ltr\" data-wpcf7-id=\"421\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/medtrab\/wp-json\/wp\/v2\/pages\/419#wpcf7-f421-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formul\u00e1rios de contato\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"421\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.7\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"pt_BR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f421-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><b>FICHA DE INSCRI\u00c7\u00c3O - DADOS PESSOAIS<\/b><br \/>\n<label> Nome Completo (obrigat\u00f3rio)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nome\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nome\" \/><\/span> <\/label><br \/>\n<label> Institui\u00e7\u00e3o de Gradua\u00e7\u00e3o<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"graduacao\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"graduacao\" \/><\/span> <\/label><br \/>\n<label> Ano de formatura:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"anoformatura\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"anoformatura\" \/><\/span> <\/label><br \/>\n<label> N\u00ba CRM<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"crm\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"crm\" \/><\/span> <\/label><br \/>\n<label> Estado<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"estado\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"estado\" \/><\/span> <\/label><br \/>\n<label> RG<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"rg\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"rg\" \/><\/span> <\/label><br \/>\n<label> \u00d3rg\u00e3o Expedidor<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"orgaoexpedidor\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"orgaoexpedidor\" \/><\/span> <\/label><br \/>\n<label> CPF<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cpf\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cpf\" \/><\/span> <\/label><br \/>\n<label> Data de nascimento<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-944\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-944\" \/><\/span> <\/label><br \/>\n<label> Naturalidade<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"naturalidade\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"naturalidade\" \/><\/span> <\/label><br \/>\n<label> Seu e-mail (obrigat\u00f3rio)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><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\" value=\"\" type=\"email\" name=\"email\" \/><\/span> <\/label><br \/>\n<label> Endere\u00e7o Residencial (rua, n\u00famero, complemento, bairro, cidade, estado, CEP)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"enderecoresidencial\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"enderecoresidencial\"><\/textarea><\/span> <\/label><br \/>\n<label> Endere\u00e7o Comercial (rua, n\u00famero, complemento, bairro, cidade, estado, CEP)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"enderecocomercial\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"enderecocomercial\"><\/textarea><\/span> <\/label><br \/>\n<label> Telefone residencial:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-878\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-878\" \/><\/span> <\/label><br \/>\n<label> Telefone celular:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-879\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-879\" \/><\/span> <\/label><br \/>\n<label> Telefone comercial:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-880\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tel-880\" \/><\/span> <\/label>\n<\/p>\n<p><b>ATIVIDADES PROFISSIONAIS<\/b>\n<\/p>\n<p><b>1) Institui\u00e7\u00e3o\/empresa <span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-676\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"checkbox-676[]\" value=\"atual\" \/><span class=\"wpcf7-list-item-label\">atual<\/span><\/span><\/span><\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-677\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"checkbox-677[]\" value=\"anterior\" \/><span class=\"wpcf7-list-item-label\">anterior<\/span><\/span><\/span><\/span><\/b><br \/>\n<label> Nome<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"empresa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"empresa\" \/><\/span> <\/label><br \/>\n<label> Local<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"local\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"local\" \/><\/span> <\/label><br \/>\n<label> Data de inicio<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-945\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-945\" \/><\/span> <\/label><br \/>\n<label> Data de t\u00e9rmino<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-946\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-946\" \/><\/span> <\/label><br \/>\n<label> Hor\u00e1rio<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"horario\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"horario\" \/><\/span> <\/label><br \/>\nAtividade relacionada com Medicina do Trabalho: <span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-678\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"checkbox-678[]\" value=\"sim\" \/><span class=\"wpcf7-list-item-label\">sim<\/span><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-679\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"checkbox-679[]\" value=\"n\u00e3o\" \/><span class=\"wpcf7-list-item-label\">n\u00e3o<\/span><\/span><\/span><\/span><br \/>\n<i>Descrever as atividades<\/i><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"atividades\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"atividades\"><\/textarea><\/span>\n<\/p>\n<p><b>2) Institui\u00e7\u00e3o\/empresa <span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-680\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"checkbox-680[]\" value=\"atual\" \/><span class=\"wpcf7-list-item-label\">atual<\/span><\/span><\/span><\/span> <span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-681\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"checkbox-681[]\" value=\"anterior\" \/><span class=\"wpcf7-list-item-label\">anterior<\/span><\/span><\/span><\/span><\/b><br \/>\n<label> Nome<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"empresa1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"empresa1\" \/><\/span> <\/label><br \/>\n<label> Local<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"local1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"local1\" \/><\/span> <\/label><br \/>\n<label> Data de inicio<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-947\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-947\" \/><\/span> <\/label><br \/>\n<label> Data de t\u00e9rmino<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-948\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-948\" \/><\/span> <\/label><br \/>\n<label> Hor\u00e1rio<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"horario1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"horario1\" \/><\/span> <\/label><br \/>\nAtividade relacionada com Medicina do Trabalho: <span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-682\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"checkbox-682[]\" value=\"sim\" \/><span class=\"wpcf7-list-item-label\">sim<\/span><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-683\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"checkbox-683[]\" value=\"n\u00e3o\" \/><span class=\"wpcf7-list-item-label\">n\u00e3o<\/span><\/span><\/span><\/span><br \/>\n<i>Descrever as atividades<\/i><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"atividades1\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"atividades1\"><\/textarea><\/span>\n<\/p>\n<p><i>Quais experi\u00eancias j\u00e1 teve na \u00e1rea de Medicina do Trabalho<\/i><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"experiencia\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"experiencia\"><\/textarea><\/span>\n<\/p>\n<p><i>Outras atividades desenvolvidas na \u00e1rea m\u00e9dica<\/i><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"outras\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"outras\"><\/textarea><\/span>\n<\/p>\n<p><i>Especifique outros cursos de p\u00f3s-gradua\u00e7\u00e3o e ano realizados<\/i><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"outroscursos\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"outroscursos\"><\/textarea><\/span>\n<\/p>\n<p><i>Qual seu objetivo\/interesse em fazer o curso?<\/i><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"objetivo\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"objetivo\"><\/textarea><\/span>\n<\/p>\n<p>Anexar Curr\u00edculo Resumido (sem comprovantes)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"file-362\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"file-362\" \/><\/span>\n<\/p>\n<p>BOLSAS<br \/>\n<b>O curso destinar\u00e1 a alunos bolsistas integrais no m\u00ednimo 10% das vagas destinadas a alunos pagantes, preferencialmente para funcion\u00e1rios de \u00d3rg\u00e3os P\u00fablicos (Federal, Estadual, Municipal). Conforme Art. 17 da Resolu\u00e7\u00e3o N\u00ba 89\/2020 CEPE. Para solicita\u00e7\u00e3o de bolsa, o aluno dever\u00e1 anexar na inscri\u00e7\u00e3o um oficio institucional, solicitando a bolsa com justificativa.<\/b>\n<\/p>\n<p>Se houver interesse anexar of\u00edcio institucional<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"file-791\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".pdf\" aria-invalid=\"false\" type=\"file\" name=\"file-791\" \/><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"declaro-155\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"declaro-155[]\" value=\"Declaro estar ciente do contido no Edital n\u00ba 1\" \/><span class=\"wpcf7-list-item-label\">Declaro estar ciente do contido no Edital n\u00ba 1<\/span><\/span><\/span><\/span><br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Enviar\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":15,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-419","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/saude.ufpr.br\/medtrab\/wp-json\/wp\/v2\/pages\/419","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/saude.ufpr.br\/medtrab\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/saude.ufpr.br\/medtrab\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/saude.ufpr.br\/medtrab\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/saude.ufpr.br\/medtrab\/wp-json\/wp\/v2\/comments?post=419"}],"version-history":[{"count":3,"href":"https:\/\/saude.ufpr.br\/medtrab\/wp-json\/wp\/v2\/pages\/419\/revisions"}],"predecessor-version":[{"id":424,"href":"https:\/\/saude.ufpr.br\/medtrab\/wp-json\/wp\/v2\/pages\/419\/revisions\/424"}],"wp:attachment":[{"href":"https:\/\/saude.ufpr.br\/medtrab\/wp-json\/wp\/v2\/media?parent=419"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}