{"id":18283,"date":"2026-06-30T17:29:53","date_gmt":"2026-06-30T15:29:53","guid":{"rendered":"https:\/\/strasbourg.eleusal.com\/?page_id=18283"},"modified":"2026-06-30T17:29:53","modified_gmt":"2026-06-30T15:29:53","slug":"bulletin-dinscription","status":"publish","type":"page","link":"https:\/\/strasbourg.eleusal.com\/fr\/bulletin-dinscription\/","title":{"rendered":"Bulletin d&rsquo;inscription"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f18269-o1\" lang=\"es-ES\" dir=\"ltr\" data-wpcf7-id=\"18269\">\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\/18283#wpcf7-f18269-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulario de contacto\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"18269\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"es_ES\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f18269-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<div class=\"form-inscription-qualiopi\">\n\n <!-- En-t\u00eate -->\n\t<div class=\"form-header\" style=\"background: #f9f9f9;padding: 20px;border-radius: 8px;margin-bottom: 30px;border-left: 5px solid #8B0000\">\n\t\t<h3 style=\"margin-top: 0;color: #8B0000\">BULLETIN D'INSCRIPTION 2026\n\t\t<\/h3>\n\t\t<p style=\"margin-bottom: 0\"><strong>Association Local Institut de langue espagnole ELE USAL Strasbourg<\/strong>\n\t\t<\/p>\n\t\t<p>Organisme de formation certifi\u00e9 Qualiopi n\u00b0 2022\/98948.2 | Formations \u00e9ligibles au CPF\n\t\t<\/p>\n\t\t<p><small>9 rue Saint-Alo\u00efse \u2013 67100 Strasbourg | info@strasbourg-eleusal.com | SIRET : 812 275 733 00036<\/small>\n\t\t<\/p>\n\t<\/div>\n\n <!-- Section 1 : Informations d'identification de l'\u00e9l\u00e8ve -->\n\t<h4 style=\"border-bottom: 1px solid #ddd;padding-bottom: 10px;margin-bottom: 20px\">1. INFORMATIONS DE L'\u00c9L\u00c8VE \/ \u00c9TUDIANT\n\t<\/h4>\n\t<div style=\"flex-wrap: wrap;gap: 20px\">\n\t\t<div style=\"flex: 1;min-width: 100px\">\n\t\t\t<p><span style=\"font-weight:bold;margin-bottom:5px\">Civilit\u00e9 *<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"civilite\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"civilite\" value=\"Mme.\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Mme.<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"civilite\" value=\"M.\" \/><span class=\"wpcf7-list-item-label\">M.<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"flex: 2;min-width: 200px\">\n\t\t\t<p><label> Nom de l'\u00e9l\u00e8ve inscrit *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ex: DUPONT\" value=\"\" type=\"text\" name=\"nom\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"flex: 2;min-width: 200px\">\n\t\t\t<p><label> Pr\u00e9nom de l'\u00e9l\u00e8ve inscrit *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prenom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ex: JEAN\" value=\"\" type=\"text\" name=\"prenom\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div style=\"flex-wrap: wrap;gap: 20px;margin-top: 15px\">\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Date de naissance *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-naissance\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-naissance\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Lieu de naissance *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lieu-naissance\"><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=\"lieu-naissance\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Nationalit\u00e9 *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nationalite\"><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=\"nationalite\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\n <!-- NOUVEAU BLOC : MINEURS -->\n\t<div style=\"background: #e8f4f8;border-left: 5px solid #17a2b8;padding: 15px;border-radius: 5px;margin-top: 20px\">\n\t\t<h5 style=\"margin-top: 0;color: #0056b3\">\ud83d\udc66\ud83d\udc67 Si l'\u00e9l\u00e8ve est mineur (Enfants \/ Ados)\n\t\t<\/h5>\n\t\t<p style=\"font-size: 0.9em;margin-bottom: 15px\">Veuillez remplir les coordonn\u00e9es du repr\u00e9sentant l\u00e9gal ci-dessous. <em>(Les adultes peuvent ignorer cette section)<\/em>.\n\t\t<\/p>\n\t\t<div style=\"flex-wrap: wrap;gap: 20px\">\n\t\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t\t<p><label> Nom du parent ou tuteur<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nom-parent\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Nom du repr\u00e9sentant l\u00e9gal\" value=\"\" type=\"text\" name=\"nom-parent\" \/><\/span> <\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t\t<p><label> Pr\u00e9nom du parent ou tuteur<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prenom-parent\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Pr\u00e9nom du repr\u00e9sentant l\u00e9gal\" value=\"\" type=\"text\" name=\"prenom-parent\" \/><\/span> <\/label>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div style=\"margin-top: 10px\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"autorisation-parentale\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"autorisation-parentale[]\" value=\"En tant que parent ou repr\u00e9sentant l\u00e9gal, j&#039;autorise l&#039;inscription de ce mineur et assume la responsabilit\u00e9 associ\u00e9e.\" \/><span class=\"wpcf7-list-item-label\">En tant que parent ou repr\u00e9sentant l\u00e9gal, j&#039;autorise l&#039;inscription de ce mineur et assume la responsabilit\u00e9 associ\u00e9e.<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div style=\"margin-top: 20px\">\n\t\t<p><label> Adresse compl\u00e8te (de l'\u00e9l\u00e8ve ou du responsable) *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adresse\"><textarea cols=\"40\" rows=\"2\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Num\u00e9ro, rue, code postal, ville\" name=\"adresse\"><\/textarea><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"flex-wrap: wrap;gap: 20px;margin-top: 15px\">\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Num\u00e9ro de t\u00e9l\u00e9phone (Contact principal) *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telephone\"><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=\"telephone\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Adresse \u00e9lectronique *<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>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div style=\"flex-wrap: wrap;gap: 20px;margin-top: 15px\">\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Profession (ou \"\u00c9colier\", \"Lyc\u00e9en\"...)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"profession\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"profession\" \/><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Situation administrative *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"situation-administrative\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"situation-administrative\"><option value=\"S\u00e9lectionnez...\">S\u00e9lectionnez...<\/option><option value=\"\u00c9tudiant \/ Scolaire\">\u00c9tudiant \/ Scolaire<\/option><option value=\"Salari\u00e9\">Salari\u00e9<\/option><option value=\"Demandeur d&#039;emploi\">Demandeur d&#039;emploi<\/option><option value=\"Autre\">Autre<\/option><\/select><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\n <!-- Section 2 : Donn\u00e9es p\u00e9dagogiques -->\n\t<h4 style=\"border-bottom: 1px solid #ddd;padding-bottom: 10px;margin-top: 40px;margin-bottom: 20px\">2. DONN\u00c9ES P\u00c9DAGOGIQUES ET BESOINS\n\t<\/h4>\n\t<div style=\"flex-wrap: wrap;gap: 20px\">\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Niveau d'espagnol actuel *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"niveau-actuel\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"niveau-actuel\"><option value=\"S\u00e9lectionnez...\">S\u00e9lectionnez...<\/option><option value=\"D\u00e9butant\">D\u00e9butant<\/option><option value=\"Faux-d\u00e9butant\">Faux-d\u00e9butant<\/option><option value=\"Interm\u00e9diaire\">Interm\u00e9diaire<\/option><option value=\"Avanc\u00e9\">Avanc\u00e9<\/option><\/select><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><span style=\"font-weight:bold;margin-bottom:5px\">Avez-vous d\u00e9j\u00e0 \u00e9tudi\u00e9 \u00e0 ELE USAL ? *<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"etudie-avant\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"etudie-avant\" value=\"Oui\" \/><span class=\"wpcf7-list-item-label\">Oui<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"etudie-avant\" value=\"Non\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Non<\/span><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div style=\"margin-top: 15px\">\n\t\t<p><span style=\"font-weight:bold;margin-bottom:5px\">Objectifs de la formation (plusieurs choix possibles) *<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"objectifs\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"objectifs[]\" value=\"\u00c9tudes scolaires \/ Soutien\" \/><span class=\"wpcf7-list-item-label\">\u00c9tudes scolaires \/ Soutien<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"objectifs[]\" value=\"Objectif professionnel\" \/><span class=\"wpcf7-list-item-label\">Objectif professionnel<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"objectifs[]\" value=\"Pr\u00e9parer un examen officiel (DELE\/SIELE)\" \/><span class=\"wpcf7-list-item-label\">Pr\u00e9parer un examen officiel (DELE\/SIELE)<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"objectifs[]\" value=\"Projet personnel \/ Voyage\" \/><span class=\"wpcf7-list-item-label\">Projet personnel \/ Voyage<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"margin-top: 15px;background: #eef2f5;padding: 15px;border-radius: 5px\">\n\t\t<p><label> <strong>Exigence Qualiopi :<\/strong> Quel est votre objectif final pr\u00e9cis et le r\u00e9sultat attendu \u00e0 l'issue de cette formation ? *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"resultat-attendu\"><textarea cols=\"40\" rows=\"3\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Ex: Am\u00e9liorer ses notes scolaires, obtenir un poste bilingue, valider un dipl\u00f4me B2...\" name=\"resultat-attendu\"><\/textarea><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"margin-top: 15px\">\n\t\t<p><label> Accessibilit\u00e9 : Souhaitez-vous signaler un besoin particulier d\u2019accessibilit\u00e9 ou de prise en charge du handicap ?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"handicap\"><textarea cols=\"40\" rows=\"2\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Laissez vide si non applicable. Si oui, pr\u00e9cisez la nature du besoin.\" name=\"handicap\"><\/textarea><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\n <!-- Section 3 : Modalit\u00e9s de formation -->\n\t<h4 style=\"border-bottom: 1px solid #ddd;padding-bottom: 10px;margin-top: 40px;margin-bottom: 20px\">3. COURS, PRIX ET MODALIT\u00c9S FINANCI\u00c8RES\n\t<\/h4>\n\t<div style=\"margin-bottom: 15px\">\n\t\t<p><span style=\"font-weight:bold;margin-bottom:5px\">Formule choisie *<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"formule-choisie\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"formule-choisie\" value=\"Individuel\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Individuel<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"formule-choisie\" value=\"Groupe\" \/><span class=\"wpcf7-list-item-label\">Groupe<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"formule-choisie\" value=\"Hybride\" \/><span class=\"wpcf7-list-item-label\">Hybride<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"formule-choisie\" value=\"\u00c0 distance\" \/><span class=\"wpcf7-list-item-label\">\u00c0 distance<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"margin-bottom: 15px\">\n\t\t<p><span style=\"font-weight:bold;margin-bottom:5px\">S\u00e9lectionnez le(s) cours qui vous int\u00e9resse(nt) *<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"selection-cours\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"selection-cours[]\" value=\"Cours en groupe \/ 30h (Nouvelle inscript: 500\u20ac \/ Ancien: 400\u20ac)\" \/><span class=\"wpcf7-list-item-label\">Cours en groupe \/ 30h (Nouvelle inscript: 500\u20ac \/ Ancien: 400\u20ac)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"selection-cours[]\" value=\"Cours en groupe CPF \/ 30h (Nouvelle inscript: 1.200\u20ac \/ Ancien: 900\u20ac)\" \/><span class=\"wpcf7-list-item-label\">Cours en groupe CPF \/ 30h (Nouvelle inscript: 1.200\u20ac \/ Ancien: 900\u20ac)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"selection-cours[]\" value=\"Cours mixte \/ 30h groupe + 10h individuels (2.100\u20ac)\" \/><span class=\"wpcf7-list-item-label\">Cours mixte \/ 30h groupe + 10h individuels (2.100\u20ac)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"selection-cours[]\" value=\"Cours coll\u00e8ge\/lyc\u00e9e (Individuel: 350\u20ac \/ Groupe: 250\u20ac)\" \/><span class=\"wpcf7-list-item-label\">Cours coll\u00e8ge\/lyc\u00e9e (Individuel: 350\u20ac \/ Groupe: 250\u20ac)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"selection-cours[]\" value=\"Cours enfants \/ 10 s\u00e9ances (Nouvelle inscript: 300\u20ac \/ Ancien: 250\u20ac)\" \/><span class=\"wpcf7-list-item-label\">Cours enfants \/ 10 s\u00e9ances (Nouvelle inscript: 300\u20ac \/ Ancien: 250\u20ac)<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"selection-cours[]\" value=\"Pr\u00e9paration DELE\" \/><span class=\"wpcf7-list-item-label\">Pr\u00e9paration DELE<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"selection-cours[]\" value=\"Autre (\u00e0 pr\u00e9ciser ci-dessous)\" \/><span class=\"wpcf7-list-item-label\">Autre (\u00e0 pr\u00e9ciser ci-dessous)<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\n <!-- Nuevo campo de texto para detallar el curso -->\n\t<div style=\"margin-bottom: 15px;background: #fcfcfc;padding: 10px;border-left: 3px solid #ccc\">\n\t\t<p><label> Si \"Autre\", veuillez pr\u00e9ciser le cours souhait\u00e9 :<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"autre-cours\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Pr\u00e9cisez ici le nom ou type de cours\" value=\"\" type=\"text\" name=\"autre-cours\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"flex-wrap: wrap;gap: 20px;margin-top: 15px\">\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Niveau du cours souhait\u00e9 *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"niveau-souhaite\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"niveau-souhaite\"><option value=\"S\u00e9lectionnez...\">S\u00e9lectionnez...<\/option><option value=\"A1-1\">A1-1<\/option><option value=\"A1-2\">A1-2<\/option><option value=\"A2-1\">A2-1<\/option><option value=\"A2-2\">A2-2<\/option><option value=\"B1-1\">B1-1<\/option><option value=\"B1-2\">B1-2<\/option><option value=\"B2-1\">B2-1<\/option><option value=\"B2-2\">B2-2<\/option><option value=\"B2-3\">B2-3<\/option><option value=\"C1\">C1<\/option><option value=\"C2\">C2<\/option><\/select><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"flex: 1;min-width: 200px\">\n\t\t\t<p><label> Mode de paiement choisi *<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mode-paiement\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"mode-paiement\"><option value=\"S\u00e9lectionnez...\">S\u00e9lectionnez...<\/option><option value=\"Virement\">Virement<\/option><option value=\"Ch\u00e8que\">Ch\u00e8que<\/option><option value=\"Esp\u00e8ces\">Esp\u00e8ces<\/option><option value=\"Financement CPF\">Financement CPF<\/option><\/select><\/span> <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\n <!-- Section CPF Sp\u00e9cifique -->\n\t<div style=\"margin-top: 20px;background: #fff3cd;border: 1px solid #ffeeba;padding: 15px;border-radius: 5px\">\n\t\t<h5 style=\"margin-top: 0;color: #856404\">\u26a0\ufe0f Si formation CPF, veuillez noter et accepter :\n\t\t<\/h5>\n\t\t<p style=\"font-size: 0.9em;margin-bottom: 10px\">Participation forfaitaire obligatoire \u00e0 la charge du titulaire de <strong>150 \u20ac<\/strong> (tarif en vigueur 2026) \u2013 sauf cas d'exon\u00e9ration pr\u00e9vus par la loi. Assiduit\u00e9 et \u00e9margement obligatoires \u00e0 chaque s\u00e9ance.\n\t\t<\/p>\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"accord-cpf\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"accord-cpf[]\" value=\"Je m&#039;engage \u00e0 passer l&#039;examen officiel de certification (DELE) \u00e0 l&#039;issue de la formation, condition obligatoire pour le financement CPF. Je suis conscient(e) qu&#039;en cas de non-pr\u00e9sentation, je risque la perte de mes droits de financement.\" \/><span class=\"wpcf7-list-item-label\">Je m&#039;engage \u00e0 passer l&#039;examen officiel de certification (DELE) \u00e0 l&#039;issue de la formation, condition obligatoire pour le financement CPF. Je suis conscient(e) qu&#039;en cas de non-pr\u00e9sentation, je risque la perte de mes droits de financement.<\/span><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\n <!-- Section 4 : Consentements avec Liens (Acceptation obligatoire) -->\n\t<h4 style=\"border-bottom: 1px solid #ddd;padding-bottom: 10px;margin-top: 40px;margin-bottom: 20px\">4. CONSENTEMENTS ET ENGAGEMENTS\n\t<\/h4>\n\t<div style=\"margin-bottom: 15px\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"info-qualiopi\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"info-qualiopi\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">J'atteste avoir \u00e9t\u00e9 inform\u00e9(e) des d\u00e9lais d'acc\u00e8s \u00e0 la formation, des m\u00e9thodes d'\u00e9valuation et des modalit\u00e9s p\u00e9dagogiques (Transparence Qualiopi).<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"margin-bottom: 15px\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"cgv\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"cgv\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">J'ai pris connaissance et j'accepte les <a href=\"https:\/\/strasbourg.eleusal.com\/fr\/termes-conditions\/\" target=\"_blank\" style=\"color:#8B0000;text-decoration:underline\">Conditions G\u00e9n\u00e9rales de Vente<\/a> et le <a href=\"https:\/\/strasbourg.eleusal.com\/fr\/reglement-interieur\/\" target=\"_blank\" style=\"color:#8B0000;text-decoration:underline\">R\u00e8glement Int\u00e9rieur<\/a> de l'\u00e9cole.<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"margin-bottom: 15px\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"adhesion-asso\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"adhesion-asso\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">J'accepte de devenir membre de l'association ELE USAL Strasbourg (adh\u00e9sion obligatoire pour l'assurance, cotisation incluse dans le prix).<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"margin-bottom: 15px\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"rgpd\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"rgpd\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Je consens au traitement de mes donn\u00e9es personnelles par ELE USAL Strasbourg conform\u00e9ment \u00e0 la <a href=\"https:\/\/strasbourg.eleusal.com\/fr\/confidentialite\/\" target=\"_blank\" style=\"color:#8B0000;text-decoration:underline\">Politique de confidentialit\u00e9 (RGPD)<\/a>.<\/span><\/label><\/span><\/span><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div style=\"margin-bottom: 20px\">\n\t\t<p><span style=\"font-weight:bold;margin-bottom:5px\">Droit \u00e0 l'image *<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"droit-image\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"droit-image\" 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INFORMATIONS DE L'\u00c9L\u00c8VE \/ \u00c9TUDIANT...","protected":false},"author":19,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-18283","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Bulletin d&#039;inscription - ELE USAL Strasbourg<\/title>\n<meta name=\"robots\" content=\"noindex, nofollow\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bulletin d&#039;inscription - ELE USAL Strasbourg\" \/>\n<meta property=\"og:url\" content=\"https:\/\/strasbourg.eleusal.com\/fr\/bulletin-dinscription\/\" \/>\n<meta property=\"og:site_name\" content=\"ELE USAL Strasbourg\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/StrasbourgELEUSAL\/\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@StrasbourgEle\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/strasbourg.eleusal.com\/fr\/bulletin-dinscription\/\",\"url\":\"https:\/\/strasbourg.eleusal.com\/fr\/bulletin-dinscription\/\",\"name\":\"Bulletin d'inscription - 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