{"id":3137,"date":"2023-11-20T15:50:03","date_gmt":"2023-11-20T18:50:03","guid":{"rendered":"https:\/\/www.adnb-nbad.com\/?page_id=3137"},"modified":"2025-05-07T09:48:05","modified_gmt":"2025-05-07T12:48:05","slug":"dietetic-intern-applicant","status":"publish","type":"page","link":"https:\/\/www.adnb-nbad.com\/fr\/register-nbad\/dietetic-intern-applicant\/","title":{"rendered":"Candidate \u00e0 l\u2019internat en di\u00e9t\u00e9tique"},"content":{"rendered":"<p>Toute candidate \u00e0 l\u2019internat en di\u00e9t\u00e9tique (ID) qui termine un internat ou un stage au Nouveau-Brunswick doit s\u2019inscrire comme membre ID aupr\u00e8s de l\u2019ADNB avant de commencer sa rotation ou son stage.<\/p>\n<p>Pour vous inscrire comme candidate \u00e0 l\u2019internat en di\u00e9t\u00e9tique, veuillez remplir le <strong>formulaire en ligne pour candidate \u00e0 l\u2019internat en di\u00e9t\u00e9tique<\/strong>. Une fois le formulaire en ligne rempli, envoyez toutes les pi\u00e8ces justificatives demand\u00e9es d\u00e9crites dans le processus de demande et acquittez les frais de demande applicables de 100\u00a0$.<\/p>\n<h2><strong>Processus de demande <\/strong><\/h2>\n<ol>\n<li><strong>Remplissez <a href=\"#application\">le formulaire de demande en ligne<\/a>.<\/strong><\/li>\n<li><strong>Veillez \u00e0 ce que les documents demand\u00e9s suivants soient envoy\u00e9s \u00e0 l\u2019ADNB\u00a0: <\/strong>\n<ol type=\"a\">\n<li><strong>Lettre de confirmation d\u2019un programme d\u2019internat ou de stage accr\u00e9dit\u00e9 au Canada\u00a0: <\/strong>l\u2019\u00e9tablissement doit l\u2019envoyer directement au bureau de l\u2019ADNB.<\/li>\n<li><strong>V\u00e9rification du casier judiciaire (r\u00e9alis\u00e9e au cours de la derni\u00e8re ann\u00e9e)\u00a0:<\/strong> soit au poste de police de la GRC ou au poste de la police municipale (l\u2019original doit \u00eatre envoy\u00e9 par la poste au bureau de l\u2019ADNB), aupr\u00e8s de <a href=\"https:\/\/csiscreening.com\/fr\/home-2-2\/canadian-criminal-record-checks\/\">CSI Background Screening<\/a> en activant l\u2019option de consentement \u00e9lectronique, ou \u00e0 <a href=\"https:\/\/www.mybackcheck.com\/Public\/Login.aspx\">com<\/a>.<\/li>\n<li><strong>Relev\u00e9 de notes officiel de l\u2019universit\u00e9 o\u00f9 vous terminez ou avez obtenu votre dipl\u00f4me en alimentation et en nutrition humaines\u00a0: <\/strong>assurez-vous qu\u2019une copie est envoy\u00e9e directement \u00e0 l\u2019ADNB.<\/li>\n<li><strong>Copie recto et verso de votre pi\u00e8ce d\u2019identit\u00e9 d\u00e9livr\u00e9e par le gouvernement\u00a0: <\/strong>la copie peut \u00eatre num\u00e9ris\u00e9e et incluse avec votre formulaire de demande en ligne.<\/li>\n<\/ol>\n<\/li>\n<li><strong>Payez vos frais de demande\u00a0: <\/strong>une fois que votre demande en ligne a \u00e9t\u00e9 transmise et que l\u2019ADNB aura re\u00e7u tous les documents requis, vous recevrez un courriel vous donnant acc\u00e8s \u00e0 notre plateforme en ligne. <strong>Vous y acc\u00e9derez en vous servant des identifiants fournis et paierez vos frais par carte de cr\u00e9dit sur cette plateforme en ligne. <\/strong><\/li>\n<\/ol>\n<button class=\"btg-button btg-button-18\" data-url=\"http:\/\/www.adnb-nbad.com\/wp-content\/uploads\/2023\/12\/NBAD-Application-Checklist-\u2013-Candidate-a-linternat-en-dietetique-FRENCH-_02.pdf\" data-action=\"link\" onclick=\"btnaction(18)\">Liste de v\u00e9rification imprimable pour les demandes<\/button><style>.btg-button-18 { z-index: 999; width: 350px; height: 60px; position: relative; border-radius: 5px; border-style: none; border-color: #383838; border-width: 1px; color: #ffffff; background-color: #77bd49; box-shadow: none; font-family: inherit; font-size: 16px; font-weight: 700; font-style: normal; -ms-transform: rotate(0deg); -webkit-transform: rotate(0deg); transform: rotate(0deg); text-align: center; cursor: pointer; } .btg-button-18:hover { color: #ffffff; background: #53963a; }<\/style>\n<p>&nbsp;<\/p>\n<p><strong>Note\u00a0:<\/strong> Votre demande n\u2019est pas compl\u00e8te tant que tous ces \u00e9l\u00e9ments n\u2019ont pas \u00e9t\u00e9 fournis \u00e0 l\u2019ADNB et que le paiement des frais de demande n\u2019a pas \u00e9t\u00e9 re\u00e7u.<\/p>\n<h2><strong>D\u00e9lai de traitement des demandes et frais connexes <\/strong><\/h2>\n<p>Les demandes sont trait\u00e9es dans les 5 \u00e0 10\u00a0jours ouvrables.<\/p>\n<p>Toutes les candidates \u00e0 l\u2019internat en di\u00e9t\u00e9tique issues d\u2019un programme canadien agr\u00e9\u00e9 et approuv\u00e9 doivent payer des frais de demande fixes de 100,00\u00a0$.<\/p>\n<p><strong>Payez vos frais\u00a0:<\/strong> une fois que votre demande en ligne a \u00e9t\u00e9 transmise et que l\u2019ADNB aura re\u00e7u tous les documents requis, vous recevrez un courriel vous donnant acc\u00e8s \u00e0 notre plateforme en ligne. <strong>Vous y acc\u00e9derez en vous servant des identifiants fournis et paierez vos frais par carte de cr\u00e9dit sur cette plateforme en ligne.\u00a0 <\/strong><\/p>\n<p><strong>Votre demande n\u2019est compl\u00e8te qu\u2019une fois le paiement re\u00e7u.<\/strong> Tous les frais vers\u00e9s \u00e0 l\u2019ADNB sont non remboursables.<\/p>\n<h2 id=\"application\"><strong>Demande d\u2019immatriculation\u00a0: candidate \u00e0 l\u2019internat en di\u00e9t\u00e9tique<\/strong><\/h2>\n<p>Veuillez remplir le formulaire suivant pour pr\u00e9senter votre demande d\u2019immatriculation en ligne.<\/p>\n<p>Apr\u00e8s avoir rempli la demande en ligne, assurez-vous que les documents requis sont envoy\u00e9s \u00e0 l\u2019ADNB et payez tous les frais de demande applicables. <strong>Votre demande ne sera pas compl\u00e8te tant que tous les documents et le paiement correspondant n\u2019auront pas \u00e9t\u00e9 re\u00e7us.<\/strong><\/p>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_20' style='display:none'><div id='gf_20' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>\u00ab\u00a0<span class=\"gfield_required gfield_required_asterisk\">*<\/span>\u00a0\u00bb indique les champs n\u00e9cessaires<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_20'  action='\/fr\/wp-json\/wp\/v2\/pages\/3137#gf_20' data-formid='20' novalidate>\n        <div id='gf_progressbar_wrapper_20' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">\u00c9tape <span class='gf_step_current_page'>1<\/span> sur <span class='gf_step_page_count'>8<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_12' style='width:12%;'><span>12%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_20_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_20' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_20_98\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_98'>X\/Twitter<\/label><div class='ginput_container'><input name='input_98' id='input_20_98' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_20_98'>Ce champ n\u2019est utilis\u00e9 qu\u2019\u00e0 des fins de validation et devrait rester inchang\u00e9.<\/div><\/div><div id=\"field_20_25\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Informations personnelles<\/h3><\/div><fieldset id=\"field_20_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_20_1'>\n                            \n                            <span id='input_20_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_20_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_1_3' class='gform-field-label gform-field-label--type-sub '>Pr\u00e9nom l\u00e9gal<\/label>\n                                                <\/span>\n                            <span id='input_20_1_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.4' id='input_20_1_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_20_1_4' class='gform-field-label gform-field-label--type-sub '>Second(s) pr\u00e9nom(s) l\u00e9gal<\/label>\n                                                <\/span>\n                            <span id='input_20_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_20_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_20_1_6' class='gform-field-label gform-field-label--type-sub '>Nom de famille l\u00e9gal<\/label>\n                                                <\/span>\n                            \n                        <\/div><div class='gfield_description' id='gfield_description_20_1'>Nom inscrit sur vos documents officiels, par exemple certificat de naissance, passeport<\/div><\/fieldset><div id=\"field_20_4\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_4'>Nom(s) pr\u00e9c\u00e9dent(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_20_4' type='text' value='' class='large'  aria-describedby=\"gfield_description_20_4\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_20_4'>Si cela s\u2019applique, sinon veuillez indiquer N\/A<\/div><\/div><fieldset id=\"field_20_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Utilisez-vous le nom l\u00e9gal indiqu\u00e9 ci-dessus<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_9'>\n\t\t\t<div class='gchoice gchoice_20_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Oui'  id='choice_20_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_9_0' id='label_20_9_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Non'  id='choice_20_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_9_1' id='label_20_9_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_69\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_69'>Veuillez indiquer le nom que vous utilisez<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_20_69' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_20_8\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_8'>Date de naissance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_8' id='input_20_8' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/jj\/aaaa' aria-describedby=\"input_20_8_date_format gfield_description_20_8\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_20_8_date_format' class='screen-reader-text'>MM slash JJ slash AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_20_8' class='gform_hidden' value='https:\/\/www.adnb-nbad.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_20_8'>(mois, jour, ann\u00e9e)<\/div><\/div><fieldset id=\"field_20_12\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Genre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_12'>\n\t\t\t<div class='gchoice gchoice_20_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Homme'  id='choice_20_12_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_12_0' id='label_20_12_0' class='gform-field-label gform-field-label--type-inline'>Homme<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Femme'  id='choice_20_12_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_12_1' id='label_20_12_1' class='gform-field-label gform-field-label--type-inline'>Femme<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_12_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Non-binaire'  id='choice_20_12_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_12_2' id='label_20_12_2' class='gform-field-label gform-field-label--type-inline'>Non-binaire<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_12_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='gf_other_choice'  id='choice_20_12_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_12_3' id='label_20_12_3' class='gform-field-label gform-field-label--type-inline'>Autre<\/label><br \/><input id='input_20_12_other' class='gchoice_other_control' name='input_12_other' type='text' value='Autre' aria-label='Autre choix, veuillez sp\u00e9cifier'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_96\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_96'>Pronoms<\/label><div class='ginput_container ginput_container_text'><input name='input_96' id='input_20_96' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_20_14\" class=\"gfield gfield--type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_14'>T\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_14' id='input_20_14' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_20_15\" class=\"gfield gfield--type-phone gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_15'>Autre t\u00e9l\u00e9phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_15' id='input_20_15' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_20_79\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Adresse \u00e0 domicile<\/div><div id=\"field_20_78\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_78'>Appartement \/ Case postale \/ Adresse ou num\u00e9ro municipal<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_78' id='input_20_78' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_20_80\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_80'>Ville<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_80' id='input_20_80' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_20_81\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_81'>Province \/ \u00c9tat \/ R\u00e9gion<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_20_81' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_20_82\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_82'>Code postal ou zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_82' id='input_20_82' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_20_83\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_83'>Pays<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_83' id='input_20_83' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_20_18\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Langage de pr\u00e9f\u00e9rence pour la correspondance de l&#039;ADNB<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_18'>\n\t\t\t<div class='gchoice gchoice_20_18_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Fran\u00e7ais'  id='choice_20_18_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_18_0' id='label_20_18_0' class='gform-field-label gform-field-label--type-inline'>Fran\u00e7ais<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_18_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_18' type='radio' value='Anglais'  id='choice_20_18_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_18_1' id='label_20_18_1' class='gform-field-label gform-field-label--type-inline'>Anglais<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_17\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_17'>Adresse \u00e9lectronique de pr\u00e9f\u00e9rence pour la correspondance de l\u2019ADNB<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_17' id='input_20_17' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_20_70' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_20_2' class='gform_page' data-js='page-field-id-70' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_20_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_20_24\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u00c9ducation \u2013 Qualifications Acad\u00e9miques<\/h3><\/div><fieldset id=\"field_20_85\" class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Dipl\u00f4me premier cycle<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom du dipl\u00f4me<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom de l\u2019institution<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date de d\u00e9but (jour, mois, ann\u00e9e)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date (ou date anticip\u00e9e) de diplomation<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">En progr\u00e8s? (Oui ou non)<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_85_cell1 gform-grid-col' data-label='Nom du dipl\u00f4me'><input aria-invalid='false' aria-required=\"true\"  aria-label='Nom du dipl\u00f4me, Ligne 1' data-aria-label-template='Nom du dipl\u00f4me, Ligne {0}' type='text' name='input_85[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_85_cell2 gform-grid-col' data-label='Nom de l\u2019institution'><input aria-invalid='false' aria-required=\"true\"  aria-label='Nom de l\u2019institution, Ligne 1' data-aria-label-template='Nom de l\u2019institution, Ligne {0}' type='text' name='input_85[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_85_cell3 gform-grid-col' data-label='Date de d\u00e9but (jour, mois, ann\u00e9e)'><input aria-invalid='false' aria-required=\"true\"  aria-label='Date de d\u00e9but (jour, mois, ann\u00e9e), Ligne 1' data-aria-label-template='Date de d\u00e9but (jour, mois, ann\u00e9e), Ligne {0}' type='text' name='input_85[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_85_cell4 gform-grid-col' data-label='Date (ou date anticip\u00e9e) de diplomation'><input aria-invalid='false' aria-required=\"true\"  aria-label='Date (ou date anticip\u00e9e) de diplomation, Ligne 1' data-aria-label-template='Date (ou date anticip\u00e9e) de diplomation, Ligne {0}' type='text' name='input_85[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_85_cell5 gform-grid-col' data-label='En progr\u00e8s? (Oui ou non)'><input aria-invalid='false' aria-required=\"true\"  aria-label='En progr\u00e8s? (Oui ou non), Ligne 1' data-aria-label-template='En progr\u00e8s? (Oui ou non), Ligne {0}' type='text' name='input_85[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)'>Ajouter<\/button>   <button type='button'  class='delete_list_item' aria-label='Supprimer la ligne 1' data-aria-label-template='Supprimer la ligne {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Retirer<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_20_34\" class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Dipl\u00f4me d\u2019\u00e9tudes sup\u00e9rieures<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom du dipl\u00f4me<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom de l\u2019institution<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date de d\u00e9but (jour, mois, ann\u00e9e)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date (ou date anticip\u00e9e) de diplomation<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">En progr\u00e8s? (Oui ou non)<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_34_cell1 gform-grid-col' data-label='Nom du dipl\u00f4me'><input aria-invalid='false' aria-required=\"true\"  aria-label='Nom du dipl\u00f4me, Ligne 1' data-aria-label-template='Nom du dipl\u00f4me, Ligne {0}' type='text' name='input_34[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_34_cell2 gform-grid-col' data-label='Nom de l\u2019institution'><input aria-invalid='false' aria-required=\"true\"  aria-label='Nom de l\u2019institution, Ligne 1' data-aria-label-template='Nom de l\u2019institution, Ligne {0}' type='text' name='input_34[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_34_cell3 gform-grid-col' data-label='Date de d\u00e9but (jour, mois, ann\u00e9e)'><input aria-invalid='false' aria-required=\"true\"  aria-label='Date de d\u00e9but (jour, mois, ann\u00e9e), Ligne 1' data-aria-label-template='Date de d\u00e9but (jour, mois, ann\u00e9e), Ligne {0}' type='text' name='input_34[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_34_cell4 gform-grid-col' data-label='Date (ou date anticip\u00e9e) de diplomation'><input aria-invalid='false' aria-required=\"true\"  aria-label='Date (ou date anticip\u00e9e) de diplomation, Ligne 1' data-aria-label-template='Date (ou date anticip\u00e9e) de diplomation, Ligne {0}' type='text' name='input_34[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_34_cell5 gform-grid-col' data-label='En progr\u00e8s? (Oui ou non)'><input aria-invalid='false' aria-required=\"true\"  aria-label='En progr\u00e8s? (Oui ou non), Ligne 1' data-aria-label-template='En progr\u00e8s? (Oui ou non), Ligne {0}' type='text' name='input_34[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)'>Ajouter<\/button>   <button type='button'  class='delete_list_item' aria-label='Supprimer la ligne 1' data-aria-label-template='Supprimer la ligne {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Retirer<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_20_86\" class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Autre (certification sp\u00e9ciale)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom du dipl\u00f4me<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom de l\u2019institution<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date de d\u00e9but (jour, mois, ann\u00e9e)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date (ou date anticip\u00e9e) de diplomation<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">En progr\u00e8s? (Oui ou non)<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_86_cell1 gform-grid-col' data-label='Nom du dipl\u00f4me'><input aria-invalid='false' aria-required=\"true\"  aria-label='Nom du dipl\u00f4me, Ligne 1' data-aria-label-template='Nom du dipl\u00f4me, Ligne {0}' type='text' name='input_86[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_86_cell2 gform-grid-col' data-label='Nom de l\u2019institution'><input aria-invalid='false' aria-required=\"true\"  aria-label='Nom de l\u2019institution, Ligne 1' data-aria-label-template='Nom de l\u2019institution, Ligne {0}' type='text' name='input_86[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_86_cell3 gform-grid-col' data-label='Date de d\u00e9but (jour, mois, ann\u00e9e)'><input aria-invalid='false' aria-required=\"true\"  aria-label='Date de d\u00e9but (jour, mois, ann\u00e9e), Ligne 1' data-aria-label-template='Date de d\u00e9but (jour, mois, ann\u00e9e), Ligne {0}' type='text' name='input_86[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_86_cell4 gform-grid-col' data-label='Date (ou date anticip\u00e9e) de diplomation'><input aria-invalid='false' aria-required=\"true\"  aria-label='Date (ou date anticip\u00e9e) de diplomation, Ligne 1' data-aria-label-template='Date (ou date anticip\u00e9e) de diplomation, Ligne {0}' type='text' name='input_86[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_86_cell5 gform-grid-col' data-label='En progr\u00e8s? (Oui ou non)'><input aria-invalid='false' aria-required=\"true\"  aria-label='En progr\u00e8s? (Oui ou non), Ligne 1' data-aria-label-template='En progr\u00e8s? (Oui ou non), Ligne {0}' type='text' name='input_86[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)'>Ajouter<\/button>   <button type='button'  class='delete_list_item' aria-label='Supprimer la ligne 1' data-aria-label-template='Supprimer la ligne {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Retirer<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_20_40' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_20_40' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_20_3' class='gform_page' data-js='page-field-id-40' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_20_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_20_71\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">\u00c9ducation \u2013 Exp\u00e9rience pratique di\u00e9t\u00e9tique*<\/h3><\/div><fieldset id=\"field_20_73\" class=\"gfield gfield--type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Exp\u00e9rience(s) pratique(s) di\u00e9t\u00e9tique(s) ant\u00e9rieure(s) (si applicable)<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom du programme d\u2019internat\/de stage accr\u00e9dit\u00e9<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Lieu(x) de(s) rotation(s)\/affiliation(s)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date(s) de(s) rotation(s)\/affiliation(s)<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_73_cell1 gform-grid-col' data-label='Nom du programme d\u2019internat\/de stage accr\u00e9dit\u00e9'><input aria-invalid='false'   aria-label='Nom du programme d\u2019internat\/de stage accr\u00e9dit\u00e9, Ligne 1' data-aria-label-template='Nom du programme d\u2019internat\/de stage accr\u00e9dit\u00e9, Ligne {0}' type='text' name='input_73[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_73_cell2 gform-grid-col' data-label='Lieu(x) de(s) rotation(s)\/affiliation(s)'><input aria-invalid='false'   aria-label='Lieu(x) de(s) rotation(s)\/affiliation(s), Ligne 1' data-aria-label-template='Lieu(x) de(s) rotation(s)\/affiliation(s), Ligne {0}' type='text' name='input_73[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_73_cell3 gform-grid-col' data-label='Date(s) de(s) rotation(s)\/affiliation(s)'><input aria-invalid='false'   aria-label='Date(s) de(s) rotation(s)\/affiliation(s), Ligne 1' data-aria-label-template='Date(s) de(s) rotation(s)\/affiliation(s), Ligne {0}' type='text' name='input_73[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)'>Ajouter<\/button>   <button type='button'  class='delete_list_item' aria-label='Supprimer la ligne 1' data-aria-label-template='Supprimer la ligne {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Retirer<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_20_76\" class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Exp\u00e9rience(s) pratique(s) di\u00e9t\u00e9tique(s) actuelle(s) (demande pour exp\u00e9rience pratique au Nouveau-Brunswick)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom du programme d\u2019internat\/de stage accr\u00e9dit\u00e9<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom de la coordonnatrice du programme d\u2019internat\/de stage<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">T\u00e9l\u00e9phone<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Courriel<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Adresse<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_76_cell1 gform-grid-col' data-label='Nom du programme d\u2019internat\/de stage accr\u00e9dit\u00e9'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_20_76\" aria-label='Nom du programme d\u2019internat\/de stage accr\u00e9dit\u00e9, Ligne 1' data-aria-label-template='Nom du programme d\u2019internat\/de stage accr\u00e9dit\u00e9, Ligne {0}' type='text' name='input_76[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_76_cell2 gform-grid-col' data-label='Nom de la coordonnatrice du programme d\u2019internat\/de stage'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_20_76\" aria-label='Nom de la coordonnatrice du programme d\u2019internat\/de stage, Ligne 1' data-aria-label-template='Nom de la coordonnatrice du programme d\u2019internat\/de stage, Ligne {0}' type='text' name='input_76[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_76_cell3 gform-grid-col' data-label='T\u00e9l\u00e9phone'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_20_76\" aria-label='T\u00e9l\u00e9phone, Ligne 1' data-aria-label-template='T\u00e9l\u00e9phone, Ligne {0}' type='text' name='input_76[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_76_cell4 gform-grid-col' data-label='Courriel'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_20_76\" aria-label='Courriel, Ligne 1' data-aria-label-template='Courriel, Ligne {0}' type='text' name='input_76[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_76_cell5 gform-grid-col' data-label='Adresse'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_20_76\" aria-label='Adresse, Ligne 1' data-aria-label-template='Adresse, Ligne {0}' type='text' name='input_76[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)'>Ajouter<\/button>   <button type='button'  class='delete_list_item' aria-label='Supprimer la ligne 1' data-aria-label-template='Supprimer la ligne {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Retirer<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_20_76'>Coordonn\u00e9es de la coordonnatrice du programme d\u2019internat\/de stage<\/div><\/fieldset><fieldset id=\"field_20_77\" class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Coordonn\u00e9es de la coordinatrice\/mentor de la rotation\/affiliation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Coordonn\u00e9es de la coordinatrice\/mentor de la rotation\/affiliation<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date de la rotation\/affiliation<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom de la coordonnatrice\/mentor<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">T\u00e9l\u00e9phone<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Courriel<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Adresse<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_77_cell1 gform-grid-col' data-label='Coordonn\u00e9es de la coordinatrice\/mentor de la rotation\/affiliation'><input aria-invalid='false' aria-required=\"true\"  aria-label='Coordonn\u00e9es de la coordinatrice\/mentor de la rotation\/affiliation, Ligne 1' data-aria-label-template='Coordonn\u00e9es de la coordinatrice\/mentor de la rotation\/affiliation, Ligne {0}' type='text' name='input_77[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_77_cell2 gform-grid-col' data-label='Date de la rotation\/affiliation'><input aria-invalid='false' aria-required=\"true\"  aria-label='Date de la rotation\/affiliation, Ligne 1' data-aria-label-template='Date de la rotation\/affiliation, Ligne {0}' type='text' name='input_77[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_77_cell3 gform-grid-col' data-label='Nom de la coordonnatrice\/mentor'><input aria-invalid='false' aria-required=\"true\"  aria-label='Nom de la coordonnatrice\/mentor, Ligne 1' data-aria-label-template='Nom de la coordonnatrice\/mentor, Ligne {0}' type='text' name='input_77[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_77_cell4 gform-grid-col' data-label='T\u00e9l\u00e9phone'><input aria-invalid='false' aria-required=\"true\"  aria-label='T\u00e9l\u00e9phone, Ligne 1' data-aria-label-template='T\u00e9l\u00e9phone, Ligne {0}' type='text' name='input_77[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_77_cell5 gform-grid-col' data-label='Courriel'><input aria-invalid='false' aria-required=\"true\"  aria-label='Courriel, Ligne 1' data-aria-label-template='Courriel, Ligne {0}' type='text' name='input_77[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_77_cell6 gform-grid-col' data-label='Adresse'><input aria-invalid='false' aria-required=\"true\"  aria-label='Adresse, Ligne 1' data-aria-label-template='Adresse, Ligne {0}' type='text' name='input_77[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 4)'>Ajouter<\/button>   <button type='button'  class='delete_list_item' aria-label='Supprimer la ligne 1' data-aria-label-template='Supprimer la ligne {0}' onclick='gformDeleteListItem(this, 4)' style=\"visibility:hidden;\">Retirer<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_20_87' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_20_87' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_20_4' class='gform_page' data-js='page-field-id-87' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_20_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_20_88\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Examen d\u2019admission \u00e0 la profession de di\u00e9t\u00e9tiste au Canada (EAPDC)<\/h3><\/div><fieldset id=\"field_20_89\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Cochez l\u2019une des options suivantes<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_89'>\n\t\t\t<div class='gchoice gchoice_20_89_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='Je n\u2019ai pas d\u00e9j\u00e0 \u00e9crit l\u2019EAPDC.'  id='choice_20_89_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_89_0' id='label_20_89_0' class='gform-field-label gform-field-label--type-inline'>Je n\u2019ai pas d\u00e9j\u00e0 \u00e9crit l\u2019EAPDC.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_89_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_89' type='radio' value='J\u2019ai pr\u00e9c\u00e9demment \u00e9crit l\u2019EAPDC, mais je n\u2019ai pas r\u00e9ussi.'  id='choice_20_89_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_89_1' id='label_20_89_1' class='gform-field-label gform-field-label--type-inline'>J\u2019ai pr\u00e9c\u00e9demment \u00e9crit l\u2019EAPDC, mais je n\u2019ai pas r\u00e9ussi.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_90\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_90'>Veuillez indiquer les dates et le nombre de tentatives<\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_20_90' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_20_75' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_20_75' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_20_5' class='gform_page' data-js='page-field-id-75' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_20_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_20_41\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Immatriculation(s) avec d\u2019autre(s) organisme(s) de r\u00e9glementation de la di\u00e9t\u00e9tique<\/h3><\/div><fieldset id=\"field_20_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous d\u00e9j\u00e0 \u00e9t\u00e9 immatricul\u00e9e avec l\u2019ADNB ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_42'>\n\t\t\t<div class='gchoice gchoice_20_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Oui'  id='choice_20_42_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_42_0' id='label_20_42_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Non'  id='choice_20_42_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_42_1' id='label_20_42_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_43\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_43'>Veuillez fournir votre num\u00e9ro d\u2019immatriculation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_43' id='input_20_43' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_20_44\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous une immatriculation en tant de di\u00e9t\u00e9tiste dans une autre province, territoire, \u00e9tat ou pays ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_44'>\n\t\t\t<div class='gchoice gchoice_20_44_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Oui'  id='choice_20_44_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_44_0' id='label_20_44_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_44_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Non'  id='choice_20_44_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_44_1' id='label_20_44_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_20_45\" class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Veuillez compl\u00e9ter le tableau ci-dessous<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom de l\u2019organisme<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date d\u2019entr\u00e9e en vigueur<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date d\u2019expiration  (ne pas remplir s\u2019il s\u2019agit d\u2019une immatriculation actuelle)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Travaille actuellement dans cette juridiction (Oui ou non)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Conditions ou limites de l\u2019immatriculation (le cas \u00e9ch\u00e9ant)<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_45_cell1 gform-grid-col' data-label='Nom de l\u2019organisme'><input aria-invalid='false' aria-required=\"true\"  aria-label='Nom de l\u2019organisme, Ligne 1' data-aria-label-template='Nom de l\u2019organisme, Ligne {0}' type='text' name='input_45[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_45_cell2 gform-grid-col' data-label='Date d\u2019entr\u00e9e en vigueur'><input aria-invalid='false' aria-required=\"true\"  aria-label='Date d\u2019entr\u00e9e en vigueur, Ligne 1' data-aria-label-template='Date d\u2019entr\u00e9e en vigueur, Ligne {0}' type='text' name='input_45[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_45_cell3 gform-grid-col' data-label='Date d\u2019expiration  (ne pas remplir s\u2019il s\u2019agit d\u2019une immatriculation actuelle)'><input aria-invalid='false' aria-required=\"true\"  aria-label='Date d\u2019expiration  (ne pas remplir s\u2019il s\u2019agit d\u2019une immatriculation actuelle), Ligne 1' data-aria-label-template='Date d\u2019expiration  (ne pas remplir s\u2019il s\u2019agit d\u2019une immatriculation actuelle), Ligne {0}' type='text' name='input_45[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_45_cell4 gform-grid-col' data-label='Travaille actuellement dans cette juridiction (Oui ou non)'><input aria-invalid='false' aria-required=\"true\"  aria-label='Travaille actuellement dans cette juridiction (Oui ou non), Ligne 1' data-aria-label-template='Travaille actuellement dans cette juridiction (Oui ou non), Ligne {0}' type='text' name='input_45[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_45_cell5 gform-grid-col' data-label='Conditions ou limites de l\u2019immatriculation (le cas \u00e9ch\u00e9ant)'><input aria-invalid='false' aria-required=\"true\"  aria-label='Conditions ou limites de l\u2019immatriculation (le cas \u00e9ch\u00e9ant), Ligne 1' data-aria-label-template='Conditions ou limites de l\u2019immatriculation (le cas \u00e9ch\u00e9ant), Ligne {0}' type='text' name='input_45[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 0)'>Ajouter<\/button>   <button type='button'  class='delete_list_item' aria-label='Supprimer la ligne 1' data-aria-label-template='Supprimer la ligne {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Retirer<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_20_47\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous d\u00e9j\u00e0 \u00e9t\u00e9 immatricul\u00e9e en tant que di\u00e9t\u00e9tiste dans une autre province, territoire, \u00e9tat ou pays ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_47'>\n\t\t\t<div class='gchoice gchoice_20_47_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Oui'  id='choice_20_47_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_47_0' id='label_20_47_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_47_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_47' type='radio' value='Non'  id='choice_20_47_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_47_1' id='label_20_47_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_20_48\" class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Veuillez compl\u00e9ter le tableau ci-dessous<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Nom de la juridiction<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Ann\u00e9e(s) d\u2019immatriculation<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_48_cell1 gform-grid-col' data-label='Nom de la juridiction'><input aria-invalid='false' aria-required=\"true\"  aria-label='Nom de la juridiction, Ligne 1' data-aria-label-template='Nom de la juridiction, Ligne {0}' type='text' name='input_48[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_48_cell2 gform-grid-col' data-label='Ann\u00e9e(s) d\u2019immatriculation'><input aria-invalid='false' aria-required=\"true\"  aria-label='Ann\u00e9e(s) d\u2019immatriculation, Ligne 1' data-aria-label-template='Ann\u00e9e(s) d\u2019immatriculation, Ligne {0}' type='text' name='input_48[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Ajouter une autre ligne' onclick='gformAddListItem(this, 3)'>Ajouter<\/button>   <button type='button'  class='delete_list_item' aria-label='Supprimer la ligne 1' data-aria-label-template='Supprimer la ligne {0}' onclick='gformDeleteListItem(this, 3)' style=\"visibility:hidden;\">Retirer<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_20_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous d\u00e9j\u00e0 \u00e9t\u00e9 refus\u00e9 pour l\u2019immatriculation aupr\u00e8s d\u2019un organisme de r\u00e9glementation d\u2019une profession au Canada ou dans un autre pays ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_49'>\n\t\t\t<div class='gchoice gchoice_20_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Oui'  id='choice_20_49_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_49_0' id='label_20_49_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Non'  id='choice_20_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_49_1' id='label_20_49_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_50\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_50'>Veuillez expliquer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_50' id='input_20_50' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_20_51' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_20_51' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_20_6' class='gform_page' data-js='page-field-id-51' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_20_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_20_52\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">R\u00e9pertoire des membres<\/h3><\/div><div id=\"field_20_55\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>L\u2019ADNB pr\u00e9pare un r\u00e9pertoire des membres pour les di\u00e9t\u00e9tistes, les di\u00e9t\u00e9tistes (candidates) et les internes en di\u00e9t\u00e9tique qui souhaitent y participer. Ce r\u00e9pertoire facilitera la communication et l\u2019\u00e9change de ressources entre les membres. Ces renseignements NE SERONT PAS mis \u00e0 la disposition du public.<\/P><\/div><fieldset id=\"field_20_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >J\u2019autorise l\u2019ADNB \u00e0 communiquer mon adresse \u00e9lectronique aux membres de l\u2019ADNB seulement.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_54'>\n\t\t\t<div class='gchoice gchoice_20_54_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Oui'  id='choice_20_54_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_54_0' id='label_20_54_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_54_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_54' type='radio' value='Non'  id='choice_20_54_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_54_1' id='label_20_54_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_20_56\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_56.1' id='input_20_56_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_20_56_1' >Je m\u2019engage \u00e0 ne pas vendre, \u00e9changer ou partager avec une tierce partie les coordonn\u00e9es des membres inclus dans le r\u00e9pertoire priv\u00e9.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_56.2' value='Je m\u2019engage \u00e0 ne pas vendre, \u00e9changer ou partager avec une tierce partie les coordonn\u00e9es des membres inclus dans le r\u00e9pertoire priv\u00e9.' class='gform_hidden' \/><input type='hidden' name='input_56.3' value='10' class='gform_hidden' \/><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_20_57' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_20_57' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_20_7' class='gform_page' data-js='page-field-id-57' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_20_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_20_58\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Auto-d\u00e9claration obligatoire des infractions<\/h3><\/div><fieldset id=\"field_20_59\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous \u00e9t\u00e9 accus\u00e9e ou d\u00e9clar\u00e9e coupable d\u2019une infraction au Code criminel (Canada), \u00e0 la Loi sur les aliments et drogues (Canada), \u00e0 la Loi r\u00e9glementant certaines drogues et autres substances (Canada) ou l\u2019\u00e9quivalent dans une autre juridiction (soit \u00e0 l\u2019int\u00e9rieur ou \u00e0 l\u2019ext\u00e9rieur du Canada) ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_59'>\n\t\t\t<div class='gchoice gchoice_20_59_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='Oui'  id='choice_20_59_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_59_0' id='label_20_59_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_59_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_59' type='radio' value='Non'  id='choice_20_59_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_59_1' id='label_20_59_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_91\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_91'>Veuillez expliquer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_91' id='input_20_91' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_20_60\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous fait l\u2019objet d\u2019un verdict de n\u00e9gligence professionnelle dans le cadre d\u2019une proc\u00e9dure civile ou p\u00e9nale au Nouveau-Brunswick ou dans toute autre province, territoire, \u00e9tat ou pays en relation \u00e0 la pratique de la di\u00e9t\u00e9tique ou d\u2019une autre profession ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_60'>\n\t\t\t<div class='gchoice gchoice_20_60_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='Oui'  id='choice_20_60_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_60_0' id='label_20_60_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_60_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_60' type='radio' value='Non'  id='choice_20_60_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_60_1' id='label_20_60_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_92\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_92'>Veuillez expliquer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_92' id='input_20_92' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_20_61\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Avez-vous fait l\u2019objet d\u2019une enqu\u00eate, \u00e9t\u00e9 d\u00e9clar\u00e9e coupable ou \u00e9t\u00e9 refus\u00e9e l\u2019immatriculation en raison d\u2019une faute, incomp\u00e9tence, n\u00e9gligence ou incapacit\u00e9 professionnelles au Nouveau-Brunswick ou dans toute autre province, territoire, \u00c9tat ou pays en relation \u00e0 la pratique de la di\u00e9t\u00e9tique ou d\u2019une autre profession ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_61'>\n\t\t\t<div class='gchoice gchoice_20_61_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='Oui'  id='choice_20_61_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_61_0' id='label_20_61_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_61_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='Non'  id='choice_20_61_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_61_1' id='label_20_61_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_93\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_93'>Veuillez expliquer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_93' id='input_20_93' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_20_62\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >\u00c0 votre connaissance, faites-vous actuellement l\u2019objet d\u2019une enqu\u00eate pour faute, incomp\u00e9tence, n\u00e9gligence ou incapacit\u00e9 professionnelles au Nouveau-Brunswick ou dans tout autre territoire, province, \u00c9tat ou pays en relation \u00e0 la pratique de la di\u00e9t\u00e9tique ou d\u2019une autre profession ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_62'>\n\t\t\t<div class='gchoice gchoice_20_62_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='Oui'  id='choice_20_62_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_62_0' id='label_20_62_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_62_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_62' type='radio' value='Non'  id='choice_20_62_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_62_1' id='label_20_62_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_94\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_94'>Veuillez expliquer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_94' id='input_20_94' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_20_63\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Vous \u00eates-vous refuser l&#039;immatriculation ou avez-vous actuellement des conditions ou des limites impos\u00e9es \u00e0 une immatriculation au Nouveau-Brunswick ou dans tout autre territoire, province, \u00c9tat ou pays en relation \u00e0 la pratique de la di\u00e9t\u00e9tique ou d&#039;une autre profession ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_20_63'>\n\t\t\t<div class='gchoice gchoice_20_63_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='Oui'  id='choice_20_63_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_63_0' id='label_20_63_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_20_63_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_63' type='radio' value='Non'  id='choice_20_63_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_20_63_1' id='label_20_63_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_20_95\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_20_95'>Veuillez expliquer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_95' id='input_20_95' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_20_64' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_20_64' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_20_8' class='gform_page' data-js='page-field-id-64' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_20_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_20_68\" class=\"gfield gfield--type-fileupload gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_20_68'>Veuillez t\u00e9l\u00e9charger tous les fichiers qui s\u2019appliquent \u00e0 votre demande d\u2019immatriculation<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_20_68' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_20_68&quot;,&quot;container&quot;:&quot;gform_multifile_upload_20_68&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_20_68&quot;,&quot;filelist&quot;:&quot;gform_preview_20_68&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.adnb-nbad.com\\\/?gf_page=fbc8e39dbb8d3ba&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.adnb-nbad.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.adnb-nbad.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers 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Pour pr\u00e9voir une rencontre, veuillez nous contacter par t\u00e9l\u00e9phone ou par courrier \u00e9lectronique.<\/p>","protected":false},"excerpt":{"rendered":"<p>Toute candidate \u00e0 l\u2019internat en di\u00e9t\u00e9tique (ID) qui termine un internat ou un stage au Nouveau-Brunswick doit s\u2019inscrire comme membre ID aupr\u00e8s de l\u2019ADNB avant de commencer sa rotation ou son stage. Pour vous inscrire comme candidate \u00e0 l\u2019internat en di\u00e9t\u00e9tique, veuillez remplir le formulaire en ligne pour candidate \u00e0 l\u2019internat en di\u00e9t\u00e9tique. 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