{"id":17672,"date":"2018-08-02T18:43:05","date_gmt":"2018-08-02T18:43:05","guid":{"rendered":"http:\/\/workforcetransformations.com\/?page_id=17672"},"modified":"2018-08-02T18:43:05","modified_gmt":"2018-08-02T18:43:05","slug":"vendorapplication","status":"publish","type":"page","link":"https:\/\/workforcetransformations.com\/index.php\/vendorapplication\/","title":{"rendered":"Vendor Application"},"content":{"rendered":"<p>[vc_row][vc_column]<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-17664\"><form id=\"wpforms-form-17664\" class=\"wpforms-validate wpforms-form\" data-formid=\"17664\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/17672#wpforms-17664\"><div class=\"wpforms-field-container\"><div id=\"wpforms-17664-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-17664-field_2\">Agency Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17664-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/div><div id=\"wpforms-17664-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-17664-field_1\">Contact Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17664-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-17664-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-17664-field_5\">Contact Title <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17664-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-17664-field_4-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-17664-field_4\">Contact Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-17664-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-17664-field_6-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-17664-field_6\">Contact Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-17664-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-17664-field_10-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-17664-field_10\">Type of Agency (Choose all that apply) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-17664-field_10\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-17664-field_10_4\" name=\"wpforms[fields][10][]\" value=\"Nursing\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17664-field_10_4\">Nursing<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-17664-field_10_5\" name=\"wpforms[fields][10][]\" value=\"Allied\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17664-field_10_5\">Allied<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-17664-field_10_6\" name=\"wpforms[fields][10][]\" value=\"Non clinical\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17664-field_10_6\">Non clinical<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-17664-field_10_7\" name=\"wpforms[fields][10][]\" value=\"Locum tenens\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17664-field_10_7\">Locum tenens<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-17664-field_10_8\" name=\"wpforms[fields][10][]\" value=\"Interim management\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17664-field_10_8\">Interim management<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-17664-field_10_9\" name=\"wpforms[fields][10][]\" value=\"Perm placement - RPO\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-17664-field_10_9\">Perm placement - RPO<\/label><\/li><\/ul><\/div><div id=\"wpforms-17664-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-17664-field_8\">Agency Website <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-17664-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-17664-field_11-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-17664-field_11\">Additional Notes<\/label><textarea id=\"wpforms-17664-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" ><\/textarea><\/div><\/div><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-field_hp\" class=\"wpforms-field-label\">Website<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-field_hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"17664\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"5\"><button type=\"submit\" name=\"wpforms[submit]\" class=\"wpforms-submit \" id=\"wpforms-submit-17664\" value=\"wpforms-submit\" data-alt-text=\"Sending...\">Submit<\/button><\/div><\/form><\/div>[\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_acf_changed":false,"om_disable_all_campaigns":false,"footnotes":""},"class_list":["post-17672","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/workforcetransformations.com\/index.php\/wp-json\/wp\/v2\/pages\/17672","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/workforcetransformations.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/workforcetransformations.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/workforcetransformations.com\/index.php\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/workforcetransformations.com\/index.php\/wp-json\/wp\/v2\/comments?post=17672"}],"version-history":[{"count":1,"href":"https:\/\/workforcetransformations.com\/index.php\/wp-json\/wp\/v2\/pages\/17672\/revisions"}],"predecessor-version":[{"id":17673,"href":"https:\/\/workforcetransformations.com\/index.php\/wp-json\/wp\/v2\/pages\/17672\/revisions\/17673"}],"wp:attachment":[{"href":"https:\/\/workforcetransformations.com\/index.php\/wp-json\/wp\/v2\/media?parent=17672"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}