{"id":30439,"date":"2025-08-21T05:31:12","date_gmt":"2025-08-21T05:31:12","guid":{"rendered":"http:\/\/mindrenaissance-livebackup.staging33.com\/?page_id=30439"},"modified":"2025-10-11T05:12:13","modified_gmt":"2025-10-11T05:12:13","slug":"spacee-application-form","status":"publish","type":"page","link":"http:\/\/mindrenaissance-livebackup.staging33.com\/hi\/spacee-application-form\/","title":{"rendered":"SPACEE Application Form"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"30439\" class=\"elementor elementor-30439\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3e72471 e-flex e-con-boxed e-con e-parent\" data-id=\"3e72471\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-009091c elementor-invisible elementor-widget elementor-widget-custom-title-addons\" data-id=\"009091c\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;edubin--slide-up&quot;}\" data-widget_type=\"custom-title-addons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"tpc-double_heading\"><h3 class=\"dbl__title-wrapper\"><span class=\"dbl__title dbl-title_2\" style=\"position:relative;\" >SPACEE <span class=\"shape-bg\"><span class=\"shape__svg\"><svg \n                    xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                    xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\"\n                    width=\"163.5px\" height=\"10.5px\">\n                    <path fill-rule=\"evenodd\"  stroke=\"red\" stroke-width=\"1px\" stroke-linecap=\"butt\" stroke-linejoin=\"miter\" fill=\"none\"\n                    d=\"M0.500,5.821 C20.005,4.244 141.911,-2.588 162.500,2.142 C159.791,2.142 43.844,4.244 8.085,9.500 \"\/>\n                    <\/svg><\/span><\/span><\/span><span class=\"dbl__title dbl-title_3\">Application Form<\/span><\/h3><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e8df967 e-flex e-con-boxed e-con e-parent\" data-id=\"e8df967\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2e854156 elementor-widget elementor-widget-text-editor\" data-id=\"2e854156\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<div class=\"mr-contact-form-wrap\"><br \/>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f30442-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"30442\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/hi\/wp-json\/wp\/v2\/pages\/30439#wpcf7-f30442-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/hi\/wp-json\/wp\/v2\/pages\/30439#wpcf7-f30442-o1\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"30442\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.1\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f30442-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><strong>Welcome to SPACEE<\/strong> \u2014 a bold, hands-on journey into the world of real careers, personality discovery, and wise decision-making.<br \/>\nThis short form helps us get to know you better so we can offer you the most meaningful experience possible.<br \/>\nLet\u2019s begin.\n<\/p>\n<p><label>1. Student\u2019s Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-student-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mrldq-student-name\" \/><\/span> <\/label>\n<\/p>\n<p><label>2. Email Address<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-student-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"mrldq-student-email\" \/><\/span> <\/label>\n<\/p>\n<p><label>3. Phone Number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-student-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"mrldq-student-phone\" \/><\/span> <\/label>\n<\/p>\n<p><label>4. Parent\/Guardian Email Address<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-parent-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"mrldq-parent-email\" \/><\/span> <\/label>\n<\/p>\n<p><label>5. Parent\/Guardian Contact Number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-parent-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"mrldq-parent-phone\" \/><\/span> <\/label>\n<\/p>\n<p><label>6. School Name<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-school-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mrldq-school-name\" \/><\/span> <\/label>\n<\/p>\n<p><label>7. Class \/ Grade<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-grade\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mrldq-grade\" \/><\/span> <\/label>\n<\/p>\n<p><label>8. How did you hear about SPACEE?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-hear-about\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"mrldq-hear-about[]\" value=\"School referral\" \/><span class=\"wpcf7-list-item-label\">School referral<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"mrldq-hear-about[]\" value=\"Social media (Instagram\/Facebook)\" \/><span class=\"wpcf7-list-item-label\">Social media (Instagram\/Facebook)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"mrldq-hear-about[]\" value=\"A friend\/classmate\" \/><span class=\"wpcf7-list-item-label\">A friend\/classmate<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"mrldq-hear-about[]\" value=\"Mind Renaissance Website\" \/><span class=\"wpcf7-list-item-label\">Mind Renaissance Website<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"mrldq-hear-about[]\" value=\"Career guidance seminar\" \/><span class=\"wpcf7-list-item-label\">Career guidance seminar<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"mrldq-hear-about[]\" value=\"Other (please specify)\" \/><span class=\"wpcf7-list-item-label\">Other (please specify)<\/span><\/label><\/span><\/span><\/span> <\/label>\n<\/p>\n<p><label>9. Which 3 career paths are you most curious to explore?<br \/>\n1. <span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-career1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mrldq-career1\" \/><\/span><br \/>\n2. <span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-career2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mrldq-career2\" \/><\/span><br \/>\n3. <span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-career3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mrldq-career3\" \/><\/span> <\/label>\n<\/p>\n<p><label>10. Which SPACEE intake would you prefer to join?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-intake\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"mrldq-intake\" value=\"December\" \/><span class=\"wpcf7-list-item-label\">December<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"mrldq-intake\" value=\"March\" \/><span class=\"wpcf7-list-item-label\">March<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"mrldq-intake\" value=\"June\" \/><span class=\"wpcf7-list-item-label\">June<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"mrldq-intake\" value=\"September\" \/><span class=\"wpcf7-list-item-label\">September<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>12. Is there anything specific you\u2019re hoping to gain from SPACEE? (Optional)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-optional-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"mrldq-optional-message\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><div id=\"cf7sr-6a056004a94c8\" class=\"cf7sr-g-recaptcha\" data-theme=\"light\" data-type=\"image\" data-size=\"normal\" data-sitekey=\"6LfP2-MrAAAAAJtioQsWiueAkU2LaCtvtgG_bgVh\"><\/div><span class=\"wpcf7-form-control-wrap cf7sr-recaptcha\" data-name=\"cf7sr-recaptcha\"><input type=\"hidden\" name=\"cf7sr-recaptcha\" value=\"\" class=\"wpcf7-form-control\"><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"hi\"\/><\/form>\n<\/div>\n<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>SPACEE Application Form<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-30439","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"http:\/\/mindrenaissance-livebackup.staging33.com\/hi\/wp-json\/wp\/v2\/pages\/30439","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/mindrenaissance-livebackup.staging33.com\/hi\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/mindrenaissance-livebackup.staging33.com\/hi\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/mindrenaissance-livebackup.staging33.com\/hi\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/mindrenaissance-livebackup.staging33.com\/hi\/wp-json\/wp\/v2\/comments?post=30439"}],"version-history":[{"count":8,"href":"http:\/\/mindrenaissance-livebackup.staging33.com\/hi\/wp-json\/wp\/v2\/pages\/30439\/revisions"}],"predecessor-version":[{"id":35466,"href":"http:\/\/mindrenaissance-livebackup.staging33.com\/hi\/wp-json\/wp\/v2\/pages\/30439\/revisions\/35466"}],"wp:attachment":[{"href":"http:\/\/mindrenaissance-livebackup.staging33.com\/hi\/wp-json\/wp\/v2\/media?parent=30439"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}