{"id":2649,"date":"2025-10-10T17:56:21","date_gmt":"2025-10-10T15:56:21","guid":{"rendered":"https:\/\/pb.edu.pl\/inkubator\/?page_id=2649"},"modified":"2025-10-15T12:51:37","modified_gmt":"2025-10-15T10:51:37","slug":"formularz-konsultacje","status":"publish","type":"page","link":"https:\/\/pb.edu.pl\/inkubator\/formularz-konsultacje\/","title":{"rendered":"Formularz zapisu na konsultacje"},"content":{"rendered":"<p>Pola oznaczone (*) musz\u0105 by\u0107 wype\u0142nione obowi\u0105zkowo.<\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f269-o1\" lang=\"pl-PL\" dir=\"ltr\" data-wpcf7-id=\"269\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/inkubator\/wp-json\/wp\/v2\/pages\/2649#wpcf7-f269-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formularz kontaktowy\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"269\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"pl_PL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f269-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:269,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;-1&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;Referat&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false}}\" \/>\n<\/fieldset>\n<div class=\"wpcf7-turnstile cf-turnstile\" data-sitekey=\"0x4AAAAAACDP-G-k0g-pygWP\" data-response-field-name=\"_wpcf7_turnstile_response\"><\/div>\n\n<div class=\"row\">\n\t<div class=\"col-md-12 mx-auto\">\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><label for=\"nazwa\"> Imi\u0119 i Nazwisko lub nazwa firmy: *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nazwa\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"nazwa\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nazwa\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6\">\n\t\t\t\t<p><label for=\"reprezentant\"> Reprezentant: *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"reprezentant\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"reprezentant\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"reprezentant\" value=\"pracownik PB\" \/><span class=\"wpcf7-list-item-label\">pracownik PB<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"reprezentant\" value=\"student PB\" \/><span class=\"wpcf7-list-item-label\">student PB<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"reprezentant\" value=\"inny\" \/><span class=\"wpcf7-list-item-label\">inny<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-3\">\n\t\t\t\t<p><label for=\"telefon\"> Nr telefonu: *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"telefon\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" id=\"telefon\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"telefon\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-3\">\n\t\t\t\t<p><label for=\"email\"> E-mail: *<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" id=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t<hr style=\"color: rgba(2, 64, 108, 1);\" \/>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t<hr style=\"color: rgba(2, 64, 108, 1);\" \/>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-100\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-100\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Wyra\u017cam zgod\u0119 na przetwarzanie moich danych osobowych w celu skorzystania z us\u0142ugi doradczej \u015bwiadczonej przez Akademicki Inkubator Przedsi\u0119biorczo\u015bci Politechniki Bia\u0142ostockiej. Jednocze\u015bnie o\u015bwiadczam, \u017ce zapozna\u0142em\/am si\u0119 z obowi\u0105zkiem informacyjnym dotycz\u0105cym przetwarzania moich danych osobowych na podstawie udzielonej zgody.<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<p style=\"text-indent: 32px;font-weight: 400;font-size: 1.65rem;\"><a href=\"https:\/\/pb.edu.pl\/inkubator\/formularz-konsultacje\/informacja-o-przetwarzaniu-danych-osobowych\/\" target=\"_blank\">Informacja o przetwarzaniu danych osobowych<\/a>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-12\">\n\t\t\t<hr style=\"color: rgba(2, 64, 108, 1);\" \/>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row\">\n\t\t\t<div class=\"col-md-12 text-right\">\n\t\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Wy\u015blij\" \/>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Pola oznaczone (*) musz\u0105 by\u0107 wype\u0142nione obowi\u0105zkowo.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-2649","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/pb.edu.pl\/inkubator\/wp-json\/wp\/v2\/pages\/2649","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pb.edu.pl\/inkubator\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pb.edu.pl\/inkubator\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pb.edu.pl\/inkubator\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pb.edu.pl\/inkubator\/wp-json\/wp\/v2\/comments?post=2649"}],"version-history":[{"count":0,"href":"https:\/\/pb.edu.pl\/inkubator\/wp-json\/wp\/v2\/pages\/2649\/revisions"}],"wp:attachment":[{"href":"https:\/\/pb.edu.pl\/inkubator\/wp-json\/wp\/v2\/media?parent=2649"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}