{"id":2811,"date":"2021-11-02T12:32:31","date_gmt":"2021-11-02T16:32:31","guid":{"rendered":"https:\/\/infocrep.cssdm.gouv.qc.ca\/enseignants\/?page_id=2811"},"modified":"2024-02-12T16:04:17","modified_gmt":"2024-02-12T21:04:17","slug":"formulaire-dabsence","status":"publish","type":"page","link":"https:\/\/infocrep.cssdm.gouv.qc.ca\/enseignants\/formulaire-dabsence\/","title":{"rendered":"D\u00e9claration d&rsquo;absence &#8211; Enseignant"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2810-o1\" lang=\"fr-FR\" dir=\"ltr\" data-wpcf7-id=\"2810\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/enseignants\/wp-json\/wp\/v2\/pages\/2811#wpcf7-f2810-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulaire de contact\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"2810\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.5\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"fr_FR\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2810-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:2810,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;your-motif&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;COVID - isolement pr\\u00e9ventif&quot;}]},{&quot;then_field&quot;:&quot;-1&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;your-motif&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;COVID - r\\u00e9sultat positif&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,&quot;notice_dismissed_update-cf7-5.5.4&quot;:true}}\" \/>\n<\/div>\n<div class=\"cf7-form\">\n\t<div class=\"cf7-section\">\n\t\t<h3 class=\"cf7-title\">Informations g\u00e9n\u00e9rales\n\t\t<\/h3>\n\t\t<div class=\"row cf7-row\">\n\t\t\t<div class=\"col-lg-4 col-md-4 col-sm-12 col-xs-12 cf7-col\">\n\t\t\t\t<p><label class=\"cf7-label\">Nom de votre direction (obligatoire)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"menu-mailda\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required cf7-control\" aria-required=\"true\" aria-invalid=\"false\" name=\"menu-mailda\"><option value=\"\">&#8212;Veuillez choisir une option&#8212;<\/option><option value=\"Smail, Djamila\">Smail, Djamila<\/option><option value=\"Boucher, Valerie\">Boucher, Valerie<\/option><option value=\"Sarda, Alain\">Sarda, Alain<\/option><option value=\"Chery, Sandra Emmanuelle\">Chery, Sandra Emmanuelle<\/option><option value=\"Bernier, Marylene\">Bernier, Marylene<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-lg-4 col-md-4 col-sm-12 col-xs-12 cf7-col\">\n\t\t\t\t<p><label class=\"cf7-label\">Nom de votre organisme (obligatoire)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Nomdelorganisme\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required cf7-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Nomdelorganisme\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row cf7-row\">\n\t\t\t<div class=\"col-lg-4 col-md-4 col-sm-12 col-xs-12 cf7-col\">\n\t\t\t\t<p><label class=\"cf7-label\">Prenom et nom (obligatoire)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-nom\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required cf7-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-nom\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-lg-4 col-md-4 col-sm-12 col-xs-12 cf7-col\">\n\t\t\t\t<p><label class=\"cf7-label\">Votre courriel (obligatoire)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email cf7-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-section\">\n\t\t<h3 class=\"cf7-title\">Absence\n\t\t<\/h3>\n\t\t<div class=\"row cf7-row\">\n\t\t\t<div class=\"col-lg-4 col-md-4 col-sm-12 col-xs-12 cf7-col\">\n\t\t\t\t<p><label class=\"cf7-label\">Date du debut de l'absence (obligatoire)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-229\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date cf7-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-229\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t\t<p><label class=\"cf7-label cf7-label-spaced\">Si plus d'une journ\u00e9e, indiquer la derni\u00e8re journ\u00e9e d'absence<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-230\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date cf7-control\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-230\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-lg-4 col-md-4 col-sm-12 col-xs-12 cf7-col\">\n\t\t\t\t<p><label class=\"cf7-label\">Pour une absence d'une journ\u00e9e, indiquer la p\u00e9riode<\/label>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-choice\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-AM\"><span class=\"wpcf7-form-control wpcf7-checkbox cf7-check\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-AM[]\" value=\"AM\" \/><span class=\"wpcf7-list-item-label\">AM<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-AM[]\" value=\"PM\" \/><span class=\"wpcf7-list-item-label\">PM<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"row cf7-row\">\n\t\t\t<div class=\"col-lg-4 col-md-4 col-sm-12 col-xs-12 cf7-col\">\n\t\t\t\t<p><label class=\"cf7-label\">Raison de l'absence (obligatoire)<\/label>\n\t\t\t\t<\/p>\n\t\t\t\t<div class=\"cf7-choice\">\n\t\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-motif\"><span class=\"wpcf7-form-control wpcf7-radio cf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"your-motif\" value=\"Maladie\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Maladie<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"your-motif\" value=\"Responsabilit\u00e9 familiale\" \/><span class=\"wpcf7-list-item-label\">Responsabilit\u00e9 familiale<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"your-motif\" value=\"Formation\/congres\/colloques\" \/><span class=\"wpcf7-list-item-label\">Formation\/congres\/colloques<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"your-motif\" value=\"Report de vacances (selon l&#039;entente sign\u00e9e par la direction l&#039;ann\u00e9e pr\u00e9c\u00e9dente)\" \/><span class=\"wpcf7-list-item-label\">Report de vacances (selon l&#039;entente sign\u00e9e par la direction l&#039;ann\u00e9e pr\u00e9c\u00e9dente)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"your-motif\" value=\"D\u00e9m\u00e9nagement (pi\u00e8ce justificative obligatoire)\" \/><span class=\"wpcf7-list-item-label\">D\u00e9m\u00e9nagement (pi\u00e8ce justificative obligatoire)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"your-motif\" value=\"D\u00e9c\u00e8s\/Fun\u00e9railles (pi\u00e8ce justificative obligatoire)\" \/><span class=\"wpcf7-list-item-label\">D\u00e9c\u00e8s\/Fun\u00e9railles (pi\u00e8ce justificative obligatoire)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"your-motif\" value=\"Cong\u00e9 religieux (pi\u00e8ce justificative obligatoire)\" \/><span class=\"wpcf7-list-item-label\">Cong\u00e9 religieux (pi\u00e8ce justificative obligatoire)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"your-motif\" value=\"Force majeure (pi\u00e8ce justificative obligatoire)\" \/><span class=\"wpcf7-list-item-label\">Force majeure (pi\u00e8ce justificative obligatoire)<\/span><\/label><\/span><\/span><\/span>\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-section\">\n\t\t<h3 class=\"cf7-title\">Commentaires et\/ou d\u00e9tails\n\t\t<\/h3>\n\t\t<div class=\"row cf7-row\">\n\t\t\t<div class=\"col-lg-12 col-md-12 col-sm-12 col-xs-12 cf7-col\">\n\t\t\t\t<p><label class=\"cf7-label\">Commentaires et\/ou d\u00e9tails des \u00e9l\u00e9ments p\u00e9dagogiques qui \u00e9taient pr\u00e9vus afin d'informer la personne qui vous remplacera.<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea cf7-control\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"cf7-actions\">\n\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner cf7-submit\" type=\"submit\" value=\"Envoyer\" \/>\n\t\t<\/p>\n\t<\/div>\n<\/div><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<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2811","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/infocrep.cssdm.gouv.qc.ca\/enseignants\/wp-json\/wp\/v2\/pages\/2811","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/infocrep.cssdm.gouv.qc.ca\/enseignants\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/infocrep.cssdm.gouv.qc.ca\/enseignants\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/infocrep.cssdm.gouv.qc.ca\/enseignants\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/infocrep.cssdm.gouv.qc.ca\/enseignants\/wp-json\/wp\/v2\/comments?post=2811"}],"version-history":[{"count":3,"href":"https:\/\/infocrep.cssdm.gouv.qc.ca\/enseignants\/wp-json\/wp\/v2\/pages\/2811\/revisions"}],"predecessor-version":[{"id":2847,"href":"https:\/\/infocrep.cssdm.gouv.qc.ca\/enseignants\/wp-json\/wp\/v2\/pages\/2811\/revisions\/2847"}],"wp:attachment":[{"href":"https:\/\/infocrep.cssdm.gouv.qc.ca\/enseignants\/wp-json\/wp\/v2\/media?parent=2811"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}