{"id":1090,"date":"2022-09-13T09:29:29","date_gmt":"2022-09-13T09:29:29","guid":{"rendered":"https:\/\/smr.plnk.co\/?page_id=1090"},"modified":"2023-04-07T12:48:08","modified_gmt":"2023-04-07T12:48:08","slug":"ispg-interest-group-application","status":"publish","type":"page","link":"https:\/\/smr.plnk.co\/?page_id=1090","title":{"rendered":"ISPG Interest Group Application"},"content":{"rendered":"<p><img loading=\"lazy\" class=\"size-medium wp-image-1091 alignright\" src=\"https:\/\/smr.plnk.co\/wp-content\/uploads\/2022\/09\/ISPG-LOGO-Tranparent-300x103.png\" alt=\"\" width=\"300\" height=\"103\" srcset=\"https:\/\/smr.plnk.co\/wp-content\/uploads\/2022\/09\/ISPG-LOGO-Tranparent-300x103.png 300w, https:\/\/smr.plnk.co\/wp-content\/uploads\/2022\/09\/ISPG-LOGO-Tranparent-1024x350.png 1024w, https:\/\/smr.plnk.co\/wp-content\/uploads\/2022\/09\/ISPG-LOGO-Tranparent-768x263.png 768w, https:\/\/smr.plnk.co\/wp-content\/uploads\/2022\/09\/ISPG-LOGO-Tranparent-1536x525.png 1536w, https:\/\/smr.plnk.co\/wp-content\/uploads\/2022\/09\/ISPG-LOGO-Tranparent-2048x700.png 2048w, https:\/\/smr.plnk.co\/wp-content\/uploads\/2022\/09\/ISPG-LOGO-Tranparent-1080x369.png 1080w, https:\/\/smr.plnk.co\/wp-content\/uploads\/2022\/09\/ISPG-LOGO-Tranparent-1200x410.png 1200w\" sizes=\"(max-width: 300px) 85vw, 300px\" \/>International Society of Psychiatric Genetics<br \/>\n<a href=\"https:\/\/ispg.net\/\">https:\/\/ispg.net<\/a><br \/>\n<a href=\"mailto:info@ispg.net\">info@ispg.net<\/a><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><form enctype=\"multipart\/form-data\" class=\"fm-form\" method=\"post\" action=\"https:\/\/smr.plnk.co\/?page_id=1090\" name=\"fm-form-25\" id=\"fm-form-25\" autocomplete=\"on\" >\n\n\t<fieldset>\t\n\t\t\t\t\t\t\t\t\t<legend>ISPG Interest Group Application<\/legend>\n\t\t\t\t\t\t\t\n\t\t<ul>\n\t\t\t\t\t\t<li id=\"fm-item-text-63204e6f0792c\">\n\t\t\t\t\t\t\t\t\t<table><tr>\n\t\t\t\t\t\t<td style=\"width:200px\"><label>Name:&nbsp;<em>*<\/em><\/label><\/td>\n\t\t\t\t\t\t<td><input type=\"text\" name=\"text-63204e6f0792c\" id=\"text-63204e6f0792c\" style=\"width:300px;\" placeholder=\"\" \/><\/td>\n\t\t\t\t\t<\/tr><\/table>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<li id=\"fm-item-text-63204e89d0503\">\n\t\t\t\t\t\t\t\t\t<table><tr>\n\t\t\t\t\t\t<td style=\"width:200px\"><label>Email Address&nbsp;<em>*<\/em><\/label><\/td>\n\t\t\t\t\t\t<td><input type=\"text\" name=\"text-63204e89d0503\" id=\"text-63204e89d0503\" style=\"width:300px;\" placeholder=\"\" \/><\/td>\n\t\t\t\t\t<\/tr><\/table>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<li id=\"fm-item-text-63204e8a7fef4\">\n\t\t\t\t\t\t\t\t\t<table><tr>\n\t\t\t\t\t\t<td style=\"width:200px\"><label>Phone Number&nbsp;<em>*<\/em><\/label><\/td>\n\t\t\t\t\t\t<td><input type=\"text\" name=\"text-63204e8a7fef4\" id=\"text-63204e8a7fef4\" style=\"width:300px;\" placeholder=\"\" \/><\/td>\n\t\t\t\t\t<\/tr><\/table>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<li id=\"fm-item-text-632050494d943\">\n\t\t\t\t\t\t\t\t\t<table><tr>\n\t\t\t\t\t\t<td style=\"width:200px\"><label>Proposed Interest Group Subject:&nbsp;<em>*<\/em><\/label><\/td>\n\t\t\t\t\t\t<td><input type=\"text\" name=\"text-632050494d943\" id=\"text-632050494d943\" style=\"width:300px;\" placeholder=\"\" \/><\/td>\n\t\t\t\t\t<\/tr><\/table>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<li id=\"fm-item-textarea-632050255739e\">\n\t\t\t\t\t\t\t\t\t<table><tr>\n\t\t\t\t\t\t<td style=\"width:200px\"><label>What is the mission of your proposed Interest Group?&nbsp;<em>*<\/em><\/label><\/td>\n\t\t\t\t\t\t<td><textarea name=\"textarea-632050255739e\" id=\"textarea-632050255739e\" style=\"width:300px;height:100px;\" placeholder=\"\"><\/textarea><\/td>\n\t\t\t\t\t<\/tr><\/table>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<li id=\"fm-item-separator-63204f6803fe7\">\n\t\t\t\t\t\t\t\t\t<table><tr>\n\t\t\t\t\t\t<td style=\"width:200px\"><label><\/label><\/td>\n\t\t\t\t\t\t<td><hr \/><\/td>\n\t\t\t\t\t<\/tr><\/table>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<li id=\"fm-item-note-63204f74247f7\">\n\t\t\t\t\t\t\t\t\t<table><tr>\n\t\t\t\t\t\t<td style=\"width:200px\"><label>Responsibilities<\/label><\/td>\n\t\t\t\t\t\t<td>Interest group leaders will need to actively engage the group via [TBD medium] and social media outlets; participate in quarterly Interest Group leader calls; provide a report of activities annually to the ISPG Board of Directors; and host an Interest Group meeting at the WCPG.<\/td>\n\t\t\t\t\t<\/tr><\/table>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<li id=\"fm-item-custom_list-63204fca85e43\">\n\t\t\t\t\t\t\t\t\t<table><tr>\n\t\t\t\t\t\t<td style=\"width:200px\"><label>Are you willing to fulfill these responsibilities?&nbsp;<em>*<\/em><\/label><\/td>\n\t\t\t\t\t\t<td><div class=\"fm-checkbox-list\"><input type=\"checkbox\"  id=\"custom_list-63204fca85e43-0\" name=\"custom_list-63204fca85e43-0\" \/>&nbsp;&nbsp;Yes<br><input type=\"checkbox\"  id=\"custom_list-63204fca85e43-1\" name=\"custom_list-63204fca85e43-1\" \/>&nbsp;&nbsp;No<\/div><input type=\"hidden\" name=\"custom_list-63204fca85e43\" id=\"custom_list-63204fca85e43\" value=\"2\" \/><input type=\"hidden\" id=\"custom_list-63204fca85e43-list-style\" value=\"checkbox\" \/><input type=\"hidden\" id=\"custom_list-63204fca85e43-count\" value=\"2\" \/><\/td>\n\t\t\t\t\t<\/tr><\/table>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<li id=\"fm-item-custom_list-63204eb8547b8\">\n\t\t\t\t\t\t\t\t\t<table><tr>\n\t\t\t\t\t\t<td style=\"width:200px\"><label>Are you willing to oversee (Chair) this Interest Group?&nbsp;<em>*<\/em><\/label><\/td>\n\t\t\t\t\t\t<td><div class=\"fm-checkbox-list\"><input type=\"checkbox\"  id=\"custom_list-63204eb8547b8-0\" name=\"custom_list-63204eb8547b8-0\" \/>&nbsp;&nbsp;Yes<br><input type=\"checkbox\"  id=\"custom_list-63204eb8547b8-1\" name=\"custom_list-63204eb8547b8-1\" \/>&nbsp;&nbsp;No<\/div><input type=\"hidden\" name=\"custom_list-63204eb8547b8\" id=\"custom_list-63204eb8547b8\" value=\"2\" \/><input type=\"hidden\" id=\"custom_list-63204eb8547b8-list-style\" value=\"checkbox\" \/><input type=\"hidden\" id=\"custom_list-63204eb8547b8-count\" value=\"2\" \/><\/td>\n\t\t\t\t\t<\/tr><\/table>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<li id=\"fm-item-custom_list-63204ee33664e\">\n\t\t\t\t\t\t\t\t\t<table><tr>\n\t\t\t\t\t\t<td style=\"width:200px\"><label>Do you have a co-chair interested in helping lead this group?&nbsp;<em>*<\/em><\/label><\/td>\n\t\t\t\t\t\t<td><div class=\"fm-checkbox-list\"><input type=\"checkbox\"  id=\"custom_list-63204ee33664e-0\" name=\"custom_list-63204ee33664e-0\" \/>&nbsp;&nbsp;Yes<br><input type=\"checkbox\"  id=\"custom_list-63204ee33664e-1\" name=\"custom_list-63204ee33664e-1\" \/>&nbsp;&nbsp;No<\/div><input type=\"hidden\" name=\"custom_list-63204ee33664e\" id=\"custom_list-63204ee33664e\" value=\"2\" \/><input type=\"hidden\" id=\"custom_list-63204ee33664e-list-style\" value=\"checkbox\" \/><input type=\"hidden\" id=\"custom_list-63204ee33664e-count\" value=\"2\" \/><\/td>\n\t\t\t\t\t<\/tr><\/table>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<li id=\"fm-item-text-63204f44995a9\">\n\t\t\t\t\t\t\t\t\t<table><tr>\n\t\t\t\t\t\t<td style=\"width:200px\"><label>If yes, please list their name:<\/label><\/td>\n\t\t\t\t\t\t<td><input type=\"text\" name=\"text-63204f44995a9\" id=\"text-63204f44995a9\" style=\"width:300px;\" placeholder=\"\" \/><\/td>\n\t\t\t\t\t<\/tr><\/table>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<li id=\"fm-item-separator-63205083c7b44\">\n\t\t\t\t\t\t\t\t\t<table><tr>\n\t\t\t\t\t\t<td style=\"width:200px\"><label><\/label><\/td>\n\t\t\t\t\t\t<td><hr \/><\/td>\n\t\t\t\t\t<\/tr><\/table>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<li id=\"fm-item-textarea-632050875a776\">\n\t\t\t\t\t\t\t\t\t<table><tr>\n\t\t\t\t\t\t<td style=\"width:200px\"><label>Please provide a minimum of three activities you plan to implement with your interest group.&nbsp;<em>*<\/em><\/label><\/td>\n\t\t\t\t\t\t<td><textarea name=\"textarea-632050875a776\" id=\"textarea-632050875a776\" style=\"width:300px;height:100px;\" placeholder=\"\"><\/textarea><\/td>\n\t\t\t\t\t<\/tr><\/table>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<li id=\"fm-item-textarea-6320509e37a35\">\n\t\t\t\t\t\t\t\t\t<table><tr>\n\t\t\t\t\t\t<td style=\"width:200px\"><label>Please add any additional questions or comments here:<\/label><\/td>\n\t\t\t\t\t\t<td><textarea name=\"textarea-6320509e37a35\" id=\"textarea-6320509e37a35\" style=\"width:300px;height:100px;\" placeholder=\"\"><\/textarea><\/td>\n\t\t\t\t\t<\/tr><\/table>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t<\/ul>\n\n\t\t<div>\n\t\t <input type=\"submit\" name=\"fm_form_submit\" id=\"fm_form_submit\" class=\"submit\" value=\"Submit\" onclick=\"return fm_submit_onclick(25)\"  \/>\n\t\t<\/div>\n\n\t<\/fieldset>\n\t<input type=\"hidden\" name=\"fm_nonce\" id=\"fm_nonce\" value=\"8a8d643615\" \/>\n<input type=\"hidden\" name=\"fm_id\" id=\"fm_id\" value=\"25\" \/>\n<input type=\"hidden\" name=\"fm_uniq_id\" id=\"fm_uniq_id\" value=\"fm-6a0d492cb427c\" \/>\n<input type=\"hidden\" name=\"fm_parent_post_id\" id=\"fm_parent_post_id\" value=\"1090\" \/>\n<\/form>\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>International Society of Psychiatric Genetics https:\/\/ispg.net info@ispg.net &nbsp;<\/p>\n","protected":false},"author":15,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":""},"_links":{"self":[{"href":"https:\/\/smr.plnk.co\/index.php?rest_route=\/wp\/v2\/pages\/1090"}],"collection":[{"href":"https:\/\/smr.plnk.co\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/smr.plnk.co\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/smr.plnk.co\/index.php?rest_route=\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/smr.plnk.co\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1090"}],"version-history":[{"count":2,"href":"https:\/\/smr.plnk.co\/index.php?rest_route=\/wp\/v2\/pages\/1090\/revisions"}],"predecessor-version":[{"id":1093,"href":"https:\/\/smr.plnk.co\/index.php?rest_route=\/wp\/v2\/pages\/1090\/revisions\/1093"}],"wp:attachment":[{"href":"https:\/\/smr.plnk.co\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1090"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}