{"id":706,"date":"2025-04-11T23:27:42","date_gmt":"2025-04-11T23:27:42","guid":{"rendered":"https:\/\/amexcasep.org.mx\/?page_id=706"},"modified":"2025-04-11T23:51:52","modified_gmt":"2025-04-11T23:51:52","slug":"formulario-nuevos-socios","status":"publish","type":"page","link":"https:\/\/amexcasep.org.mx\/en\/formulario-nuevos-socios\/","title":{"rendered":"Formulario Nuevos Socios"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"706\" class=\"elementor elementor-706\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fcb4458 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fcb4458\" data-element_type=\"section\" data-e-type=\"section\" id=\"footer_section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-84a10fe\" data-id=\"84a10fe\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-37d6fb2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"37d6fb2\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-239a6188\" data-id=\"239a6188\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c13b52f elementor-widget elementor-widget-heading\" data-id=\"c13b52f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Formulario de Registro Nuevos Socios 2025<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-9cb0e83 e-flex e-con-boxed e-con e-parent\" data-id=\"9cb0e83\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d4a8200 elementor-widget elementor-widget-text-editor\" data-id=\"d4a8200\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Requerimientos para contestar el formulario<\/strong><\/p>\n<p>En este formulario de registro a la Asociaci\u00f3n Mexicana por la Calidad en Salud y Seguridad del Paciente AMEXCASEP A.C. se le solicitar\u00e1n datos personales y laborales con el motivo de realizar su inscripci\u00f3n a la Asociaci\u00f3n.<\/p>\n<p>Previo a responder este formulario es necesario tener disponible su curr\u00edculum vitae y su comprobante de pago por la membres\u00eda.<\/p>\n<p>El pago se debe realizar a la siguiente cuenta bancaria:<\/p>\n<p><b>Banco<\/b> <b>Santander<\/b><\/p>\n<p>Asociaci\u00f3n Mexicana por la Calidad en Salud y Seguridad del Paciente AMEXCASEP<\/p>\n<p><b>Cuenta<\/b> 65510537578<\/p>\n<p><b>CLABE<\/b> 014320655105375780<\/p>\n<p><b>Asociado Activo: $3,000 MX<\/b><\/p>\n<p><b>Asociado en Formaci\u00f3n: $1,500 MX<\/b><\/p>\t\t\t\t\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-dd6d45b e-flex e-con-boxed e-con e-parent\" data-id=\"dd6d45b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2f88251a elementor-widget elementor-widget-shortcode\" data-id=\"2f88251a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-168 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-168\" data-uid=\"6a2bb8884bb96\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-168\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-168 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"168\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6a2bb8884bb96\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_6a2bb8884bb96\" id=\"forminator-field-consent-1_6a2bb8884bb96-label\" class=\"forminator-label\">Aviso de Privacidad <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_6a2bb8884bb96__label\" class=\"forminator-checkbox forminator-consent\" aria-labelledby=\"forminator-field-consent-1_6a2bb8884bb96-label\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_6a2bb8884bb96\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_6a2bb8884bb96-label\" aria-describedby=\"forminator-field-consent-1_6a2bb8884bb96__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_6a2bb8884bb96__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>Este aviso de privacidad describe la forma en la que \"La Asociaci\u00f3n Mexicana por la Calidad en Salud y Seguridad del Paciente (AMEXCASEP)\" recopila y trata sus datos personales. Recopilamos sus datos personales con el \u00fanico prop\u00f3sito de realizar el registro de socios nuevo y todos los procedimientos que de este emanen. Para conocer mayor informaci\u00f3n sobre los t\u00e9rminos y condiciones en que ser\u00e1n tratados sus datos personales, como los terceros con quienes compartimos su informaci\u00f3n personal y la forma en que podr\u00e1 ejercer sus derechos ARCO, puede consultar el aviso de privacidad integral en nuestra p\u00e1gina web&nbsp;<a data-token-index=\"1\" rel=\"noopener noreferrer\" href=\"http:\/\/amexcasep.org.mx\/\" class=\"notion-link-token notion-focusable-token notion-enable-hover\"><span class=\"link-annotation-unknown-block-id-1687185883\">amexcasep.org.mx<\/span><\/a>.&nbsp;<\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a2bb8884bb96\" id=\"forminator-field-name-1_6a2bb8884bb96-label\" class=\"forminator-label\">Nombre Completo <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"Ejemplo: Juan P\u00e9rez\" id=\"forminator-field-name-1_6a2bb8884bb96\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6a2bb8884bb96\" id=\"forminator-field-date-1-picker_6a2bb8884bb96-label\" class=\"forminator-label\">Fecha de Nacimiento <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Elegir fecha\" id=\"forminator-field-date-1-picker_6a2bb8884bb96\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a2bb8884bb96\" id=\"forminator-field-phone-1_6a2bb8884bb96-label\" class=\"forminator-label\">Tel\u00e9fono de contacto <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-phone-1_6a2bb8884bb96-description\" class=\"forminator-description\" id=\"forminator-field-phone-1_6a2bb8884bb96-description\"><span data-limit=\"10\" data-type=\"\">0 \/ 10<\/span><\/span><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Ejemplo: 300 400 5000\" id=\"forminator-field-phone-1_6a2bb8884bb96\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" maxlength=\"10\" data-validation=\"character_limit\" \/><\/div><\/div><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6a2bb8884bb96-label\"><span id=\"forminator-radiogroup-radio-1-6a2bb8884bb96-label\" class=\"forminator-label\">G\u00e9nero <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6a2bb8884bb96\" class=\"forminator-radio\" title=\"Femenino\"><input type=\"radio\" name=\"radio-1\" value=\"one\" id=\"forminator-field-radio-1-1-6a2bb8884bb96\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Femenino<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6a2bb8884bb96\" class=\"forminator-radio\" title=\"Masculino\"><input type=\"radio\" name=\"radio-1\" value=\"two\" id=\"forminator-field-radio-1-2-6a2bb8884bb96\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Masculino<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-6a2bb8884bb96\" class=\"forminator-radio\" title=\"Prefiero no decir\"><input type=\"radio\" name=\"radio-1\" value=\"Prefiero-no-decir\" id=\"forminator-field-radio-1-3-6a2bb8884bb96\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Prefiero no decir<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a2bb8884bb96\" id=\"forminator-field-email-1_6a2bb8884bb96-label\" class=\"forminator-label\">Correo electr\u00f3nico <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6a2bb8884bb96\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><div id=\"address-1\" class=\"forminator-field-address forminator-col forminator-col-6 \"><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-1-city\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-city_6a2bb8884bb96\" id=\"forminator-field-address-1-city_6a2bb8884bb96-label\" class=\"forminator-label\">Ciudad <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-city\" placeholder=\"Ejemplo: Madrid\" id=\"forminator-field-address-1-city_6a2bb8884bb96\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level2\" value=\"\" \/><\/div><\/div><div id=\"address-1-state\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-state_6a2bb8884bb96\" id=\"forminator-field-address-1-state_6a2bb8884bb96-label\" class=\"forminator-label\">Estado\/Provincia <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-state\" placeholder=\"Ejemplo: Madrid\" id=\"forminator-field-address-1-state_6a2bb8884bb96\" class=\"forminator-input\" data-required=\"1\" aria-required=\"true\" autocomplete=\"address-level1\" value=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"address-1-zip\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-address-1-zip_6a2bb8884bb96\" id=\"forminator-field-address-1-zip_6a2bb8884bb96-label\" class=\"forminator-label\">C\u00f3digo postal <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"address-1-zip\" placeholder=\"Ejemplo: 2000\" id=\"forminator-field-address-1-zip_6a2bb8884bb96\" class=\"forminator-input\" autocomplete=\"postal-code\" value=\"\" \/><\/div><\/div><div id=\"address-1-country\" class=\"forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-168__field--address-1-country_6a2bb8884bb96\" id=\"forminator-field-168__field--address-1-country_6a2bb8884bb96-label\" class=\"forminator-label\">Pa\u00eds <span class=\"forminator-required\">*<\/span><\/label><select name=\"address-1-country\" id=\"forminator-field-168__field--address-1-country_6a2bb8884bb96\" class=\"forminator-select2\" data-search=\"true\" data-placeholder=\"Select country\" autocomplete=\"country-name country\" data-default-value=\"\"><option value=\"\" data-country-code=\"\" selected=\"selected\"><\/option><option value=\"Afghanistan\" data-country-code=\"AF\" >Afghanistan<\/option><option value=\"Albania\" data-country-code=\"AL\" >Albania<\/option><option value=\"Algeria\" data-country-code=\"DZ\" >Algeria<\/option><option value=\"American Samoa\" data-country-code=\"AS\" >American Samoa<\/option><option value=\"Andorra\" data-country-code=\"AD\" >Andorra<\/option><option value=\"Angola\" data-country-code=\"AO\" >Angola<\/option><option value=\"Anguilla\" data-country-code=\"AI\" >Anguilla<\/option><option value=\"Antarctica\" data-country-code=\"AQ\" >Antarctica<\/option><option value=\"Antigua and Barbuda\" data-country-code=\"AG\" >Antigua and Barbuda<\/option><option value=\"Argentina\" data-country-code=\"AR\" >Argentina<\/option><option value=\"Armenia\" data-country-code=\"AM\" >Armenia<\/option><option value=\"Aruba\" data-country-code=\"AW\" >Aruba<\/option><option value=\"Australia\" data-country-code=\"AU\" >Australia<\/option><option value=\"Austria\" data-country-code=\"AT\" >Austria<\/option><option value=\"Azerbaijan\" data-country-code=\"AZ\" >Azerbaijan<\/option><option value=\"Bahamas\" data-country-code=\"BS\" >Bahamas<\/option><option value=\"Bahrain\" data-country-code=\"BH\" >Bahrain<\/option><option value=\"Bangladesh\" data-country-code=\"BD\" >Bangladesh<\/option><option value=\"Barbados\" data-country-code=\"BB\" >Barbados<\/option><option value=\"Belarus\" data-country-code=\"BY\" >Belarus<\/option><option value=\"Belgium\" data-country-code=\"BE\" >Belgium<\/option><option value=\"Belize\" data-country-code=\"BZ\" >Belize<\/option><option value=\"Benin\" data-country-code=\"BJ\" >Benin<\/option><option value=\"Bermuda\" data-country-code=\"BM\" >Bermuda<\/option><option value=\"Bhutan\" data-country-code=\"BT\" >Bhutan<\/option><option value=\"Bolivia\" data-country-code=\"BO\" >Bolivia<\/option><option value=\"Bosnia and Herzegovina\" data-country-code=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"Botswana\" data-country-code=\"BW\" >Botswana<\/option><option value=\"Bouvet Island\" data-country-code=\"BV\" >Bouvet Island<\/option><option value=\"Brazil\" data-country-code=\"BR\" >Brazil<\/option><option value=\"British Indian Ocean Territory\" data-country-code=\"IO\" >British Indian Ocean Territory<\/option><option value=\"Brunei\" data-country-code=\"BN\" >Brunei<\/option><option value=\"Bulgaria\" data-country-code=\"BG\" >Bulgaria<\/option><option value=\"Burkina Faso\" data-country-code=\"BF\" >Burkina Faso<\/option><option value=\"Burundi\" data-country-code=\"BI\" >Burundi<\/option><option value=\"Cabo Verde\" data-country-code=\"CV\" >Cabo Verde<\/option><option value=\"Cambodia\" data-country-code=\"KH\" >Cambodia<\/option><option value=\"Cameroon\" data-country-code=\"CM\" >Cameroon<\/option><option value=\"Canada\" data-country-code=\"CA\" >Canada<\/option><option value=\"Cayman Islands\" data-country-code=\"KY\" >Cayman Islands<\/option><option value=\"Central African Republic\" data-country-code=\"CF\" >Central African Republic<\/option><option value=\"Chad\" data-country-code=\"TD\" >Chad<\/option><option value=\"Chile\" data-country-code=\"CL\" >Chile<\/option><option value=\"China, People's Republic of\" data-country-code=\"CN\" >China, People's Republic of<\/option><option value=\"Christmas Island\" data-country-code=\"CX\" >Christmas Island<\/option><option value=\"Cocos Islands\" data-country-code=\"CC\" >Cocos Islands<\/option><option value=\"Colombia\" data-country-code=\"CO\" >Colombia<\/option><option value=\"Comoros\" data-country-code=\"KM\" >Comoros<\/option><option value=\"Congo, Democratic Republic of the\" data-country-code=\"CD\" >Congo, Democratic Republic of the<\/option><option value=\"Congo, Republic of the\" data-country-code=\"CG\" >Congo, Republic of the<\/option><option value=\"Cook Islands\" data-country-code=\"CK\" >Cook Islands<\/option><option value=\"Costa Rica\" data-country-code=\"CR\" >Costa Rica<\/option><option value=\"Croatia\" data-country-code=\"HR\" >Croatia<\/option><option value=\"Cuba\" data-country-code=\"CU\" >Cuba<\/option><option value=\"Cura\u00e7ao\" data-country-code=\"CW\" >Cura\u00e7ao<\/option><option value=\"Cyprus\" data-country-code=\"CY\" >Cyprus<\/option><option value=\"Czech Republic\" data-country-code=\"CZ\" >Czech Republic<\/option><option value=\"C\u00f4te d'Ivoire\" data-country-code=\"CI\" >C\u00f4te d'Ivoire<\/option><option value=\"Denmark\" data-country-code=\"DK\" >Denmark<\/option><option value=\"Djibouti\" data-country-code=\"DJ\" >Djibouti<\/option><option value=\"Dominica\" data-country-code=\"DM\" >Dominica<\/option><option value=\"Dominican Republic\" data-country-code=\"DO\" >Dominican Republic<\/option><option value=\"East Timor\" data-country-code=\"TL\" >East Timor<\/option><option value=\"Ecuador\" data-country-code=\"EC\" >Ecuador<\/option><option value=\"Egypt\" data-country-code=\"EG\" >Egypt<\/option><option value=\"El Salvador\" data-country-code=\"SV\" >El Salvador<\/option><option value=\"Equatorial Guinea\" data-country-code=\"GQ\" >Equatorial Guinea<\/option><option value=\"Eritrea\" data-country-code=\"ER\" >Eritrea<\/option><option value=\"Estonia\" data-country-code=\"EE\" >Estonia<\/option><option value=\"Ethiopia\" data-country-code=\"ET\" >Ethiopia<\/option><option value=\"Falkland Islands\" data-country-code=\"FK\" >Falkland Islands<\/option><option value=\"Faroe Islands\" data-country-code=\"FO\" >Faroe Islands<\/option><option value=\"Fiji\" data-country-code=\"FJ\" >Fiji<\/option><option value=\"Finland\" data-country-code=\"FI\" >Finland<\/option><option value=\"France\" data-country-code=\"FR\" >France<\/option><option value=\"France, Metropolitan\" data-country-code=\"FX\" >France, Metropolitan<\/option><option value=\"French Guiana\" data-country-code=\"GF\" >French Guiana<\/option><option value=\"French Polynesia\" data-country-code=\"PF\" >French Polynesia<\/option><option value=\"French South Territories\" data-country-code=\"TF\" >French South Territories<\/option><option value=\"Gabon\" data-country-code=\"GA\" >Gabon<\/option><option value=\"Gambia\" data-country-code=\"GM\" >Gambia<\/option><option value=\"Georgia\" data-country-code=\"GE\" >Georgia<\/option><option value=\"Germany\" data-country-code=\"DE\" >Germany<\/option><option value=\"Ghana\" data-country-code=\"GH\" >Ghana<\/option><option value=\"Gibraltar\" data-country-code=\"GI\" >Gibraltar<\/option><option value=\"Greece\" data-country-code=\"GR\" >Greece<\/option><option value=\"Greenland\" data-country-code=\"GL\" >Greenland<\/option><option value=\"Grenada\" data-country-code=\"GD\" >Grenada<\/option><option value=\"Guadeloupe\" data-country-code=\"GP\" >Guadeloupe<\/option><option value=\"Guam\" data-country-code=\"GU\" >Guam<\/option><option value=\"Guatemala\" data-country-code=\"GT\" >Guatemala<\/option><option value=\"Guernsey\" data-country-code=\"GG\" >Guernsey<\/option><option value=\"Guinea\" data-country-code=\"GN\" >Guinea<\/option><option value=\"Guinea-Bissau\" data-country-code=\"GW\" >Guinea-Bissau<\/option><option value=\"Guyana\" data-country-code=\"GY\" >Guyana<\/option><option value=\"Haiti\" data-country-code=\"HT\" >Haiti<\/option><option value=\"Heard Island And Mcdonald Island\" data-country-code=\"HM\" >Heard Island And Mcdonald Island<\/option><option value=\"Honduras\" data-country-code=\"HN\" >Honduras<\/option><option value=\"Hong Kong\" data-country-code=\"HK\" >Hong Kong<\/option><option value=\"Hungary\" data-country-code=\"HU\" >Hungary<\/option><option value=\"Iceland\" data-country-code=\"IS\" >Iceland<\/option><option value=\"India\" data-country-code=\"IN\" >India<\/option><option value=\"Indonesia\" data-country-code=\"ID\" >Indonesia<\/option><option value=\"Iran\" data-country-code=\"IR\" >Iran<\/option><option value=\"Iraq\" data-country-code=\"IQ\" >Iraq<\/option><option value=\"Ireland\" data-country-code=\"IE\" >Ireland<\/option><option value=\"Israel\" data-country-code=\"IL\" >Israel<\/option><option value=\"Italy\" data-country-code=\"IT\" >Italy<\/option><option value=\"Jamaica\" data-country-code=\"JM\" >Jamaica<\/option><option value=\"Japan\" data-country-code=\"JP\" >Japan<\/option><option value=\"Jersey\" data-country-code=\"JE\" >Jersey<\/option><option value=\"Johnston Island\" data-country-code=\"JT\" >Johnston Island<\/option><option value=\"Jordan\" data-country-code=\"JO\" >Jordan<\/option><option value=\"Kazakhstan\" data-country-code=\"KZ\" >Kazakhstan<\/option><option value=\"Kenya\" data-country-code=\"KE\" >Kenya<\/option><option value=\"Kiribati\" data-country-code=\"KI\" >Kiribati<\/option><option value=\"Korea, Democratic People's Republic of\" data-country-code=\"KP\" >Korea, Democratic People's Republic of<\/option><option value=\"Korea, Republic of\" data-country-code=\"KR\" >Korea, Republic of<\/option><option value=\"Kosovo\" data-country-code=\"XK\" >Kosovo<\/option><option value=\"Kuwait\" data-country-code=\"KW\" >Kuwait<\/option><option value=\"Kyrgyzstan\" data-country-code=\"KG\" >Kyrgyzstan<\/option><option value=\"Lao People's Democratic Republic\" data-country-code=\"LA\" >Lao People's Democratic Republic<\/option><option value=\"Latvia\" data-country-code=\"LV\" >Latvia<\/option><option value=\"Lebanon\" data-country-code=\"LB\" >Lebanon<\/option><option value=\"Lesotho\" data-country-code=\"LS\" >Lesotho<\/option><option value=\"Liberia\" data-country-code=\"LR\" >Liberia<\/option><option value=\"Libya\" data-country-code=\"LY\" >Libya<\/option><option value=\"Liechtenstein\" data-country-code=\"LI\" >Liechtenstein<\/option><option value=\"Lithuania\" data-country-code=\"LT\" >Lithuania<\/option><option value=\"Luxembourg\" data-country-code=\"LU\" >Luxembourg<\/option><option value=\"Macau\" data-country-code=\"MO\" >Macau<\/option><option value=\"Madagascar\" data-country-code=\"MG\" >Madagascar<\/option><option value=\"Malawi\" data-country-code=\"MW\" >Malawi<\/option><option value=\"Malaysia\" data-country-code=\"MY\" >Malaysia<\/option><option value=\"Maldives\" data-country-code=\"MV\" >Maldives<\/option><option value=\"Mali\" data-country-code=\"ML\" >Mali<\/option><option value=\"Malta\" data-country-code=\"MT\" >Malta<\/option><option value=\"Marshall Islands\" data-country-code=\"MH\" >Marshall Islands<\/option><option value=\"Martinique\" data-country-code=\"MQ\" >Martinique<\/option><option value=\"Mauritania\" data-country-code=\"MR\" >Mauritania<\/option><option value=\"Mauritius\" data-country-code=\"MU\" >Mauritius<\/option><option value=\"Mayotte\" data-country-code=\"YT\" >Mayotte<\/option><option value=\"Mexico\" data-country-code=\"MX\" >Mexico<\/option><option value=\"Micronesia\" data-country-code=\"FM\" >Micronesia<\/option><option value=\"Moldova\" data-country-code=\"MD\" >Moldova<\/option><option value=\"Monaco\" data-country-code=\"MC\" >Monaco<\/option><option value=\"Mongolia\" data-country-code=\"MN\" >Mongolia<\/option><option value=\"Montenegro\" data-country-code=\"ME\" >Montenegro<\/option><option value=\"Montserrat\" data-country-code=\"MS\" >Montserrat<\/option><option value=\"Morocco\" data-country-code=\"MA\" >Morocco<\/option><option value=\"Mozambique\" data-country-code=\"MZ\" >Mozambique<\/option><option value=\"Myanmar\" data-country-code=\"MM\" >Myanmar<\/option><option value=\"Namibia\" data-country-code=\"NA\" >Namibia<\/option><option value=\"Nauru\" data-country-code=\"NR\" >Nauru<\/option><option value=\"Nepal\" data-country-code=\"NP\" >Nepal<\/option><option value=\"Netherlands\" data-country-code=\"NL\" >Netherlands<\/option><option value=\"Netherlands Antilles\" data-country-code=\"AN\" >Netherlands Antilles<\/option><option value=\"New Caledonia\" data-country-code=\"NC\" >New Caledonia<\/option><option value=\"New Zealand\" data-country-code=\"NZ\" >New Zealand<\/option><option value=\"Nicaragua\" data-country-code=\"NI\" >Nicaragua<\/option><option value=\"Niger\" data-country-code=\"NE\" >Niger<\/option><option value=\"Nigeria\" data-country-code=\"NG\" >Nigeria<\/option><option value=\"Niue\" data-country-code=\"NU\" >Niue<\/option><option value=\"Norfolk Island\" data-country-code=\"NF\" >Norfolk Island<\/option><option value=\"North Macedonia\" data-country-code=\"MK\" >North Macedonia<\/option><option value=\"Northern Mariana Islands\" data-country-code=\"MP\" >Northern Mariana Islands<\/option><option value=\"Norway\" data-country-code=\"NO\" >Norway<\/option><option value=\"Oman\" data-country-code=\"OM\" >Oman<\/option><option value=\"Pakistan\" data-country-code=\"PK\" >Pakistan<\/option><option value=\"Palau\" data-country-code=\"PW\" >Palau<\/option><option value=\"Palestine, State of\" data-country-code=\"PS\" >Palestine, State of<\/option><option value=\"Panama\" data-country-code=\"PA\" >Panama<\/option><option value=\"Papua New Guinea\" data-country-code=\"PG\" >Papua New Guinea<\/option><option value=\"Paraguay\" data-country-code=\"PY\" >Paraguay<\/option><option value=\"Peru\" data-country-code=\"PE\" >Peru<\/option><option value=\"Philippines\" data-country-code=\"PH\" >Philippines<\/option><option value=\"Pitcairn Islands\" data-country-code=\"PN\" >Pitcairn Islands<\/option><option value=\"Poland\" data-country-code=\"PL\" >Poland<\/option><option value=\"Portugal\" data-country-code=\"PT\" >Portugal<\/option><option value=\"Puerto Rico\" data-country-code=\"PR\" >Puerto Rico<\/option><option value=\"Qatar\" data-country-code=\"QA\" >Qatar<\/option><option value=\"Reunion Island\" data-country-code=\"RE\" >Reunion Island<\/option><option value=\"Romania\" data-country-code=\"RO\" >Romania<\/option><option value=\"Russia\" data-country-code=\"RU\" >Russia<\/option><option value=\"Rwanda\" data-country-code=\"RW\" >Rwanda<\/option><option value=\"Saint Helena\" data-country-code=\"SH\" >Saint Helena<\/option><option value=\"Saint Kitts and Nevis\" data-country-code=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" data-country-code=\"LC\" >Saint Lucia<\/option><option value=\"Saint Pierre & Miquelon\" data-country-code=\"PM\" >Saint Pierre & Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\" data-country-code=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"Samoa\" data-country-code=\"WS\" >Samoa<\/option><option value=\"San Marino\" data-country-code=\"SM\" >San Marino<\/option><option value=\"Sao Tome and Principe\" data-country-code=\"ST\" >Sao Tome and Principe<\/option><option value=\"Saudi Arabia\" data-country-code=\"SA\" >Saudi Arabia<\/option><option value=\"Senegal\" data-country-code=\"SN\" >Senegal<\/option><option value=\"Serbia\" data-country-code=\"RS\" >Serbia<\/option><option value=\"Seychelles\" data-country-code=\"SC\" >Seychelles<\/option><option value=\"Sierra Leone\" data-country-code=\"SL\" >Sierra Leone<\/option><option value=\"Singapore\" data-country-code=\"SG\" >Singapore<\/option><option value=\"Sint Maarten\" data-country-code=\"MF\" >Sint Maarten<\/option><option value=\"Slovakia\" data-country-code=\"SK\" >Slovakia<\/option><option value=\"Slovenia\" data-country-code=\"SI\" >Slovenia<\/option><option value=\"Solomon Islands\" data-country-code=\"SB\" >Solomon Islands<\/option><option value=\"Somalia\" data-country-code=\"SO\" >Somalia<\/option><option value=\"South Africa\" data-country-code=\"ZA\" >South Africa<\/option><option value=\"South Georgia and South Sandwich\" data-country-code=\"GS\" >South Georgia and South Sandwich<\/option><option value=\"Spain\" data-country-code=\"ES\" >Spain<\/option><option value=\"Sri Lanka\" data-country-code=\"LK\" >Sri Lanka<\/option><option value=\"Stateless Persons\" data-country-code=\"XX\" >Stateless Persons<\/option><option value=\"Sudan\" data-country-code=\"SD\" >Sudan<\/option><option value=\"Sudan, South\" data-country-code=\"SS\" >Sudan, South<\/option><option value=\"Suriname\" data-country-code=\"SR\" >Suriname<\/option><option value=\"Svalbard and Jan Mayen\" data-country-code=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"Swaziland\" data-country-code=\"SZ\" >Swaziland<\/option><option value=\"Sweden\" data-country-code=\"SE\" >Sweden<\/option><option value=\"Switzerland\" data-country-code=\"CH\" >Switzerland<\/option><option value=\"Syria\" data-country-code=\"SY\" >Syria<\/option><option value=\"Taiwan, Republic of China\" data-country-code=\"TW\" >Taiwan, Republic of China<\/option><option value=\"Tajikistan\" data-country-code=\"TJ\" >Tajikistan<\/option><option value=\"Tanzania\" data-country-code=\"TZ\" >Tanzania<\/option><option value=\"Thailand\" data-country-code=\"TH\" >Thailand<\/option><option value=\"Togo\" data-country-code=\"TG\" >Togo<\/option><option value=\"Tokelau\" data-country-code=\"TK\" >Tokelau<\/option><option value=\"Tonga\" data-country-code=\"TO\" >Tonga<\/option><option value=\"Trinidad and Tobago\" data-country-code=\"TT\" >Trinidad and Tobago<\/option><option value=\"Tunisia\" data-country-code=\"TN\" >Tunisia<\/option><option value=\"Turkey\" data-country-code=\"TR\" >Turkey<\/option><option value=\"Turkmenistan\" data-country-code=\"TM\" >Turkmenistan<\/option><option value=\"Turks And Caicos Islands\" data-country-code=\"TC\" >Turks And Caicos Islands<\/option><option value=\"Tuvalu\" data-country-code=\"TV\" >Tuvalu<\/option><option value=\"US Minor Outlying Islands\" data-country-code=\"UM\" >US Minor Outlying Islands<\/option><option value=\"Uganda\" data-country-code=\"UG\" >Uganda<\/option><option value=\"Ukraine\" data-country-code=\"UA\" >Ukraine<\/option><option value=\"United Arab Emirates\" data-country-code=\"AE\" >United Arab Emirates<\/option><option value=\"United Kingdom\" data-country-code=\"GB\" >United Kingdom<\/option><option value=\"United States of America (USA)\" data-country-code=\"US\" >United States of America (USA)<\/option><option value=\"Uruguay\" data-country-code=\"UY\" >Uruguay<\/option><option value=\"Uzbekistan\" data-country-code=\"UZ\" >Uzbekistan<\/option><option value=\"Vanuatu\" data-country-code=\"VU\" >Vanuatu<\/option><option value=\"Vatican City\" data-country-code=\"VA\" >Vatican City<\/option><option value=\"Venezuela\" data-country-code=\"VE\" >Venezuela<\/option><option value=\"Vietnam\" data-country-code=\"VN\" >Vietnam<\/option><option value=\"Virgin Islands, British\" data-country-code=\"VG\" >Virgin Islands, British<\/option><option value=\"Virgin Islands, U.S.\" data-country-code=\"VI\" >Virgin Islands, U.S.<\/option><option value=\"Wallis And Futuna Islands\" data-country-code=\"WF\" >Wallis And Futuna Islands<\/option><option value=\"Western Sahara\" data-country-code=\"EH\" >Western Sahara<\/option><option value=\"Yemen\" data-country-code=\"YE\" >Yemen<\/option><option value=\"Zambia\" data-country-code=\"ZM\" >Zambia<\/option><option value=\"Zimbabwe\" data-country-code=\"ZW\" >Zimbabwe<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-6a2bb8884bb96-label\"><span id=\"forminator-radiogroup-radio-2-6a2bb8884bb96-label\" class=\"forminator-label\">\u00bfC\u00f3mo se entero de AMEXCASEP? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-6a2bb8884bb96\" class=\"forminator-radio\" title=\"Invitaci\u00f3n por parte de un socio\"><input type=\"radio\" name=\"radio-2\" value=\"one\" id=\"forminator-field-radio-2-1-6a2bb8884bb96\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Invitaci\u00f3n por parte de un socio<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-6a2bb8884bb96\" class=\"forminator-radio\" title=\"Redes sociales\"><input type=\"radio\" name=\"radio-2\" value=\"two\" id=\"forminator-field-radio-2-2-6a2bb8884bb96\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Redes sociales<\/span><\/label><label id=\"forminator-field-radio-2-label-3\" for=\"forminator-field-radio-2-3-6a2bb8884bb96\" class=\"forminator-radio\" title=\"Otro\"><input type=\"radio\" name=\"radio-2\" value=\"Otro\" id=\"forminator-field-radio-2-3-6a2bb8884bb96\" aria-labelledby=\"forminator-field-radio-2-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Otro<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6a2bb8884bb96\" id=\"forminator-field-text-1_6a2bb8884bb96-label\" class=\"forminator-label\">En caso de que se haya enterado por la invitaci\u00f3n de un socio por favor, escriba su nombre aqu\u00ed:<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_6a2bb8884bb96\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">DATOS ACAD\u00c9MICOS<\/h2><h3 class=\"forminator-subtitle\">Para AMEXCASEP es muy importante conocer cual es la formaci\u00f3n de sus Asociados, tanto para dar cumplimiento a los principios de \u00e9sta, como para ofrecer opciones de desarrollo continuo a sus integrantes. Abajo encontrar\u00e1 diversas solicitudes de informaci\u00f3n con respecto a sus Datos Acad\u00e9micos.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-168__field--select-1_6a2bb8884bb96\" id=\"forminator-form-168__field--select-1_6a2bb8884bb96-label\" class=\"forminator-label\">Formaci\u00f3n profesional <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-168__field--select-1_6a2bb8884bb96\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Seleccionar\" data-search=\"false\" data-search-placeholder=\"Seleccionar\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-168__field--select-1_6a2bb8884bb96-label\"><option value=\"\"  >Seleccionar<\/option><option value=\"one\"  data-calculation=\"0\">M\u00e9dico (a) General<\/option><option value=\"two\"  data-calculation=\"0\">Enfermero (a)<\/option><option value=\"Psic\u00f3logo-(a)\"  data-calculation=\"0\">Psic\u00f3logo (a)<\/option><option value=\"Trabajador-(a)-Social\"  data-calculation=\"0\">Trabajador (a) Social<\/option><option value=\"Odont\u00f3logo-(a)\"  data-calculation=\"0\">Odont\u00f3logo (a)<\/option><option value=\"Qu\u00edmico-(a)\"  data-calculation=\"0\">Qu\u00edmico (a)<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-6a2bb8884bb96-label\"><span id=\"forminator-radiogroup-radio-3-6a2bb8884bb96-label\" class=\"forminator-label\">\u00bfCuenta con especialidad? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-6a2bb8884bb96\" class=\"forminator-radio\" title=\"Si\"><input type=\"radio\" name=\"radio-3\" value=\"one\" id=\"forminator-field-radio-3-1-6a2bb8884bb96\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-6a2bb8884bb96\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-3\" value=\"two\" id=\"forminator-field-radio-3-2-6a2bb8884bb96\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6a2bb8884bb96\" id=\"forminator-field-text-2_6a2bb8884bb96-label\" class=\"forminator-label\">En caso de contar con una especialidad en su formaci\u00f3n \u00bfpodr\u00eda indicarnos cu\u00e1l?<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_6a2bb8884bb96\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-168__field--select-2_6a2bb8884bb96\" id=\"forminator-form-168__field--select-2_6a2bb8884bb96-label\" class=\"forminator-label\">\u00daltimo grado de estudios <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-168__field--select-2_6a2bb8884bb96\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Seleccionar\" data-search=\"false\" data-search-placeholder=\"Seleccionar\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-168__field--select-2_6a2bb8884bb96-label\"><option value=\"\"  >Seleccionar<\/option><option value=\"one\"  data-calculation=\"0\">Carrera t\u00e9cnica<\/option><option value=\"two\"  data-calculation=\"0\">Licenciatura<\/option><option value=\"Especialidad\"  data-calculation=\"0\">Especialidad<\/option><option value=\"Maestr\u00eda\"  data-calculation=\"0\">Maestr\u00eda<\/option><option value=\"Doctorado\"  data-calculation=\"0\">Doctorado<\/option><\/select><\/div><\/div><div id=\"radio-4\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-4-6a2bb8884bb96-label\"><span id=\"forminator-radiogroup-radio-4-6a2bb8884bb96-label\" class=\"forminator-label\">\u00bfCuenta con formaci\u00f3n en Calidad en Salud? Por ejemplo: cursos, diplomados, maestr\u00edas, doctorado, etc. <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-4-label-1\" for=\"forminator-field-radio-4-1-6a2bb8884bb96\" class=\"forminator-radio\" title=\"Si\"><input type=\"radio\" name=\"radio-4\" value=\"one\" id=\"forminator-field-radio-4-1-6a2bb8884bb96\" aria-labelledby=\"forminator-field-radio-4-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-4-label-2\" for=\"forminator-field-radio-4-2-6a2bb8884bb96\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-4\" value=\"two\" id=\"forminator-field-radio-4-2-6a2bb8884bb96\" aria-labelledby=\"forminator-field-radio-4-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6a2bb8884bb96\" id=\"forminator-field-text-3_6a2bb8884bb96-label\" class=\"forminator-label\">En caso de haber respondido s\u00ed a la pregunta previa, favor de enlistar m\u00e1ximo tres de los m\u00e1s significativos de su formaci\u00f3n en calidad. Por favor espec\u00edfica, d\u00f3nde fueron impartidos y el per\u00edodo de los mismo en orden cronol\u00f3gico del m\u00e1s reciente al m\u00e1s antiguo.<\/label><span id=\"forminator-field-text-3_6a2bb8884bb96-description\" class=\"forminator-description\">Ejemplo:  1.Maestr\u00eda en Gerencia de Calidad y Seguridad en los Servicios de Salud por el Centro Universitario de Ciencias de la Salud, 2022-2024  2.Curso de Ciclos de Mejora de la Calidad, por el Instituto Nacional de Salud P\u00fablica, Agosto 2020  3.Curso de Formaci\u00f3n de Gestores de Calidad, por la Coordinaci\u00f3n de Calidad de la Secretar\u00eda de Salud Jalisco, Enero-Marzo 2020<\/span><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\" id=\"forminator-field-text-3_6a2bb8884bb96\" class=\"forminator-input forminator-name--field\" data-required=\"\" aria-describedby=\"forminator-field-text-3_6a2bb8884bb96-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-5\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-5-6a2bb8884bb96-label\"><span id=\"forminator-radiogroup-radio-5-6a2bb8884bb96-label\" class=\"forminator-label\">\u00bfHa participado en publicaciones en revistas cient\u00edficas, editoriales, cap\u00edtulos de libros, materiales de divulgaci\u00f3n cient\u00edfica, entre otros, con la tem\u00e1tica de la calidad en salud? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-5-label-1\" for=\"forminator-field-radio-5-1-6a2bb8884bb96\" class=\"forminator-radio\" title=\"Si\"><input type=\"radio\" name=\"radio-5\" value=\"one\" id=\"forminator-field-radio-5-1-6a2bb8884bb96\" aria-labelledby=\"forminator-field-radio-5-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-5-label-2\" for=\"forminator-field-radio-5-2-6a2bb8884bb96\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-5\" value=\"two\" id=\"forminator-field-radio-5-2-6a2bb8884bb96\" aria-labelledby=\"forminator-field-radio-5-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6a2bb8884bb96\" id=\"forminator-field-text-4_6a2bb8884bb96-label\" class=\"forminator-label\">En caso de haber respondido s\u00ed a la pregunta previa, favor de enlistar m\u00e1ximo dos de las publicaciones m\u00e1s significativas y la liga de acceso en caso de contar con ella. Por favor asegurase de enlistarlas en orden cronol\u00f3gico de la m\u00e1s reciente a la m\u00e1s antigua.<\/label><span id=\"forminator-field-text-4_6a2bb8884bb96-description\" class=\"forminator-description\">Ejemplo:  1.Aplicaci\u00f3n del cuestionario de autoevaluaci\u00f3n de la estrategia multimodal de la OMS para mejorar la pr\u00e1ctica de higiene de manos en un hospital de tercer nivel,\u00a0https:\/\/scielo.isciii.es\/scielo.php?script=sci_arttext&amp;pid=S1578-\u00a025492021000400355,  2. Implementaci\u00f3n de estrategia multimodal en higiene de manos en un hospital pedi\u00e1trico,\u00a0https:\/\/revistas.uv.cl\/index.php\/Benessere\/article\/view\/1396<\/span><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"\" id=\"forminator-field-text-4_6a2bb8884bb96\" class=\"forminator-input forminator-name--field\" data-required=\"\" aria-describedby=\"forminator-field-text-4_6a2bb8884bb96-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">DATOS LABORALES<\/h2><h3 class=\"forminator-subtitle\">Para AMEXCASEP es muy importante conocer cual es el campo laboral de sus Asociados, tanto para dar cumplimiento a los principios de \u00e9sta, como para ofrecer opciones de desarrollo y actualizaci\u00f3n continua a sus integrantes. Abajo encontrar\u00e1s diversas solicitudes de informaci\u00f3n con respecto a tus datos laborales.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-168__field--select-3_6a2bb8884bb96\" id=\"forminator-form-168__field--select-3_6a2bb8884bb96-label\" class=\"forminator-label\">Tipo de Instituci\u00f3n d\u00f3nde laboras actualmente <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-168__field--select-3_6a2bb8884bb96\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Seleccionar\" data-search=\"false\" data-search-placeholder=\"Seleccionar\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-168__field--select-3_6a2bb8884bb96-label\"><option value=\"\"  >Seleccionar<\/option><option value=\"one\"  data-calculation=\"0\">P\u00fablica<\/option><option value=\"two\"  data-calculation=\"0\">Privada<\/option><option value=\"Trabajo-por-mi-cuenta\"  data-calculation=\"0\">Trabajo por mi cuenta<\/option><option value=\"Actualmente-no-trabajo\"  data-calculation=\"0\">Actualmente no trabajo<\/option><\/select><\/div><\/div><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-168__field--select-4_6a2bb8884bb96\" id=\"forminator-form-168__field--select-4_6a2bb8884bb96-label\" class=\"forminator-label\">Instituci\u00f3n d\u00f3nde labora <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-168__field--select-4_6a2bb8884bb96\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Seleccionar\" data-search=\"false\" data-search-placeholder=\"Seleccionar\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-168__field--select-4_6a2bb8884bb96-label\"><option value=\"\"  >Seleccionar<\/option><option value=\"one\"  data-calculation=\"0\">Establecimiento Privado de Servicios de Salud (Hospital, cl\u00ednica, consultorio, etc.)<\/option><option value=\"two\"  data-calculation=\"0\">IMSS<\/option><option value=\"ISSSTE\"  data-calculation=\"0\">ISSSTE<\/option><option value=\"Secretar\u00eda-de-Salud-Federal\"  data-calculation=\"0\">Secretar\u00eda de Salud Federal<\/option><option value=\"Servicios-Estatales-de-Salud\"  data-calculation=\"0\">Servicios Estatales de Salud<\/option><option value=\"Institutos-Nacionales-de-Salud\"  data-calculation=\"0\">Institutos Nacionales de Salud<\/option><option value=\"Hospitales-Regionales-de-Alta-Especialidad\"  data-calculation=\"0\">Hospitales Regionales de Alta Especialidad<\/option><option value=\"Organismos-P\u00fablicos-Descentralizados-Estatales\"  data-calculation=\"0\">Organismos P\u00fablicos Descentralizados Estatales<\/option><option value=\"Organismos-P\u00fablicos-Descentralizados-Federales\"  data-calculation=\"0\">Organismos P\u00fablicos Descentralizados Federales<\/option><option value=\"Servicios-de-Salud-de-Petr\u00f3leos-Mexicanos---PEMEX\"  data-calculation=\"0\">Servicios de Salud de Petr\u00f3leos Mexicanos - PEMEX<\/option><option value=\"Servicio-Sanidad-Militar---SEDENA\"  data-calculation=\"0\">Servicio Sanidad Militar - SEDENA<\/option><option value=\"Sistema-de-Salud-Naval---SEMAR\"  data-calculation=\"0\">Sistema de Salud Naval - SEMAR<\/option><option value=\"Universidad\"  data-calculation=\"0\">Universidad<\/option><option value=\"Otra\"  data-calculation=\"0\">Otra<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6a2bb8884bb96\" id=\"forminator-field-text-5_6a2bb8884bb96-label\" class=\"forminator-label\">\u00bfCu\u00e1l es el cargo que desempe\u00f1a actualmente? <span class=\"forminator-required\">*<\/span><\/label><span id=\"forminator-field-text-5_6a2bb8884bb96-description\" class=\"forminator-description\">Favor de enumerar, Puesto, Departamento, Coordinaci\u00f3n, Direcci\u00f3n o equivalente, la instituci\u00f3n a la que pertenece, y el tiempo en el que se ha desempe\u00f1ado en sus labores.<\/span><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"Ejemplo:  1. Gestor Estatal de Calidad, Coordinaci\u00f3n de Calidad, OPD Servicios de Salud Jalisco, 2 a\u00f1os 2. Gestor de Calidad, Hospital Puerta de Hierro Sur, 1 a\u00f1o\" id=\"forminator-field-text-5_6a2bb8884bb96\" class=\"forminator-input forminator-name--field\" data-required=\"1\" aria-describedby=\"forminator-field-text-5_6a2bb8884bb96-description\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-6\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-6-6a2bb8884bb96-label\"><span id=\"forminator-radiogroup-radio-6-6a2bb8884bb96-label\" class=\"forminator-label\">\u00bfSe desempe\u00f1a como docente en alguna instituci\u00f3n educativa? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-6-label-1\" for=\"forminator-field-radio-6-1-6a2bb8884bb96\" class=\"forminator-radio\" title=\"Si\"><input type=\"radio\" name=\"radio-6\" value=\"one\" id=\"forminator-field-radio-6-1-6a2bb8884bb96\" aria-labelledby=\"forminator-field-radio-6-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-6-label-2\" for=\"forminator-field-radio-6-2-6a2bb8884bb96\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-6\" value=\"two\" id=\"forminator-field-radio-6-2-6a2bb8884bb96\" aria-labelledby=\"forminator-field-radio-6-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6a2bb8884bb96\" id=\"forminator-field-text-6_6a2bb8884bb96-label\" class=\"forminator-label\">En caso de haber respondido s\u00ed a la pregunta previa, favor de enumerar las materias impartidas, la instituci\u00f3n d\u00f3nde e imparten y el tiempo que se ha dedicado a dicha actividad.<\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"Ejemplo:  1. Ciclos de Mejora de Calidad, Centro Universitario de Ciencias de la Salud, 2 a\u00f1os 2. Gerencia de los Servicios de Salud, Diplomado en Calidad de los Servicios de Salud, 1 a\u00f1o\" id=\"forminator-field-text-6_6a2bb8884bb96\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6a2bb8884bb96\" id=\"forminator-field-upload-1_6a2bb8884bb96-label\" class=\"forminator-label\">Favor de adjuntar su Curr\u00edculum Vitae <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6a2bb8884bb96\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6a2bb8884bb96\" class=\"forminator-input-file-required do-validate\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_6a2bb8884bb96_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6a2bb8884bb96\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">OTROS PROYECTOS RELACIONADOS CON LA CALIDAD EN SALUD Y SEGURIDAD DEL PACIENTE<\/h2><h3 class=\"forminator-subtitle\">Para AMEXCASEP es muy importante conocer acerca de la experiencia de sus Asociados en proyectos en gesti\u00f3n de calidad, que aunque quiz\u00e1 no cuenten con retribuci\u00f3n econ\u00f3mica, s\u00ed aporten a mejorar la Calidad en la atenci\u00f3n a la salud de los pacientes. Dicha informaci\u00f3n es relevante tanto para dar cumplimiento a los Principios de \u00e9sta, como para ofrecer opciones de desarrollo continuo a sus integrantes. Abajo encontrar\u00e1s diversas solicitudes de informaci\u00f3n con respecto a tus Proyectos en Calidad en Salud.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-7\" class=\"forminator-field-radio forminator-col forminator-col-12 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-7-6a2bb8884bb96-label\"><span id=\"forminator-radiogroup-radio-7-6a2bb8884bb96-label\" class=\"forminator-label\">\u00bfHa participado en Proyectos de Gesti\u00f3n de la Calidad en Salud y Seguridad del Paciente? <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-7-label-1\" for=\"forminator-field-radio-7-1-6a2bb8884bb96\" class=\"forminator-radio\" title=\"Si\"><input type=\"radio\" name=\"radio-7\" value=\"one\" id=\"forminator-field-radio-7-1-6a2bb8884bb96\" aria-labelledby=\"forminator-field-radio-7-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Si<\/span><\/label><label id=\"forminator-field-radio-7-label-2\" for=\"forminator-field-radio-7-2-6a2bb8884bb96\" class=\"forminator-radio\" title=\"No\"><input type=\"radio\" name=\"radio-7\" value=\"two\" id=\"forminator-field-radio-7-2-6a2bb8884bb96\" aria-labelledby=\"forminator-field-radio-7-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">No<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6a2bb8884bb96\" id=\"forminator-field-text-7_6a2bb8884bb96-label\" class=\"forminator-label\">En caso de haber respondido s\u00ed a la pregunta anterior, favor de enlistar m\u00e1ximo tres proyectos, los m\u00e1s significativos en los que participe o haya participado, d\u00f3nde se desarrolla o fue desarrollado, y la fecha del mismo, en orden cronol\u00f3gico, del m\u00e1s reciente al m\u00e1s antiguo:<\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"Ejemplo:  1. L\u00edder en Implementaci\u00f3n de Higiene de Manos en M\u00e9xico mediante la impartici\u00f3n del Curso Train-The-Trainers, Ciudad de M\u00e9xico, Mayo 2021  2. Representante ante la OMS acerca de Calidad y Seguridad del Paciente, Costa Rica, Mayo 2020  3. Asesor en Proyecto de Mejora de la Seguridad Quir\u00fargica, Hospital Civil de Guadalajara, Febrero 2020\" id=\"forminator-field-text-7_6a2bb8884bb96\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-2\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-2_6a2bb8884bb96\" id=\"forminator-field-upload-2_6a2bb8884bb96-label\" class=\"forminator-label\">Por favor adjunte el comprobante de pago <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload \" data-element=\"upload-2_6a2bb8884bb96\"><input type=\"file\" name=\"upload-2\" id=\"forminator-field-upload-2_6a2bb8884bb96\" class=\"forminator-input-file-required do-validate\" 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