From: <Guardado por Microsoft Internet Explorer 7>
Subject: Formulario Hogares
Date: Sat, 20 Jan 2007 22:09:55 +0100
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xmlns=3D"http://www.w3.org/1999/xhtml"><HEAD><TITLE>Formulario =
Hogares</TITLE>
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<META content=3D"MSHTML 6.00.5730.11" name=3DGENERATOR></HEAD>
<BODY>
<FORM action=3Dhttps://gestiondecuenta.com/php/formulario/check.php =
method=3Dget>
<P class=3DEstilo8 align=3Dcenter>HOGARES DE J=D3VENES / <SPAN =
class=3DEstilo36>MENORES=20
DE EDAD </SPAN></P>
<P class=3DEstilo23 align=3Dcenter><SPAN class=3DEstilo1><INPUT =
class=3DEstilo6=20
id=3DResidencia size=3D33 value=3D"NOMBRE DEL HOGAR" name=3DResidencia> =
<INPUT=20
class=3DEstilo6 id=3DResidencia22 size=3D14 value=3DClave =
name=3DResidencia22> <INPUT=20
class=3DEstilo6 id=3DResidencia2 size=3D14 value=3D" Curso actual" =
name=3DResidencia2>=20
</SPAN></P><INPUT type=3Dhidden =
value=3D--------------------------------------=20
name=3D-------->=20
<P class=3DEstilo1 align=3Dleft><SPAN class=3DEstilo8>DATOS GENERALES =
</SPAN></P>
<BLOCKQUOTE>
  <H3 class=3DEstilo2 align=3Dleft>Plazas disponibles=20
  .................................... <INPUT id=3Ddatos1 size=3D7=20
  name=3DPlazasDisponibles> J=F3venes acogidas al principio de =
curso..... <INPUT=20
  id=3Ddatos2 size=3D7 name=3DNumJovenesAcogidasAPrincipioCurso> </H3>
  <P class=3DEstilo2 align=3Dleft>J=F3venes dadas de baja durante el =
curso.... <INPUT=20
  id=3Ddatos22 size=3D7 name=3DNumBajasDuranteCurso> J=F3venes dadas de =
alta durante el=20
  curso.... <INPUT id=3Ddatos222 size=3D7 name=3DNumAltasDuranteCurso> =
</P>
  <H3 class=3DEstilo2 align=3Dleft><SPAN class=3DEstilo38>Actividad =
principal de las=20
  j=F3venes (n=BA de j=F3venes en la actividad que se indica): =
</SPAN></H3>
  <P class=3DEstilo2 align=3Dleft><SPAN class=3DEstilo38>Estudios =
primarios <INPUT=20
  size=3D7 name=3DOtrasActividadesIndividuales22> Estudiosde grado medio =
<INPUT=20
  size=3D7 name=3DOtrasActividadesIndividuales222> Otras .... <INPUT =
size=3D17=20
  name=3DOtrasActividadesIndividuales2> </SPAN></P>
  <P class=3DEstilo2 align=3Dleft><STRONG><STRONG>Coste de la plaza =
<SPAN=20
  class=3DEstilo28>(En Euros o D=F3lares ) ............................=20
  </SPAN></STRONG><INPUT id=3DBecasAsignadasCadaCurso23 size=3D7=20
  name=3DBecasAsignadasCadaCurso23> <STRONG></STRONG>Aportaci=F3n =
Econ=F3mica <SPAN=20
  class=3DEstilo28>(de las j=F3venes o familia) </SPAN></STRONG><SPAN=20
  class=3DEstilo28>... </SPAN><INPUT id=3DBecasAsignadasCadaCurso =
size=3D7=20
  name=3DBecasAsignadasCadaCurso2> </P>
  <P class=3DEstilo2 align=3Dleft><STRONG>Plazas subvencionadas <SPAN=20
  class=3DEstilo28>(por Organismos u otros)</SPAN> </STRONG><SPAN=20
  class=3DEstilo28>... <INPUT id=3DBecasAsignadasCadaCurso22 size=3D7=20
  name=3DBecasAsignadasCadaCurso22> </SPAN><STRONG>Becas asignadas cada =
curso=20
  </STRONG><SPAN class=3DEstilo28><STRONG>(por la Comunidad) =
</STRONG>... <INPUT=20
  id=3DBecasAsignadasCadaCurso2 size=3D7 =
name=3DBecasAsignadasCadaCurso3> </SPAN></P>
  <P class=3DEstilo2 align=3Dleft>HERMANAS EN ESTA MISI=D3N:</P>
  <P class=3DEstilo2 align=3Dleft>Como dedicaci=F3n =
prioritaria........... <INPUT=20
  id=3Ddatos3 maxLength=3D12 size=3D7 name=3DHermanasDedicadas> =
Colaboraci=F3n=20
  directa<SPAN class=3DEstilo28> (al menos dos horas diarias) <INPUT=20
  id=3DHermanasDedicadas maxLength=3D12 size=3D7 =
name=3DHermanasDedicadas2> </SPAN></P>
  <P class=3DEstilo2 align=3Dleft>PPROFESIONALES CONTRATADOS, (personas =
por horas a=20
  la semana):</P>
  <H3 class=3DEstilo2 align=3Dleft>De 1 a 3horas <INPUT id=3Ddatos4 =
size=3D7=20
  name=3DProfesionales1a3h> De 4 a 8h. <INPUT id=3Ddatos42 size=3D7=20
  name=3DProfesionales4a8h> De 9 a 18. <INPUT id=3Ddatos43 size=3D7=20
  name=3DProfesionales9a18h> Mas de 18 h. <INPUT id=3Ddatos43b size=3D7=20
  name=3DProfesionalesMas18h> </H3>
  <H3 class=3DEstilo2 align=3Dleft>COLABORADORES O VOLUNTARIOS: </H3>
  <P class=3DEstilo2 align=3Dleft>De 1 a 3horas <INPUT id=3Ddatos44 =
size=3D7=20
  name=3DColaboradores1a3h> De 4 a 8h. <INPUT id=3Ddatos422 size=3D7=20
  name=3DColaboradores4a8h> De 9 a 18. <INPUT id=3Ddatos432 size=3D7=20
  name=3DColaboradores9a18h> Mas de 18 h. <INPUT =
id=3DColaboradoresMas18h size=3D7=20
  name=3DColaboradoresMas18h2> </P></BLOCKQUOTE>
<P class=3DEstilo2 align=3Dleft><SPAN class=3DEstilo8>ACTIVIDADES DE =
AYUDA, FORMACI=D3N=20
Y PASTORAL </SPAN></P>
<BLOCKQUOTE>
  <P class=3DEstilo2 align=3Dleft>ACTIVIDADES EN GRUPO </P><INPUT =
type=3Dhidden=20
  value=3D"----- Actividades de Grupo ---------------------" =
name=3D---.--->=20
  <P class=3DEstilo33><SPAN class=3DEstilo2>Recreativas, formativas, =
l=FAdicas,=20
  Autoayuda ......... <STRONG></STRONG></SPAN><SPAN =
class=3DEstilo28><STRONG>Se=20
  ofrece <INPUT type=3Dcheckbox value=3DSm =
name=3DActividadesRecreativasSeOfrece> Se=20
  realiza <INPUT type=3Dcheckbox value=3DSm =
name=3DActividadesRecreativasSeRealiza>=20
  </STRONG></SPAN></P>
  <P class=3DEstilo33><SPAN class=3DEstilo2>Formaci=F3n cristiana, =
Catequesis, Oraci=F3n=20
  ............. </SPAN><SPAN class=3DEstilo28><STRONG>Se ofrece <INPUT=20
  type=3Dcheckbox value=3DSm name=3DActividadesFormacionSeOfrece> Se =
realiza <INPUT=20
  type=3Dcheckbox value=3DSm name=3DActividadesFormacionSeRealiza>=20
</STRONG></SPAN></P>
  <P class=3DEstilo33><SPAN class=3DEstilo2>Celebraciones cristianas, =
Convivencias .=20
  ...............</SPAN><SPAN class=3DEstilo28><STRONG> Se ofrece <INPUT =

  type=3Dcheckbox value=3DSm name=3DActividadesCelebracionesSeOfrece> Se =
realiza=20
  <INPUT type=3Dcheckbox value=3DSm =
name=3DActividadesCelebracionesSeRealiza>=20
  </STRONG></SPAN></P>
  <P class=3DEstilo33><SPAN class=3DEstilo2>Indica otras=20
  .......................................................... =
</SPAN><INPUT=20
  name=3DOtrasActividadesGrupo> </P>
  <P class=3DEstilo2 align=3Dleft><SPAN class=3DEstilo2>ACTIVIDADES A =
NIVEL INDIVIDUAL=20
  </SPAN></P><INPUT type=3Dhidden=20
  value=3D"----- Actividades Individuales --------------------" =
name=3D--.---->=20
  <P class=3DEstilo33><SPAN class=3DEstilo2>Entrevista personal de =
acogida=20
  ............................ <STRONG></STRONG></SPAN><SPAN=20
  class=3DEstilo28><STRONG>Se ofrece <INPUT type=3Dcheckbox value=3DSm=20
  name=3DEntrevistaPersonalAcogidaSeOfrece> Se realiza <INPUT =
type=3Dcheckbox=20
  value=3DSm name=3DEntrevistaPersonalAcogidaSeRealiza> =
</STRONG></SPAN></P>
  <P class=3DEstilo33><SPAN class=3DEstilo2>Entrevista peri=F3dica de =
seguimiento=20
  .................... </SPAN><SPAN class=3DEstilo28><STRONG>Se ofrece =
<INPUT=20
  type=3Dcheckbox value=3DSm =
name=3DEntrevistaPeriodicaSeguimientoSeOfrece> Se realiza=20
  <INPUT type=3Dcheckbox value=3DSm =
name=3DEntrevistaPeriodicaSeguimientoSeRealiza>=20
  </STRONG></SPAN></P>
  <P class=3DEstilo33><SPAN class=3DEstilo2>Orientaci=F3n, Terapia,=20
  Acompa=F1amiento................</SPAN> <SPAN =
class=3DEstilo28><STRONG>Se ofrece=20
  <INPUT type=3Dcheckbox value=3Dcheckbox =
name=3DOrientacionTerapiaSeOfrece> Se=20
  realiza <INPUT type=3Dcheckbox value=3Dcheckbox =
name=3DOrientacionTerapiaSeRealiza>=20
  </STRONG></SPAN></P>
  <P class=3DEstilo33><SPAN class=3DEstilo2>Indica otras=20
  ....................................................... </SPAN><INPUT=20
  name=3DOtrasActividadesIndividuales> </P>
  <P class=3DEstilo33><SPAN class=3DEstilo2>Comentarios</SPAN></P>
  <BLOCKQUOTE>
    <P class=3DEstilo33><SPAN class=3DEstilo35><TEXTAREA =
name=3DComentarios rows=3D6 cols=3D77></TEXTAREA>=20
    </SPAN></P></BLOCKQUOTE></BLOCKQUOTE>
<BLOCKQUOTE>
  <P class=3DEstilo22 align=3Dcenter>Al finalizar aprieta el botsn =
Enviar Formulario=20
  para enviar los resultados.<BR>No te olvides de imprimir la ficha para =
tus=20
  archivos. <BR>(Tienes la opci=F3n "IMPRIMIR..." en el men=FA =
ARCHIVO)<BR><BR><INPUT type=3Dsubmit value=3D"Enviar formulario" =
name=3Dsubmit> / <INPUT id=3DANULAR type=3Dreset value=3D"Borrar Datos" =
name=3DANULAR></P></BLOCKQUOTE>
<BLOCKQUOTE>&nbsp;</BLOCKQUOTE><INPUT type=3Dhidden=20
value=3D"[FORMULARIO WEB] Formulario HOGAR" name=3Dasunto> <INPUT =
type=3Dhidden=20
value=3Dhermanastrinitarias.net name=3Ddominio> <INPUT type=3Dhidden=20
value=3Dformularios@hermanastrinitarias.net name=3Drecipe> <INPUT =
type=3Dhidden=20
value=3Dhttp://www.hermanastrinitarias.net name=3Dredirigir> <INPUT =
type=3Dhidden=20
value=3D/home/gdc3/www/ name=3Dgdc_directorio_base></FORM></BODY></HTML>

