From: <Guardado por Microsoft Internet Explorer 7>
Subject: Formulario
Date: Sat, 20 Jan 2007 22:10:41 +0100
MIME-Version: 1.0
Content-Type: text/html;
	charset="Windows-1252"
Content-Transfer-Encoding: quoted-printable
Content-Location: http://65.54.224.250/cgi-bin/getmsg/Formulario7ESTAC.htm?&msg=6860719D-C4FD-49F6-A74C-3147478121BD&start=0&len=107836&mimepart=8&curmbox=00000000-0000-0000-0000-000000000001&b=1956344daebe0cffc5fb92517136fc66&disk=10.1.106.205_d3108&login=fernandezfelicia&domain=hotmail%2ecom&_lang=ES&country=ES&SafeRedirect=%26hm___ts%3d1169327424%26hm___ha%3d9e89480a0dcfc2b9493f30dec12d9e56
X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.3028

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" =
"http://www.w3c.org/TR/1999/REC-html401-19991224/loose.dtd">
<!-- saved from =
url=3D(0382)http://65.54.224.250/cgi-bin/getmsg/FORMULARIO_Hogares%2ehtml=
?&msg=3D928F0ABA-E2AA-40E3-9E0B-8404A1E0A86E&start=3D0&len=3D96622&mimepa=
rt=3D6&curmbox=3D00000000-0000-0000-0000-000000000001&b=3Dd41586cc08277c4=
4bf24186149d534ed&disk=3D10.1.106.205_d3108&login=3Dfernandezfelicia&doma=
in=3Dhotmail%2ecom&_lang=3DES&country=3DES&SafeRedirect=3D%26hm___ts%3d11=
62815725%26hm___ha%3d77794a4671e9b6160b37fdbfdae71414 --><HTML=20
xmlns=3D"http://www.w3.org/1999/xhtml"><HEAD><TITLE>Formulario</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Dwindows-1252">
<STYLE type=3Dtext/css>BODY {
	FONT-SIZE: small; COLOR: #000066; FONT-FAMILY: Arial, Helvetica, =
sans-serif
}
TD {
	FONT-SIZE: small; COLOR: #000066; FONT-FAMILY: Arial, Helvetica, =
sans-serif
}
TH {
	FONT-SIZE: small; COLOR: #000066; FONT-FAMILY: Arial, Helvetica, =
sans-serif
}
BODY {
	BACKGROUND-COLOR: #99ccff
}
.Estilo1 {
	FONT-WEIGHT: bold; FONT-SIZE: x-large
}
.Estilo2 {
	FONT-WEIGHT: bold; FONT-SIZE: small
}
.Estilo8 {
	FONT-WEIGHT: bold; FONT-SIZE: large
}
.Estilo23 {
	FONT-WEIGHT: bold; FONT-SIZE: 24px
}
.Estilo28 {
	FONT-SIZE: xx-small
}
.Estilo33 {
	FONT-SIZE: 20px
}
.Estilo35 {
	FONT-SIZE: 20px; FONT-FAMILY: "Agency FB", Algerian
}
.Estilo6 {
	FONT-SIZE: medium
}
.Estilo37 {
	FONT-SIZE: x-small
}
</STYLE>

<SCRIPT type=3Dtext/JavaScript>
<!--
function MM_findObj(n, d) { //v4.01
  var p,i,x;  if(!d) d=3Ddocument; =
if((p=3Dn.indexOf("?"))>0&&parent.frames.length) {
    d=3Dparent.frames[n.substring(p+1)].document; n=3Dn.substring(0,p);}
  if(!(x=3Dd[n])&&d.all) x=3Dd.all[n]; for =
(i=3D0;!x&&i<d.forms.length;i++) x=3Dd.forms[i][n];
  for(i=3D0;!x&&d.layers&&i<d.layers.length;i++) =
x=3DMM_findObj(n,d.layers[i].document);
  if(!x && d.getElementById) x=3Dd.getElementById(n); return x;
}

function MM_validateForm() { //v4.0
  var =
i,p,q,nm,test,num,min,max,errors=3D'',args=3DMM_validateForm.arguments;
  for (i=3D0; i<(args.length-2); i+=3D3) { test=3Dargs[i+2]; =
val=3DMM_findObj(args[i]);
    if (val) { nm=3Dval.name; if ((val=3Dval.value)!=3D"") {
      if (test.indexOf('isEmail')!=3D-1) { p=3Dval.indexOf('@');
        if (p<1 || p=3D=3D(val.length-1)) errors+=3D'- '+nm+' must =
contain an e-mail address.\n';
      } else if (test!=3D'R') { num =3D parseFloat(val);
        if (isNaN(val)) errors+=3D'- '+nm+' must contain a number.\n';
        if (test.indexOf('inRange') !=3D -1) { p=3Dtest.indexOf(':');
          min=3Dtest.substring(8,p); max=3Dtest.substring(p+1);
          if (num<min || max<num) errors+=3D'- '+nm+' must contain a =
number between '+min+' and '+max+'.\n';
    } } } else if (test.charAt(0) =3D=3D 'R') errors +=3D '- '+nm+' is =
required.\n'; }
  } if (errors) alert('The following error(s) occurred:\n'+errors);
  document.MM_returnValue =3D (errors =3D=3D '');
}
//-->
    </SCRIPT>

<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>ORIENTACI=D3N EN ESTACIONES </P>
<P class=3DEstilo23 align=3Dcenter><SPAN class=3DEstilo1><INPUT =
class=3DEstilo6=20
id=3DResidencia size=3D33 value=3DESTACI=D3N name=3DResidencia> <INPUT =
class=3DEstilo6=20
id=3DResidencia22 size=3D14 value=3DClave name=3DResidencia22> <INPUT =
class=3DEstilo6=20
id=3DResidencia2 size=3D14 value=3D" Curso actual" name=3DResidencia2> =
</SPAN></P>
<P class=3DEstilo1 align=3Dleft><SPAN class=3DEstilo8>DATOS GENERALES =
</SPAN></P>
<BLOCKQUOTE>
  <P class=3DEstilo2 align=3Dleft>J=D3VENES QUE HAN SOLICITADO =
ATENCI=D3N Y AYUDA, Y=20
  SEGUMIENTO </P>
  <BLOCKQUOTE>
    <P class=3DEstilo2 align=3Dleft>Menos de 25 a=F1os =
................... <INPUT=20
    id=3Ddatos32 maxLength=3D12 size=3D7 value=3DN=BA name=3Ddatos32> =
Seguimiento=20
    ............... <INPUT id=3Ddatos32228 size=3D9 value=3DSi/No =
name=3Ddatos3222> </P>
    <P class=3DEstilo2 align=3Dleft>Entre 25 y 35 a=F1os =
.................. <INPUT=20
    id=3Ddatos325 maxLength=3D12 size=3D7 value=3DN=BA name=3Ddatos322> =
Seguimiento=20
    ............... <INPUT id=3Ddatos32229 size=3D9 value=3DSi/No =
name=3Ddatos32222>=20
</P>
    <P class=3DEstilo2 align=3Dleft>M=E1s de 35 a=F1os =
....................... <INPUT=20
    id=3Ddatos326 maxLength=3D12 size=3D7 value=3DN=BA name=3Ddatos323> =
Seguimiento=20
    ............... <INPUT id=3Ddatos322210 size=3D9 value=3DSi/No =
name=3Ddatos32223>=20
    </P></BLOCKQUOTE>
  <P class=3DEstilo2 align=3Dleft>PROCEDENCIA <SPAN =
class=3DEstilo37>(Pa=EDs y ciudad)=20
  .......</SPAN> <INPUT id=3Ddatos3242 maxLength=3D12 size=3D17 =
name=3Ddatos3242> </P>
  <P class=3DEstilo2 align=3Dleft>CAUSA DE SOLICITUD<SPAN =
class=3DEstilo37> (Demandas=20
  principales) .......</SPAN> </P>
  <P class=3DEstilo2 align=3Dleft><TEXTAREA id=3Ddatos324 =
name=3Ddatos324 cols=3D77></TEXTAREA> </P>
  <P class=3DEstilo2 align=3Dleft>HERMANAS DEDICADAS A ESTE CAMPO DE =
MISI=D3N </P>
  <P class=3DEstilo2 align=3Dleft>A tiempo completo (es su misi=F3n =
prioritaria)=20
  <INPUT id=3Ddatos3 maxLength=3D12 size=3D7 name=3Ddatos3> Colaborando =
<INPUT=20
  id=3Ddatos33 maxLength=3D12 size=3D7 name=3Ddatos33> </P>
  <P class=3DEstilo2 align=3Dleft>PROFESIONALES, (personas por horas a =
la=20
  semana):</P>
  <H3 class=3DEstilo2 align=3Dleft>De 1 a 3horas <INPUT id=3Ddatos4 =
size=3D7=20
  name=3Ddatos4> De 4 a 8h. <INPUT id=3Ddatos42 size=3D7 name=3Ddatos42> =
De 9 a 18.=20
  <INPUT id=3Ddatos43 size=3D7 name=3Ddatos43> M=E1s de 18 h.</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=3Ddatos44> De 4 a 8h. <INPUT id=3Ddatos422 size=3D7 =
name=3Ddatos422> De 9 a 18.=20
  <INPUT id=3Ddatos432 size=3D7 name=3Ddatos432> M=E1s de 18 =
h.</P></BLOCKQUOTE>
<P class=3DEstilo2 align=3Dleft><SPAN class=3DEstilo8>ACTIVIDADES =
EXTRA-HORARIO DE=20
AYUDA Y PASTORAL </SPAN></P>
<BLOCKQUOTE>
  <P class=3DEstilo2 align=3Dleft>ACTIVIDADES EN GRUPO </P>
  <P class=3DEstilo33><SPAN class=3DEstilo2>Formativas, <SPAN=20
  class=3DEstilo37>L=FAdicas, Autoayuda, Orientaci=F3n, Asesoramiento... =

  </SPAN></SPAN><SPAN class=3DEstilo37><STRONG></STRONG></SPAN><SPAN=20
  class=3DEstilo28><STRONG>Se ofrece <INPUT type=3Dcheckbox =
value=3Dcheckbox=20
  name=3Dcheckbox2022> Se realiza <INPUT type=3Dcheckbox =
value=3Dcheckbox=20
  name=3Dcheckbox203> </STRONG></SPAN><STRONG =
class=3DEstilo28></STRONG></P>
  <P class=3DEstilo33><SPAN class=3DEstilo2>Formaci=F3n cristiana, <SPAN =

  class=3DEstilo37>Catequesis, Oraci=F3n, Eucarist=EDa .......</SPAN> =
</SPAN><SPAN=20
  class=3DEstilo28><STRONG>Se ofrece <INPUT type=3Dcheckbox =
value=3Dcheckbox=20
  name=3Dcheckbox20225> Se realiza <INPUT type=3Dcheckbox =
value=3Dcheckbox=20
  name=3Dcheckbox2035> </STRONG></SPAN></P>
  <P class=3DEstilo33><SPAN class=3DEstilo2>Indica otras=20
  ................................................. </SPAN><INPUT =
size=3D44=20
  name=3Dtextfield> </P>
  <P class=3DEstilo2 align=3Dleft>ACTIVIDADES A NIVEL INDIVIDUAL </P>
  <P class=3DEstilo33><SPAN class=3DEstilo2>Seguimiento en su =
problem=E1tica y=20
  necesidades .... <SPAN class=3DEstilo28><STRONG>Se ofrece <INPUT =
type=3Dcheckbox=20
  value=3Dcheckbox name=3Dcheckbox2022222> Se realiza <INPUT =
type=3Dcheckbox=20
  value=3Dcheckbox name=3Dcheckbox2032222> Atendidos <INPUT =
type=3Dcheckbox=20
  value=3Dcheckbox name=3Dcheckbox203224> </STRONG></SPAN></SPAN></P>
  <P class=3DEstilo33><SPAN class=3DEstilo2>Orientaci=F3n peronal, =
Terapia,=20
  Acompa=F1amiento..... <SPAN class=3DEstilo28><STRONG>Se ofrece <INPUT=20
  type=3Dcheckbox value=3Dcheckbox name=3Dcheckbox202222> Se realiza =
<INPUT=20
  type=3Dcheckbox value=3Dcheckbox name=3Dcheckbox203222> Atendidos =
<INPUT=20
  type=3Dcheckbox value=3Dcheckbox name=3Dcheckbox20322> =
</STRONG></SPAN></SPAN></P>
  <P class=3DEstilo33><SPAN class=3DEstilo2>Orientaci=F3n Vocacional =
</SPAN><SPAN=20
  class=3DEstilo2>.........................................=20
  <STRONG></STRONG></SPAN><SPAN class=3DEstilo28><STRONG>Se ofrece =
<INPUT=20
  type=3Dcheckbox value=3Dcheckbox name=3Dcheckbox202242> Se realiza =
<INPUT=20
  type=3Dcheckbox value=3Dcheckbox name=3Dcheckbox20342> Atendidos =
<INPUT=20
  type=3Dcheckbox value=3Dcheckbox name=3Dcheckbox203223> =
</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=3Dcheckbox name=3Dcheckbox202232> Se realiza =
<INPUT=20
  type=3Dcheckbox value=3Dcheckbox name=3Dcheckbox20332> =
</STRONG></SPAN></P>
  <P class=3DEstilo33><SPAN class=3DEstilo2>Indica otras=20
  ..................................................</SPAN> <INPUT =
size=3D44=20
  name=3Dtextfield2> </P>
  <P class=3DEstilo33><SPAN class=3DEstilo2>Comentarios </SPAN></P>
  <BLOCKQUOTE>
    <P class=3DEstilo33><SPAN class=3DEstilo35></SPAN><SPAN =
class=3DEstilo35><TEXTAREA name=3DComentarios rows=3D6 =
cols=3D77></TEXTAREA>=20
    </SPAN></P></BLOCKQUOTE></BLOCKQUOTE>
<BLOCKQUOTE>
  <BLOCKQUOTE>&nbsp;</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>

