{"id":235334,"date":"2021-06-18T16:00:28","date_gmt":"2021-06-18T21:00:28","guid":{"rendered":"https:\/\/mentorseducation.org\/?page_id=235334"},"modified":"2021-06-18T16:00:29","modified_gmt":"2021-06-18T21:00:29","slug":"nuevo-mentorado","status":"publish","type":"page","link":"https:\/\/mentorseducation.org\/nuevo-mentorado\/","title":{"rendered":"Nuevo Mentorado"},"content":{"rendered":"<script type=\"text\/javascript\">var 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class='gform_fields left_label form_sublabel_below description_below'><li id=\"field_16_63\" class=\"gfield gfield--type-username field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_16_63\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' for='input_16_63'>Nombre de usuario<\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_16_63' type='text' value='' class='medium'  aria-describedby=\"input_16_63_desc\"    aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_16_64\" class=\"gfield gfield--type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden\"  data-js-reload=\"field_16_64\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' for='input_16_64'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_64' id='input_16_64' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_16_19\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_19\" ><h2 class=\"gsection_title\">Registro de nuevo Mentorado<\/h2><\/li><li id=\"field_16_83\" class=\"gfield gfield--type-fileupload gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_83\" ><label class='gfield_label gform-field-label' for='input_16_83'>Fotograf\u00eda<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='10485760' \/><input name='input_83' id='input_16_83' type='file' class='medium' aria-describedby=\"gfield_upload_rules_16_83 gfield_description_16_83\" onchange='javascript:gformValidateFileSize( this, 10485760 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_16_83'>Tama\u00f1o m\u00e1ximo de archivo: 10 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_16_83'><\/div><\/div><div class='gfield_description' id='gfield_description_16_83'>Sube una foto de tu mentorado reciente, de frente, tipo credencial.<\/div><\/li><li id=\"field_16_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_1\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Nombre<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_16_1'>\n                            \n                            <span id='input_16_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_16_1_3' value=''   aria-required='true'   placeholder='Nombre'  \/>\n                                                    <label for='input_16_1_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_16_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_16_1_6' value=''   aria-required='true'   placeholder='Apellidos'  \/>\n                                                    <label for='input_16_1_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Apellidos<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_16_20\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_20\" ><label class='gfield_label gform-field-label' for='input_16_20'>CURP<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_16_20' type='text' value='' class='medium' maxlength='18' aria-describedby=\"gfield_description_16_20\"  placeholder='CURP' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_16_20'>Si eres extranjero pero vives en M\u00e9xico ingresa el numero de identidad utilizado en tu pa\u00eds.<\/div><\/li><li id=\"field_16_48\" class=\"gfield gfield--type-chainedselect gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_48\" ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_16_48_1'>Estado-Estaca-Barrio<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_complex gform-grid-row horizontal medium gfield_chainedselect' id='input_16_48'><span id='input_16_48_1_container' class='gform-grid-col--size-auto gform-grid-col'>\n\t\t\t\t\t<select name='input_48.1' id='input_16_48_1' class='gform-grid-col--size-auto'   ><option value='' selected='selected' class='gf_placeholder'>\ufeffEstado<\/option><option value='Aguascalientes' >Aguascalientes<\/option><option value='San Luis Potosi' >San Luis Potosi<\/option><option value='Baja California' >Baja California<\/option><option value='Baja California Sur' >Baja California Sur<\/option><option value='Campeche' >Campeche<\/option><option value='CDMX' >CDMX<\/option><option value='Estado de M\u00e9xico' >Estado de M\u00e9xico<\/option><option value='Chiapas' >Chiapas<\/option><option value='Chihuahua' >Chihuahua<\/option><option value='Coahuila' >Coahuila<\/option><option value='Colima' >Colima<\/option><option value='Durango' >Durango<\/option><option value='Hidalgo' >Hidalgo<\/option><option value='Guanajuato' >Guanajuato<\/option><option value='Guerrero' >Guerrero<\/option><option value='Puebla' >Puebla<\/option><option value='Jalisco' >Jalisco<\/option><option value='Michoacan' >Michoacan<\/option><option value='Morelos' >Morelos<\/option><option value='Nayarit' >Nayarit<\/option><option value='Nuevo Le\u00f3n' >Nuevo Le\u00f3n<\/option><option value='Oaxaca' >Oaxaca<\/option><option value='Queretaro' >Queretaro<\/option><option value='Quintana Roo' >Quintana Roo<\/option><option value='Sinaloa' >Sinaloa<\/option><option value='Sonora' >Sonora<\/option><option value='Tabasco' >Tabasco<\/option><option value='Tamaulipas' >Tamaulipas<\/option><option value='Tlaxcala' >Tlaxcala<\/option><option value='Veracruz' >Veracruz<\/option><option value='Yucatan' >Yucatan<\/option><option value='Zacatecas' >Zacatecas<\/option><\/select>\n\t\t\t\t<\/span><span id='input_16_48_2_container' class='gform-grid-col--size-auto gform-grid-col'>\n\t\t\t\t\t<select name='input_48.2' id='input_16_48_2' class='gform-grid-col--size-auto'   ><option value='' selected='selected' class='gf_placeholder'>Estaca<\/option><\/select>\n\t\t\t\t<\/span><span id='input_16_48_3_container' class='gform-grid-col--size-auto gform-grid-col'>\n\t\t\t\t\t<select name='input_48.3' id='input_16_48_3' class='gform-grid-col--size-auto'   ><option value='' selected='selected' class='gf_placeholder'>Barrio<\/option><\/select>\n\t\t\t\t<\/span><span id='input_16_48_4_container' class='gform-grid-col--size-auto gform-grid-col'>\n\t\t\t\t\t<select name='input_48.4' id='input_16_48_4' class='gform-grid-col--size-auto'   ><option value='' selected='selected' class='gf_placeholder'>Region<\/option><\/select>\n\t\t\t\t<\/span><span class=\"gf_chain_complete\" style=\"display:none;\">&nbsp;<\/span><\/div><div class='gfield_description' id='gfield_description_16_48'>Si desconoce su estaca, contacte a la persona que le invito a participar a en los cursos.<\/div><\/li><li id=\"field_16_21\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_21\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Direcci\u00f3n<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_zip has_country ginput_container_address gform-grid-row' id='input_16_21' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_16_21_1_container' >\n                                        <input type='text' name='input_21.1' id='input_16_21_1' value=''   placeholder='Direcci\u00f3n' aria-required='true'    \/>\n                                        <label for='input_16_21_1' id='input_16_21_1_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Direcci\u00f3n<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_16_21_3_container' >\n                                    <input type='text' name='input_21.3' id='input_16_21_3' value=''   placeholder='Ciudad' aria-required='true'    \/>\n                                    <label for='input_16_21_3' id='input_16_21_3_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Ciudad<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_21.4' id='input_16_21_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_16_21_5_container' >\n                                    <input type='text' name='input_21.5' id='input_16_21_5' value=''   placeholder='C\u00f3digo Postal' aria-required='true'    \/>\n                                    <label for='input_16_21_5' id='input_16_21_5_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>ZIP \/ C\u00f3digo Postal<\/label>\n                                <\/span><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_16_21_6_container' >\n                                        <select name='input_21.6' id='input_16_21_6'   aria-required='true'    ><option value='' >Pa\u00eds<\/option><option value='Afghanist\u00e1n' >Afghanist\u00e1n<\/option><option value='Albania' >Albania<\/option><option value='Alemania' >Alemania<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antigua y Barbuda' >Antigua y Barbuda<\/option><option value='Ant\u00e1rtida' >Ant\u00e1rtida<\/option><option value='Arabia Saudita' >Arabia Saudita<\/option><option value='Argelia' >Argelia<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaiy\u00e1n' >Azerbaiy\u00e1n<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Bar\u00e9in' >Bar\u00e9in<\/option><option value='Belice' >Belice<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhut\u00e1n' >Bhut\u00e1n<\/option><option value='Bielorusia' >Bielorusia<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, San Eustaquio y Saba' >Bonaire, San Eustaquio y Saba<\/option><option value='Bosnia y Herzegovina' >Bosnia y Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Brasil' >Brasil<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9gica' >B\u00e9gica<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Camboya' >Camboya<\/option><option value='Camer\u00fan' >Camer\u00fan<\/option><option value='Canada' >Canada<\/option><option value='Chad' >Chad<\/option><option value='Chequia' >Chequia<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Chipre' >Chipre<\/option><option value='Colombia' >Colombia<\/option><option value='Comoras' >Comoras<\/option><option value='Congo' >Congo<\/option><option value='Congo, Rep\u00fablica Democr\u00e1tica del' >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value='Corea, Rep\u00fablica Popular Democr\u00e1tica de' >Corea, Rep\u00fablica Popular Democr\u00e1tica de<\/option><option value='Corea, Rep\u00fablica de' >Corea, Rep\u00fablica de<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Costa de Marfil' >Costa de Marfil<\/option><option value='Croacia' >Croacia<\/option><option value='Cuba' >Cuba<\/option><option value='Curazao' >Curazao<\/option><option value='Dinamarca' >Dinamarca<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egipto' >Egipto<\/option><option value='El Salvador' >El Salvador<\/option><option value='Emiratos \u00c1rabes Unidos' >Emiratos \u00c1rabes Unidos<\/option><option value='Eritrea' >Eritrea<\/option><option value='Eslovaquia' >Eslovaquia<\/option><option value='Eslovenia' >Eslovenia<\/option><option value='Espa\u00f1a' >Espa\u00f1a<\/option><option value='Estados Unidos' >Estados Unidos<\/option><option value='Estonia' >Estonia<\/option><option value='Esuatini' >Esuatini<\/option><option value='Etiop\u00eda' >Etiop\u00eda<\/option><option value='Federaci\u00f3n Rusa' >Federaci\u00f3n Rusa<\/option><option value='Fiji' >Fiji<\/option><option value='Filipinas' >Filipinas<\/option><option value='Finlancia' >Finlancia<\/option><option value='Francia' >Francia<\/option><option value='Gab\u00f3n' >Gab\u00f3n<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Granada' >Granada<\/option><option value='Grecia' >Grecia<\/option><option value='Groenlandia' >Groenlandia<\/option><option value='Guadalupe' >Guadalupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guayana' >Guayana<\/option><option value='Guayana Francesa' >Guayana Francesa<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea Bissau' >Guinea Bissau<\/option><option value='Guinea Ecuatorial' >Guinea Ecuatorial<\/option><option value='Hait\u00ed' >Hait\u00ed<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungr\u00eda' >Hungr\u00eda<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iraq' >Iraq<\/option><option value='Irlanda' >Irlanda<\/option><option value='Ir\u00e1n' >Ir\u00e1n<\/option><option value='Isla Bouvet' >Isla Bouvet<\/option><option value='Isla Norfolk' >Isla Norfolk<\/option><option value='Isla de Man' >Isla de Man<\/option><option value='Isla de Navidad' >Isla de Navidad<\/option><option value='Islandia' >Islandia<\/option><option value='Islas Caim\u00e1n' >Islas Caim\u00e1n<\/option><option value='Islas Cocos' >Islas Cocos<\/option><option value='Islas Cook' >Islas Cook<\/option><option value='Islas Faroe' >Islas Faroe<\/option><option value='Islas Georgias del Sur y Sandwich del Sur' >Islas Georgias del Sur y Sandwich del Sur<\/option><option value='Islas Heard y McDonald' >Islas Heard y McDonald<\/option><option value='Islas Malvinas' >Islas Malvinas<\/option><option value='Islas Marianas del Norte' >Islas Marianas del Norte<\/option><option value='Islas Marshall' >Islas Marshall<\/option><option value='Islas Salom\u00f3n' >Islas Salom\u00f3n<\/option><option value='Islas Turcas y Caicos' >Islas Turcas y Caicos<\/option><option value='Islas Ultramarinas Menores de Estados Unidos' >Islas Ultramarinas Menores de Estados Unidos<\/option><option value='Islas V\u00edrgenes Brit\u00e1nicas' >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value='Islas V\u00edrgenes de los Estados Unidos' >Islas V\u00edrgenes de los Estados Unidos<\/option><option value='Islas \u00c5land' >Islas \u00c5land<\/option><option value='Israel' >Israel<\/option><option value='Italia' >Italia<\/option><option value='Jamaica' >Jamaica<\/option><option value='Jap\u00f3n' >Jap\u00f3n<\/option><option value='Jersey' >Jersey<\/option><option value='Jord\u00e1n' >Jord\u00e1n<\/option><option value='Kazajist\u00e1n' >Kazajist\u00e1n<\/option><option value='Kenia' >Kenia<\/option><option value='Kirguist\u00e1n' >Kirguist\u00e1n<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kuwait' >Kuwait<\/option><option value='LIbia' >LIbia<\/option><option value='Lesoto' >Lesoto<\/option><option value='Liberia' >Liberia<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituania' >Lituania<\/option><option value='Lituania' >Lituania<\/option><option value='Luxemburgo' >Luxemburgo<\/option><option value='L\u00edbano' >L\u00edbano<\/option><option value='Macau' >Macau<\/option><option value='Macedonia del Norte' >Macedonia del Norte<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malasia' >Malasia<\/option><option value='Malawi' >Malawi<\/option><option value='Maldivas' >Maldivas<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marruecos' >Marruecos<\/option><option value='Martinica' >Martinica<\/option><option value='Mauricio' >Mauricio<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mayotte' >Mayotte<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldavia' >Moldavia<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='M\u00e9xico' selected='selected'>M\u00e9xico<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Noruega' >Noruega<\/option><option value='Nueva Caledonia' >Nueva Caledonia<\/option><option value='Nueva Zelanda' >Nueva Zelanda<\/option><option value='N\u00edger' >N\u00edger<\/option><option value='Om\u00e1n' >Om\u00e1n<\/option><option value='Paises Bajos' >Paises Bajos<\/option><option value='Pakist\u00e1n' >Pakist\u00e1n<\/option><option value='Palau' >Palau<\/option><option value='Palestina, Estado de' >Palestina, Estado de<\/option><option value='Panam\u00e1' >Panam\u00e1<\/option><option value='Pap\u00faa Nueva Guinea' >Pap\u00faa Nueva Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Per\u00fa' >Per\u00fa<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Polinesia Francesa' >Polinesia Francesa<\/option><option value='Polonia' >Polonia<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Reino Unido' >Reino Unido<\/option><option value='Rep\u00fablica Centroafricana' >Rep\u00fablica Centroafricana<\/option><option value='Rep\u00fablica Democr\u00e1tica Popular de Laos' >Rep\u00fablica Democr\u00e1tica Popular de Laos<\/option><option value='Rep\u00fablica Dominicana' >Rep\u00fablica Dominicana<\/option><option value='Rep\u00fablica \u00c1rabe de Siria' >Rep\u00fablica \u00c1rabe de Siria<\/option><option value='Reuni\u00f3n' >Reuni\u00f3n<\/option><option value='Ruanda' >Ruanda<\/option><option value='Ruman\u00eda' >Ruman\u00eda<\/option><option value='Sahara Occidental' >Sahara Occidental<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa Americana' >Samoa Americana<\/option><option value='San Bartolom\u00e9' >San Bartolom\u00e9<\/option><option value='San Crist\u00f3bal y Nieves' >San Crist\u00f3bal y Nieves<\/option><option value='San Marino' >San Marino<\/option><option value='San Mart\u00edn' >San Mart\u00edn<\/option><option value='San Pedro y Miquel\u00f3n' >San Pedro y Miquel\u00f3n<\/option><option value='San Vicente y las Granadinas' >San Vicente y las Granadinas<\/option><option value='Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a' >Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option value='Santa Luc\u00eda' >Santa Luc\u00eda<\/option><option value='Santa Sede' >Santa Sede<\/option><option value='Santo Tom\u00e9 y Principe' >Santo Tom\u00e9 y Principe<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leona' >Sierra Leona<\/option><option value='Singapur' >Singapur<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Somalia' >Somalia<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sud\u00e1frica' >Sud\u00e1frica<\/option><option value='Sud\u00e1n' >Sud\u00e1n<\/option><option value='Sud\u00e1n del Sur' >Sud\u00e1n del Sur<\/option><option value='Suecia' >Suecia<\/option><option value='Suiza' >Suiza<\/option><option value='Surinam' >Surinam<\/option><option value='Svalbard y Jan Mayen' >Svalbard y Jan Mayen<\/option><option value='Tailandia' >Tailandia<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tanzania (Rep\u00fablica Unida de)' >Tanzania (Rep\u00fablica Unida de)<\/option><option value='Tayikist\u00e1n' >Tayikist\u00e1n<\/option><option value='Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico' >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value='Tierras Australes y Ant\u00e1rticas Francesas' >Tierras Australes y Ant\u00e1rticas Francesas<\/option><option value='Timor Oriental' >Timor Oriental<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad y Tobago' >Trinidad y Tobago<\/option><option value='Turkmenist\u00e1n' >Turkmenist\u00e1n<\/option><option value='Turqu\u00eda' >Turqu\u00eda<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fanez' >T\u00fanez<\/option><option value='Ucrania' >Ucrania<\/option><option value='Uganda' >Uganda<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekist\u00e1n' >Uzbekist\u00e1n<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis y Futuna' >Wallis y Futuna<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbaue' >Zimbaue<\/option><\/select>\n                                        <label for='input_16_21_6' id='input_16_21_6_label' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Pa\u00eds<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_16_3\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_3\" ><label class='gfield_label gform-field-label' for='input_16_3'>Tel\u00e9fono con Whatsapp<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_16_3' type='tel' value='' class='medium'  placeholder='Tel\u00e9fono con whatsapp' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_2\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_2\" ><label class='gfield_label gform-field-label' for='input_16_2'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_16_2' type='email' value='' class='medium'   placeholder='Correo electr\u00f3nico' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_16_25\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_25\" ><label class='gfield_label gform-field-label' for='input_16_25'>Fecha de Nacimiento<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_25' id='input_16_25' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/aaaa' aria-describedby=\"input_16_25_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_16_25_date_format' class='screen-reader-text'>MM barra DD barra AAAA<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_16_25' class='gform_hidden' value='https:\/\/mentorseducation.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_16_26\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_26\" ><label class='gfield_label gform-field-label' >Sexo<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_26'>\n\t\t\t<li class='gchoice gchoice_16_26_0'>\n\t\t\t\t<input name='input_26' type='radio' value='Hombre'  id='choice_16_26_0'    \/>\n\t\t\t\t<label for='choice_16_26_0' id='label_16_26_0' class='gform-field-label gform-field-label--type-inline'>Hombre<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_26_1'>\n\t\t\t\t<input name='input_26' type='radio' value='Mujer'  id='choice_16_26_1'    \/>\n\t\t\t\t<label for='choice_16_26_1' id='label_16_26_1' class='gform-field-label gform-field-label--type-inline'>Mujer<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_24\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_24\" ><label class='gfield_label gform-field-label' >Estado Civil<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_24'>\n\t\t\t<li class='gchoice gchoice_16_24_0'>\n\t\t\t\t<input name='input_24' type='radio' value='Soltero'  id='choice_16_24_0'    \/>\n\t\t\t\t<label for='choice_16_24_0' id='label_16_24_0' class='gform-field-label gform-field-label--type-inline'>Soltero<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_24_1'>\n\t\t\t\t<input name='input_24' type='radio' value='Casado'  id='choice_16_24_1'    \/>\n\t\t\t\t<label for='choice_16_24_1' id='label_16_24_1' class='gform-field-label gform-field-label--type-inline'>Casado<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_27\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_27\" ><label class='gfield_label gform-field-label' for='input_16_27'>N\u00famero de hijos<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_27' id='input_16_27' type='number' step='any'   value='' class='medium'    placeholder='N\u00famero de hijos' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_16_28\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_28\" ><label class='gfield_label gform-field-label' for='input_16_28'>N\u00famero de personas que dependen de usted<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_28' id='input_16_28' type='number' step='any'   value='' class='medium'    placeholder='N\u00famero de dependientes' aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_16_37\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_37\" ><label class='gfield_label gform-field-label' for='input_16_37'>Nivel Academico<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_37' id='input_16_37' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecciona una opci\u00f3n<\/option><option value='Sin estudios' >Sin estudios<\/option><option value='Primaria Incompleta' >Primaria Incompleta<\/option><option value='Primaria Cursando' >Primaria Cursando<\/option><option value='Primaria Completa' >Primaria Completa<\/option><option value='Secundaria Incompleta' >Secundaria Incompleta<\/option><option value='Secundaria Cursando' >Secundaria Cursando<\/option><option value='Secundaria Completa' >Secundaria Completa<\/option><option value='Tecnico Cursando' >Tecnico Cursando<\/option><option value='Tecnico Egresado' >Tecnico Egresado<\/option><option value='Universidad Incompleta' >Universidad Incompleta<\/option><option value='Universidad Cursando' >Universidad Cursando<\/option><option value='Universidad Completa' >Universidad Completa<\/option><option value='Maestr\u00eda' >Maestr\u00eda<\/option><option value='Doctorado' >Doctorado<\/option><option value='Preparatoria Incompleta' >Preparatoria Incompleta<\/option><option value='Preparatoria Completa' >Preparatoria Completa<\/option><\/select><\/div><\/li><li id=\"field_16_39\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_39\" ><label class='gfield_label gform-field-label' for='input_16_39'>Estudia<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_39' id='input_16_39' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecciona una opci\u00f3n<\/option><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_16_40\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_40\" ><label class='gfield_label gform-field-label' for='input_16_40'>Trabaja<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_40' id='input_16_40' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecciona una opci\u00f3n<\/option><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><option value='Jubilado' >Jubilado<\/option><\/select><\/div><\/li><li id=\"field_16_41\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_41\" ><label class='gfield_label gform-field-label' for='input_16_41'>Negocio<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_41' id='input_16_41' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecciona una opci\u00f3n<\/option><option value='Si' >Si<\/option><option value='No' >No<\/option><option value='En proceso de iniciar' >En proceso de iniciar<\/option><option value='En proceso de mejorar negocio' >En proceso de mejorar negocio<\/option><\/select><\/div><\/li><li id=\"field_16_65\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_65\" ><label class='gfield_label gform-field-label' for='input_16_65'>Ocupaci\u00f3n\/Profesi\u00f3n<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_65' id='input_16_65' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Profesional de Oficina' >Profesional de Oficina<\/option><option value='Comerciante' >Comerciante<\/option><option value='Maestro de Obras' >Maestro de Obras<\/option><option value='Docente' >Docente<\/option><option value='Mecanico Automotriz' >Mecanico Automotriz<\/option><option value='Ebanista' >Ebanista<\/option><option value='Soldador' >Soldador<\/option><option value='Pintor' >Pintor<\/option><option value='Talabartero' >Talabartero<\/option><option value='Carpintero' >Carpintero<\/option><option value='Albanil' >Albanil<\/option><option value='Bombero' >Bombero<\/option><option value='Vendedor' >Vendedor<\/option><option value='Policia' >Policia<\/option><option value='Militar' >Militar<\/option><option value='Administrador del Hogar' >Administrador del Hogar<\/option><option value='Vigilante' >Vigilante<\/option><option value='Cobrador' >Cobrador<\/option><option value='Abogado' >Abogado<\/option><option value='Doctor (Medico)' >Doctor (Medico)<\/option><option value='Enfermero(a)' >Enfermero(a)<\/option><option value='Ingeniero' >Ingeniero<\/option><option value='Pescador' >Pescador<\/option><option value='Veterinario' >Veterinario<\/option><option value='Estudiante' >Estudiante<\/option><option value='Administrador' >Administrador<\/option><option value='Musico' >Musico<\/option><option value='Mecanico Industrial' >Mecanico Industrial<\/option><option value='Agente Aduanero' >Agente Aduanero<\/option><option value='Corredor de Seguros' >Corredor de Seguros<\/option><option value='Ejecutivo' >Ejecutivo<\/option><option value='Secretaria(o)' >Secretaria(o)<\/option><option value='Agricultor' >Agricultor<\/option><option value='Fritanguero' >Fritanguero<\/option><option value='Publicidad' >Publicidad<\/option><option value='Disenador Grafico' >Disenador Grafico<\/option><option value='Otro' >Otro<\/option><\/select><\/div><\/li><li id=\"field_16_30\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_30\" ><label class='gfield_label gform-field-label' for='input_16_30'>Ingresos mensuales<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_30' id='input_16_30' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_16_30\" \/><\/div><div class='gfield_description' id='gfield_description_16_30'>Anote en promedio cuales son sus ingresos mensuales en este momento.<\/div><\/li><li id=\"field_16_31\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_31\" ><label class='gfield_label gform-field-label' for='input_16_31'>Ahorros<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_31' id='input_16_31' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_16_31\" \/><\/div><div class='gfield_description' id='gfield_description_16_31'>Ingrese cual es su ahorro actual, si no tiene ahorros ponga &#8220;0&#8221;.<\/div><\/li><li id=\"field_16_32\" class=\"gfield gfield--type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_32\" ><label class='gfield_label gform-field-label' for='input_16_32'>Deuda<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_32' id='input_16_32' type='text' step='any'   value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_16_32\" \/><\/div><div class='gfield_description' id='gfield_description_16_32'>No aplica deuda de auto o casa, solo deudas que se pueden pagar en un mediano plazo.<\/div><\/li><li id=\"field_16_33\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_33\" ><label class='gfield_label gform-field-label' for='input_16_33'>Religi\u00f3n<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_33' id='input_16_33' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecciona una opci\u00f3n<\/option><option value='Iglesia de Jesucristo (SUD)' >Iglesia de Jesucristo (SUD)<\/option><option value='Iglesia Catolica' >Iglesia Catolica<\/option><option value='Iglesia Evangelica' >Iglesia Evangelica<\/option><option value='Testigo de Jehova' >Testigo de Jehova<\/option><option value='Iglesia Adventista' >Iglesia Adventista<\/option><option value='Otra denominacion' >Otra denominacion<\/option><option value='Budista' >Budista<\/option><\/select><\/div><\/li><li id=\"field_16_34\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_34\" ><label class='gfield_label gform-field-label' for='input_16_34'>Llamamiento<\/label><div class='ginput_container ginput_container_select'><select name='input_34' id='input_16_34' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecciona una opci\u00f3n<\/option><option value='No Tengo llamamiento' >No Tengo llamamiento<\/option><option value='Presidente de Estaca' >Presidente de Estaca<\/option><option value='Consejero del Presidente Estaca' >Consejero del Presidente Estaca<\/option><option value='Secretario Estaca' >Secretario Estaca<\/option><option value='Miembro del Sumo Consejo' >Miembro del Sumo Consejo<\/option><option value='Presidencia HJ Estaca' >Presidencia HJ Estaca<\/option><option value='Presidencia MJ Estaca' >Presidencia MJ Estaca<\/option><option value='Presidencia Sociedad Socorro Estaca' >Presidencia Sociedad Socorro Estaca<\/option><option value='Presidencia Primaria Estaca' >Presidencia Primaria Estaca<\/option><option value='Presidencia Escuela Dom Estaca' >Presidencia Escuela Dom Estaca<\/option><option value='Secretario(a) Org Auxiliar Estaca' >Secretario(a) Org Auxiliar Estaca<\/option><option value='Especialista de Autosuficiencia Estaca' >Especialista de Autosuficiencia Estaca<\/option><option value='Obispo' >Obispo<\/option><option value='Consejero de Obispo' >Consejero de Obispo<\/option><option value='Secretario Obispado' >Secretario Obispado<\/option><option value='Presidente Cuorum de Elderes' >Presidente Cuorum de Elderes<\/option><option value='Consejero de Cuorum de Elderes' >Consejero de Cuorum de Elderes<\/option><option value='Lider de Sumos Sacerdotes' >Lider de Sumos Sacerdotes<\/option><option value='Ayudante Lider de Sumos Sacerdotes' >Ayudante Lider de Sumos Sacerdotes<\/option><option value='Presidencia HJ Barrio' >Presidencia HJ Barrio<\/option><option value='Presidencia MJ Barrio' >Presidencia MJ Barrio<\/option><option value='Presidencia Sociedad Socorro Barrio' >Presidencia Sociedad Socorro Barrio<\/option><option value='Presidencia Primaria Barrio' >Presidencia Primaria Barrio<\/option><option value='Presidencia Escuela Dom Barrio' >Presidencia Escuela Dom Barrio<\/option><option value='Lider Misional de Barrio' >Lider Misional de Barrio<\/option><option value='Representante de Liahona' >Representante de Liahona<\/option><option value='Hermano Ministrante' >Hermano Ministrante<\/option><option value='Hermana Ministrante' >Hermana Ministrante<\/option><option value='Especialista de Autosuficiencia Barrio' >Especialista de Autosuficiencia Barrio<\/option><option value='Facilitador de Autosuficiencia Barrio' >Facilitador de Autosuficiencia Barrio<\/option><option value='Secretario(a) Org Auxiliar Barrio' >Secretario(a) Org Auxiliar Barrio<\/option><option value='Historia Familiar' >Historia Familiar<\/option><option value='Otro' >Otro<\/option><\/select><\/div><\/li><li id=\"field_16_35\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_35\" ><label class='gfield_label gform-field-label' for='input_16_35'>Misi\u00f3n<\/label><div class='ginput_container ginput_container_select'><select name='input_35' id='input_16_35' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Selecciona una opci\u00f3n<\/option><option value='S\u00ed, he sido misionero' >S\u00ed, he sido misionero<\/option><option value='Soy futuro misionero' >Soy futuro misionero<\/option><option value='No servir\u00e9 una misi\u00f3n' >No servir\u00e9 una misi\u00f3n<\/option><\/select><\/div><\/li><li id=\"field_16_66\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_66\" ><label class='gfield_label gform-field-label' for='input_16_66'>Misi\u00f3n en la que sirvi\u00f3<\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_16_66' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_16_67\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_67\" ><label class='gfield_label gform-field-label' for='input_16_67'>A\u00f1o en el que fue relevado<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_67' id='input_16_67' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_16_38\" class=\"gfield gfield--type-radio gfield--type-choice gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_38\" ><label class='gfield_label gform-field-label' >Ha enviado su carpeta<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_38'>\n\t\t\t<li class='gchoice gchoice_16_38_0'>\n\t\t\t\t<input name='input_38' type='radio' value='S\u00ed'  id='choice_16_38_0'    \/>\n\t\t\t\t<label for='choice_16_38_0' id='label_16_38_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_16_38_1'>\n\t\t\t\t<input name='input_38' type='radio' value='No'  id='choice_16_38_1'    \/>\n\t\t\t\t<label for='choice_16_38_1' id='label_16_38_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_68\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_68\" ><label class='gfield_label gform-field-label' for='input_16_68'>Nombre y tel\u00e9fono del influenciador<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_68' id='input_16_68' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_16_69\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_69\" ><label class='gfield_label gform-field-label' for='input_16_69'>Tipo de Mentor\u00eda que recibe<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_69' id='input_16_69' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Empleo' >Empleo<\/option><option value='Negocio' >Negocio<\/option><option value='Educaci\u00f3n' >Educaci\u00f3n<\/option><\/select><\/div><\/li><li id=\"field_16_70\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_70\" ><h2 class=\"gsection_title\">Estudio Socioecon\u00f3mico<\/h2><\/li><li id=\"field_16_71\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_71\" ><label class='gfield_label gform-field-label' for='input_16_71'>Miembros de la familia que viven en el hogar<\/label><div class='ginput_container ginput_container_select'><select name='input_71' id='input_16_71' class='medium gfield_select'     aria-invalid=\"false\" ><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='M\u00e1s de 5' >M\u00e1s de 5<\/option><\/select><\/div><\/li><li id=\"field_16_72\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_72\" ><label class='gfield_label gform-field-label' for='input_16_72'>Cuantos miembros de la familia perciben un salario o ingreso<\/label><div class='ginput_container ginput_container_select'><select name='input_72' id='input_16_72' class='medium gfield_select'     aria-invalid=\"false\" ><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='M\u00e1s de 3' >M\u00e1s de 3<\/option><\/select><\/div><\/li><li id=\"field_16_73\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_73\" ><label class='gfield_label gform-field-label' for='input_16_73'>\u00bfEst\u00e1n estudiando todos los hijos entre 6 y 17 a\u00f1os?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_73' id='input_16_73' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><option value='No aplica' >No aplica<\/option><\/select><\/div><\/li><li id=\"field_16_74\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_74\" ><label class='gfield_label gform-field-label' for='input_16_74'>Nivel acad\u00e9mico m\u00e1s alto completado por un miembro de la familia<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_74' id='input_16_74' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Primaria' >Primaria<\/option><option value='Secundaria' >Secundaria<\/option><option value='Preparatoria\/Bachillerato' >Preparatoria\/Bachillerato<\/option><option value='Universidad' >Universidad<\/option><\/select><\/div><\/li><li id=\"field_16_75\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_75\" ><label class='gfield_label gform-field-label' for='input_16_75'>De qu\u00e9 material esta hecho el piso de su casa<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_75' id='input_16_75' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Tierra' >Tierra<\/option><option value='Cemento' >Cemento<\/option><option value='Cer\u00e1mica' >Cer\u00e1mica<\/option><\/select><\/div><\/li><li id=\"field_16_76\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_76\" ><label class='gfield_label gform-field-label' for='input_16_76'>De que material est\u00e1n hechas las paredes de su casa<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_76' id='input_16_76' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Zinc' >Zinc<\/option><option value='Madera' >Madera<\/option><option value='Barro' >Barro<\/option><option value='Cemento' >Cemento<\/option><\/select><\/div><\/li><li id=\"field_16_77\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_77\" ><label class='gfield_label gform-field-label' for='input_16_77'>Cuantas habitaciones tiene la casa sin contar el ba\u00f1o y la cocina<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_77' id='input_16_77' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='M\u00e1s de 3' >M\u00e1s de 3<\/option><\/select><\/div><\/li><li id=\"field_16_78\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_78\" ><label class='gfield_label gform-field-label' for='input_16_78'>La familia cuenta con comutadora<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_78' id='input_16_78' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_16_79\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_79\" ><label class='gfield_label gform-field-label' for='input_16_79'>Principal combustible usado para cocinar<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_79' id='input_16_79' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Madera' >Madera<\/option><option value='Electricidad' >Electricidad<\/option><option value='G\u00e1s' >G\u00e1s<\/option><\/select><\/div><\/li><li id=\"field_16_80\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_80\" ><label class='gfield_label gform-field-label' for='input_16_80'>La familia cuanta con servicio sanitario<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_80' id='input_16_80' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_16_81\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_16_81\" ><label class='gfield_label gform-field-label' for='input_16_81'>La familia cuenta con refrigerador<span class=\"gfield_required\"><span class=\"gfield_required 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