{"id":1291,"date":"2022-12-01T18:09:04","date_gmt":"2022-12-01T10:09:04","guid":{"rendered":"https:\/\/eqmhealing.com\/?page_id=1291"},"modified":"2023-09-20T21:02:48","modified_gmt":"2023-09-20T13:02:48","slug":"apply-individual","status":"publish","type":"page","link":"https:\/\/eqmhealing.com\/apply-individual\/","title":{"rendered":"\u500b\u4eba\u6703\u54e1\u7533\u8acb\u8868"},"content":{"rendered":"<style>\/*! elementor - v3.5.0 - 12-12-2021 *\/<br \/>\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style>\n<h2>\u500b\u4eba\u6703\u54e1\u7533\u8acb\u8868<\/h2>\n<form data-form_id=\"4\" id=\"fluentform_4\" data-form_instance=\"ff_form_instance_4_1\" method=\"POST\" ><input type='hidden' name='__fluent_form_embded_post_id' value='1291' \/><input type=\"hidden\" id=\"_fluentform_4_fluentformnonce\" name=\"_fluentform_4_fluentformnonce\" value=\"b9ba07d887\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-admin\/admin-ajax.php\" \/><label for='ff_4_names_first_name_'>First Name<\/label> <input type=\"text\" name=\"names[first_name]\" id=\"ff_4_names_first_name_\" placeholder=\"\u59d3\u540d\" ><label for='ff_4_phone'>\u806f\u7d61\u96fb\u8a71<\/label> <input name=\"phone\" type=\"tel\" data-name=\"phone\" id=\"ff_4_phone\" inputmode=\"tel\" ><label>\u806f\u7d61\u5730\u5740\uff08\u8acb\u5b8c\u6574\u586b\u5beb\uff09<\/label><label for='ff_4_address_1_address_line_1_'>\u5730\u5740<\/label> <input type=\"text\" name=\"address_1[address_line_1]\" id=\"ff_4_address_1_address_line_1_\" placeholder=\"\u8def\u8857\u540d\/\u5df7\u5f04\u865f\" data-key_name=\"address_line_1\" ><label for='ff_4_address_1_city_'>\u7e23\u5e02<\/label> <input type=\"text\" name=\"address_1[city]\" id=\"ff_4_address_1_city_\" placeholder=\"\u7e23\u5e02\" data-key_name=\"city\" ><label for='ff_4_address_1_state_'>\u9109\u93ae\u5e02\u5340<\/label> <input type=\"text\" name=\"address_1[state]\" id=\"ff_4_address_1_state_\" placeholder=\"\u9109\u93ae\u5e02\u5340\" data-key_name=\"state\" ><label for='ff_4_address_1_zip_'>\u90f5\u905e\u5340\u865f<\/label> <input type=\"text\" name=\"address_1[zip]\" id=\"ff_4_address_1_zip_\" placeholder=\"\u90f5\u905e\u5340\u865f\" data-key_name=\"zip\" ><label for='ff_4_address_1_country_'>\u570b\u5bb6<\/label> <select name=\"address_1[country]\" id=\"ff_4_address_1_country_\" placeholder=\"\u9078\u53d6\u570b\u5bb6\" data-key_name=\"country\" ><option value=''>\u9078\u53d6\u570b\u5bb6<\/option><option value='AF' >Afghanistan<\/option><option value='AX' >Aland Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='PW' >Belau<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Saint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='VG' >British Virgin Islands<\/option><option value='BN' >Brunei<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='CV' >Cape Verde<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos (Keeling) Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CG' >Congo (Brazzaville)<\/option><option value='CD' >Congo (Kinshasa)<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura&ccedil;ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czech Republic<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='CI' >Ivory Coast<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='XK' >Kosovo<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Laos<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao S.A.R., China<\/option><option value='MK' >Macedonia<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='KP' >North Korea<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PS' >Palestinian Territory<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='RE' >Reunion<\/option><option value='RO' >Romania<\/option><option value='RU' >Russia<\/option><option value='RW' >Rwanda<\/option><option value='ST' >S&atilde;o Tom&eacute; and Pr&iacute;ncipe<\/option><option value='BL' >Saint Barth&eacute;lemy<\/option><option value='SH' >Saint Helena<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='SX' >Saint Martin (Dutch part)<\/option><option value='MF' >Saint Martin (French part)<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia\/Sandwich Islands<\/option><option value='KR' >South Korea<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SZ' >Swaziland<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TR' >Turkey<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom (UK)<\/option><option value='US' >United States (US)<\/option><option value='UM' >United States (US) Minor Outlying Islands<\/option><option value='VI' >United States (US) Virgin Islands<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VA' >Vatican<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select><label for='ff_4_email'>Email<\/label> <input type=\"email\" name=\"email\" id=\"ff_4_email\" placeholder=\"\u5e38\u7528\u7684Email\" data-name=\"email\" ><label for='ff_4_input_text'>\u8077\u696d<\/label> <input type=\"text\" name=\"input_text\" placeholder=\"\u7c21\u8ff0\u5de5\u4f5c\u985e\u5225\u53ca\u8077\u7a31\" data-name=\"input_text\" id=\"ff_4_input_text\" ><label for='ff_4_dropdown'>\u662f\u5426\u5b78\u7fd2\u904e\u8eab\u5fc3\u9748\u8ab2\u7a0b<\/label> <select name=\"dropdown\" id=\"ff_4_dropdown\" data-name=\"dropdown\" data-calc_value=\"0\" ><option value=\"\">\u9078\u64c7<\/option><option value=\"\u6709\u5b78\u7fd2\u904e\u8eab\u5fc3\u9748\u76f8\u95dc\u8ab2\u7a0b\"  >\u6709\u5b78\u7fd2\u904e\u8eab\u5fc3\u9748\u76f8\u95dc\u8ab2\u7a0b<\/option><option value=\"\u6c92\u6709\u63a5\u89f8\u904e\u76f8\u95dc\u8ab2\u7a0b\"  >\u6c92\u6709\u63a5\u89f8\u904e\u76f8\u95dc\u8ab2\u7a0b<\/option><\/select><label for='ff_4_input_text_1'>\u5b78\u7fd2\u904e\u7684\u8ab2\u7a0b\u540d\u7a31<\/label> <input type=\"text\" name=\"input_text_1\" placeholder=\"\u7c21\u8ff0\u8ab2\u7a0b\u540d\" data-name=\"input_text_1\" id=\"ff_4_input_text_1\" ><label for='ff_4_description_1'>\u60f3\u52a0\u5165\u6b64\u5354\u6703\u7684\u539f\u56e0<\/label> <textarea name=\"description_1\" id=\"ff_4_description_1\" rows=\"3\" cols=\"2\" data-name=\"description_1\" ><\/textarea><button type=\"submit\" >\u63d0\u4ea4\u7533\u8acb<\/button><\/form>\n","protected":false},"excerpt":{"rendered":"<p>\u500b\u4eba\u6703\u54e1\u7533\u8acb\u8868 First Name \u806f\u7d61\u96fb\u8a71 \u806f\u7d61\u5730\u5740\uff08\u8acb\u5b8c\u6574\u586b\u5beb\uff09\u5730\u5740 \u7e23\u5e02 \u9109\u93ae\u5e02\u5340 \u90f5\u905e\u5340\u865f \u570b\u5bb6 \u9078 &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/eqmhealing.com\/apply-individual\/\"> <span class=\"screen-reader-text\">\u500b\u4eba\u6703\u54e1\u7533\u8acb\u8868<\/span> \u7e7c\u7e8c\u95b1\u8b80 \u00bb<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"_links":{"self":[{"href":"https:\/\/eqmhealing.com\/wp-json\/wp\/v2\/pages\/1291"}],"collection":[{"href":"https:\/\/eqmhealing.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/eqmhealing.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/eqmhealing.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/eqmhealing.com\/wp-json\/wp\/v2\/comments?post=1291"}],"version-history":[{"count":5,"href":"https:\/\/eqmhealing.com\/wp-json\/wp\/v2\/pages\/1291\/revisions"}],"predecessor-version":[{"id":1365,"href":"https:\/\/eqmhealing.com\/wp-json\/wp\/v2\/pages\/1291\/revisions\/1365"}],"wp:attachment":[{"href":"https:\/\/eqmhealing.com\/wp-json\/wp\/v2\/media?parent=1291"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}