{"id":30439,"date":"2025-08-21T05:31:12","date_gmt":"2025-08-21T05:31:12","guid":{"rendered":"https:\/\/mind-renaissance-new.staging33.com\/?page_id=30439"},"modified":"2025-10-11T05:12:13","modified_gmt":"2025-10-11T05:12:13","slug":"spacee-application-form","status":"publish","type":"page","link":"https:\/\/mind-renaissance-new.staging33.com\/mr\/spacee-application-form\/","title":{"rendered":"SPACEE Application Form"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"30439\" class=\"elementor elementor-30439\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3e72471 e-flex e-con-boxed e-con e-parent\" data-id=\"3e72471\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-009091c elementor-invisible elementor-widget elementor-widget-custom-title-addons\" data-id=\"009091c\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;edubin--slide-up&quot;}\" data-widget_type=\"custom-title-addons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"tpc-double_heading\"><h3 class=\"dbl__title-wrapper\"><span class=\"dbl__title dbl-title_2\" style=\"position:relative;\" >SPACEE <span class=\"shape-bg\"><span class=\"shape__svg\"><svg \n                    xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                    xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\"\n                    width=\"163.5px\" height=\"10.5px\">\n                    <path fill-rule=\"evenodd\"  stroke=\"red\" stroke-width=\"1px\" stroke-linecap=\"butt\" stroke-linejoin=\"miter\" fill=\"none\"\n                    d=\"M0.500,5.821 C20.005,4.244 141.911,-2.588 162.500,2.142 C159.791,2.142 43.844,4.244 8.085,9.500 \"\/>\n                    <\/svg><\/span><\/span><\/span><span class=\"dbl__title dbl-title_3\">\u0905\u0930\u094d\u091c \u092b\u0949\u0930\u094d\u092e<\/span><\/h3><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e8df967 e-flex e-con-boxed e-con e-parent\" data-id=\"e8df967\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2e854156 elementor-widget elementor-widget-text-editor\" data-id=\"2e854156\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<div class=\"mr-contact-form-wrap\"><br \/>\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f30442-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"30442\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/mr\/wp-json\/wp\/v2\/pages\/30439#wpcf7-f30442-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/mr\/wp-json\/wp\/v2\/pages\/30439#wpcf7-f30442-o1\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"30442\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.1\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f30442-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><strong>SPACEE \u092e\u0927\u094d\u092f\u0947 \u0924\u0941\u092e\u091a\u0947 \u0938\u094d\u0935\u093e\u0917\u0924 \u0906\u0939\u0947<\/strong> \u0915\u0930\u093f\u0905\u0930, \u0935\u094d\u092f\u0915\u094d\u0924\u093f\u092e\u0924\u094d\u0924\u094d\u0935 \u0936\u094b\u0927 \u0906\u0923\u093f \u092f\u094b\u0917\u094d\u092f \u0928\u093f\u0930\u094d\u0923\u092f \u0918\u0947\u0923\u094d\u092f\u093e\u091a\u094d\u092f\u093e \u090f\u0915\u093e\n\u0905\u0928\u0941\u092d\u0935\u093e\u0927\u093e\u0930\u093f\u0924 \u092a\u094d\u0930\u0935\u093e\u0938\u093e\u0924.<br \/>\n\u0939\u093e \u092b\u0949\u0930\u094d\u092e \u0906\u092e\u094d\u0939\u093e\u0932\u093e \u0924\u0941\u092e\u094d\u0939\u093e\u0932\u093e \u0905\u0927\u093f\u0915 \u091a\u093e\u0902\u0917\u0932\u094d\u092f\u093e \u092a\u094d\u0930\u0915\u093e\u0930\u0947 \u0938\u092e\u091c\u0942\u0928 \u0918\u0947\u0923\u094d\u092f\u093e\u0938 \u092e\u0926\u0924 \u0915\u0930\u0924\u094b, \u091c\u0947\u0923\u0947\u0915\u0930\u0942\u0928 \u0906\u092e\u094d\u0939\u0940 \u0924\u0941\u092e\u094d\u0939\u093e\u0932\u093e \u0938\u0930\u094d\u0935\u093e\u0924 \u0905\u0930\u094d\u0925\u092a\u0942\u0930\u094d\u0923 \u0905\u0928\u0941\u092d\u0935 \u0926\u0947\u090a \u0936\u0915\u0942.<br \/>\n\u091a\u0932\u093e, \u0938\u0941\u0930\u0941\u0935\u093e\u0924 \u0915\u0930\u0942\u092f\u093e.\n<\/p>\n<p><label>1. \u0935\u093f\u0926\u094d\u092f\u093e\u0930\u094d\u0925\u094d\u092f\u093e\u091a\u0947 \u0928\u093e\u0935<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-student-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mrldq-student-name\" \/><\/span> <\/label>\n<\/p>\n<p><label>2. \u0908\u092e\u0947\u0932 \u092a\u0924\u093e<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-student-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"mrldq-student-email\" \/><\/span> <\/label>\n<\/p>\n<p><label>3. \u092b\u094b\u0928 \u0928\u0902\u092c\u0930<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-student-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"mrldq-student-phone\" \/><\/span> <\/label>\n<\/p>\n<p><label>4. \u092a\u093e\u0932\u0915\u093e\u0902\u091a\u093e \u0908\u092e\u0947\u0932 \u092a\u0924\u094d\u0924\u093e<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-parent-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"mrldq-parent-email\" \/><\/span> <\/label>\n<\/p>\n<p><label>5. \u092a\u093e\u0932\u0915\u093e\u0902\u091a\u093e \u0938\u0902\u092a\u0930\u094d\u0915 \u0928\u0902\u092c\u0930<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-parent-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"mrldq-parent-phone\" \/><\/span> <\/label>\n<\/p>\n<p><label>6. \u0936\u093e\u0933\u0947\u091a\u0947 \u0928\u093e\u0935<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-school-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mrldq-school-name\" \/><\/span> <\/label>\n<\/p>\n<p><label>7. \u0907\u092f\u0924\u094d\u0924\u093e \/ \u0917\u094d\u0930\u0947\u0921<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-grade\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mrldq-grade\" \/><\/span> <\/label>\n<\/p>\n<p><label>8. \u0924\u0941\u092e\u094d\u0939\u093e\u0932\u093e SPACEE \u092c\u0926\u094d\u0926\u0932 \u0915\u0938\u0947 \u0938\u092e\u091c\u0932\u0947?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-hear-about\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"mrldq-hear-about[]\" value=\"School referral\" \/><span class=\"wpcf7-list-item-label\">\u0936\u093e\u0933\u0947\u092e\u093e\u0930\u094d\u092b\u0924<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"mrldq-hear-about[]\" value=\"Social media (Instagram\/Facebook)\" \/><span class=\"wpcf7-list-item-label\">\u0938\u094b\u0936\u0932 \u092e\u0940\u0921\u093f\u092f\u093e<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"mrldq-hear-about[]\" value=\"A friend\/classmate\" \/><span class=\"wpcf7-list-item-label\">\u092e\u093f\u0924\u094d\u0930 \/ \u0935\u0930\u094d\u0917\u092e\u093f\u0924\u094d\u0930<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"mrldq-hear-about[]\" value=\"Mind Renaissance Website\" \/><span class=\"wpcf7-list-item-label\">Mind Renaissance \u0935\u0947\u092c\u0938\u093e\u0907\u091f<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"mrldq-hear-about[]\" value=\"Career guidance seminar\" \/><span class=\"wpcf7-list-item-label\">\u0915\u0930\u093f\u0905\u0930 \u092e\u093e\u0930\u094d\u0917\u0926\u0930\u094d\u0936\u0928 \u0938\u0947\u092e\u093f\u0928\u093e\u0930<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"mrldq-hear-about[]\" value=\"Other (please specify)\" \/><span class=\"wpcf7-list-item-label\">\u0907\u0924\u0930 (\u0915\u0943\u092a\u092f\u093e \u0928\u092e\u0942\u0926 \u0915\u0930\u093e)<\/span><\/label><\/span><\/span><\/span> <\/label>\n<\/p>\n<p><label>9. \u0915\u094b\u0923\u0924\u0947 3 \u0915\u0930\u093f\u0905\u0930 \u092e\u093e\u0930\u094d\u0917 \u0924\u0941\u092e\u094d\u0939\u093e\u0932\u093e \u091c\u093e\u0923\u0942\u0928 \u0918\u094d\u092f\u093e\u092f\u091a\u0947 \u0906\u0939\u0947\u0924?<br \/>\n1. <span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-career1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mrldq-career1\" \/><\/span><br \/>\n2. <span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-career2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mrldq-career2\" \/><\/span><br \/>\n3. <span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-career3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"mrldq-career3\" \/><\/span> <\/label>\n<\/p>\n<p><label>10. \u0924\u0941\u092e\u094d\u0939\u0940 \u0915\u094b\u0923\u0924\u094d\u092f\u093e SPACEE \u0907\u0902\u091f\u0947\u0915\u092e\u0927\u094d\u092f\u0947 \u0938\u0939\u092d\u093e\u0917\u0940 \u0935\u094d\u0939\u093e\u092f\u0932\u093e \u0907\u091a\u094d\u091b\u0941\u0915 \u0906\u0939\u093e\u0924?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-intake\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"mrldq-intake\" value=\"December\" \/><span class=\"wpcf7-list-item-label\">\u0921\u093f\u0938\u0947\u0902\u092c\u0930<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"mrldq-intake\" value=\"March\" \/><span class=\"wpcf7-list-item-label\">\u092e\u093e\u0930\u094d\u091a<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"mrldq-intake\" value=\"June\" \/><span class=\"wpcf7-list-item-label\">\u091c\u0942\u0928<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"mrldq-intake\" value=\"September\" \/><span class=\"wpcf7-list-item-label\">\u0938\u092a\u094d\u091f\u0947\u0902\u092c\u0930<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>12. SPACEE \u092e\u0927\u0942\u0928 \u0924\u0941\u092e\u094d\u0939\u093e\u0932\u093e \u0915\u093e\u0939\u0940 \u0935\u093f\u0936\u0947\u0937 \u092e\u093f\u0933\u093e\u0935\u0947 \u0905\u0936\u0940 \u0905\u092a\u0947\u0915\u094d\u0937\u093e \u0906\u0939\u0947 \u0915\u093e? (\u092a\u0930\u094d\u092f\u093e\u092f\u0940)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"mrldq-optional-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"mrldq-optional-message\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><div id=\"cf7sr-69d5f33fdcf81\" class=\"cf7sr-g-recaptcha\" data-theme=\"light\" data-type=\"image\" data-size=\"normal\" data-sitekey=\"6LfP2-MrAAAAAJtioQsWiueAkU2LaCtvtgG_bgVh\"><\/div><span class=\"wpcf7-form-control-wrap cf7sr-recaptcha\" data-name=\"cf7sr-recaptcha\"><input type=\"hidden\" name=\"cf7sr-recaptcha\" value=\"\" class=\"wpcf7-form-control\"><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><input type='hidden' class='wpcf7-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"mr\"\/><\/form>\n<\/div>\n<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>SPACEE Application Form<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-30439","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/mind-renaissance-new.staging33.com\/mr\/wp-json\/wp\/v2\/pages\/30439","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mind-renaissance-new.staging33.com\/mr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mind-renaissance-new.staging33.com\/mr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mind-renaissance-new.staging33.com\/mr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mind-renaissance-new.staging33.com\/mr\/wp-json\/wp\/v2\/comments?post=30439"}],"version-history":[{"count":8,"href":"https:\/\/mind-renaissance-new.staging33.com\/mr\/wp-json\/wp\/v2\/pages\/30439\/revisions"}],"predecessor-version":[{"id":35466,"href":"https:\/\/mind-renaissance-new.staging33.com\/mr\/wp-json\/wp\/v2\/pages\/30439\/revisions\/35466"}],"wp:attachment":[{"href":"https:\/\/mind-renaissance-new.staging33.com\/mr\/wp-json\/wp\/v2\/media?parent=30439"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}