{"id":244,"date":"2019-11-17T20:55:55","date_gmt":"2019-11-17T19:55:55","guid":{"rendered":"http:\/\/www.maltezskyrad.cz\/gdpr\/?page_id=244"},"modified":"2019-11-17T20:55:55","modified_gmt":"2019-11-17T19:55:55","slug":"zadost-o-grant-cmm-formular","status":"publish","type":"page","link":"http:\/\/www.maltezskyrad.cz\/gdpr\/zadost-o-grant-cmm-formular\/","title":{"rendered":"\u017d\u00e1dost o grant \u010cMM &#8211; formul\u00e1\u0159"},"content":{"rendered":"<div class='fluentform'><form data-form_id='1' id='fluentform_1' class='frm-fluent-form fluent_form_1 ff-el-form-top ff_form_instance_1_1 ff-form-loading'><input type='hidden' name='__fluent_form_embded_post_id' value='244' \/><input type=\"hidden\" id=\"_fluentform_1_fluentformnonce\" name=\"_fluentform_1_fluentformnonce\" value=\"e8b558220d\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/gdpr\/wp-json\/wp\/v2\/pages\/244\" \/><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-95019053969f199598dafe8.29860001\" ><h3 class='ff-el-section-title'>I. \u00daDAJE O \u017dADATELI<\/h3><div><\/div><hr \/><\/div><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group  ff-el-form-top'><div class='ff-el-input--label ff-el-is-required asterisk-left'><label for='ff_1_names[first_name]'>Jm\u00e9no \u017eadatele<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_1_names[first_name]\" class=\"ff-el-form-control\" placeholder=\"K\u0159estn\u00ed jm\u00e9no\" tabindex=\"1\" ><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group  ff-el-form-top'><div class='ff-el-input--label ff-el-is-required asterisk-left'><label for='ff_1_names[last_name]'>P\u0159\u00edjmen\u00ed \u017eadatele<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_1_names[last_name]\" class=\"ff-el-form-control\" placeholder=\"P\u0159\u00edjmen\u00ed\" tabindex=\"2\" ><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group ff-el-form-'><div class='ff-el-input--label ff-el-is-required asterisk-left'><label for='ff_1_input_mask_1'>Datum narozen\u00ed \u017eadatele<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_mask_1\" data-mask=\"00\/00\/0000\" class=\"ff-el-form-control\" placeholder=\"DD\/MM\/RRRR\" data-name=\"input_mask_1\" tabindex=\"3\" id=\"ff_1_input_mask_1\" ><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address1\" ><div class='ff-el-input--label'><label>Adresa trval\u00e9ho bydli\u0161t\u011b \u017eadatele:<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-left'><label for='ff_1_address1[address_line_1]'>Ulice<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address1[address_line_1]\" id=\"ff_1_address1[address_line_1]\" class=\"ff-el-form-control\" placeholder=\"Jm\u00e9no ulice, \u010d\u00edslo popisn\u00e9 a orienta\u010dn\u00ed\" tabindex=\"4\" ><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-left'><label for='ff_1_address1[city]'>M\u011bsto<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address1[city]\" id=\"ff_1_address1[city]\" class=\"ff-el-form-control\" placeholder=\"M\u011bsto\" tabindex=\"5\" ><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-left'><label for='ff_1_address1[state]'>St\u00e1t<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address1[state]\" id=\"ff_1_address1[state]\" class=\"ff-el-form-control\" placeholder=\"St\u00e1t\" tabindex=\"6\" ><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label ff-el-is-required asterisk-left'><label for='ff_1_address1[zip]'>Sm\u011brovac\u00ed \u010d\u00edslo<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address1[zip]\" id=\"ff_1_address1[zip]\" class=\"ff-el-form-control\" placeholder=\"Sm\u011brovac\u00ed \u010d\u00edslo\" tabindex=\"7\" ><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"ff-name-address-wrapper fluent-address\" data-type=\"address-element\" data-name=\"address2\" ><div class='ff-el-input--label'><label>Kontaktn\u00ed adresa \u017eadatele v p\u0159\u00edpad\u011b, \u017ee je jin\u00e1 ne\u017e adresa trval\u00e9ho bydli\u0161t\u011b:<\/label><\/div><div class='ff-el-input--content'><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-left'><label for='ff_1_address2[address_line_1]'>Ulice<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address2[address_line_1]\" id=\"ff_1_address2[address_line_1]\" class=\"ff-el-form-control\" placeholder=\"Jm\u00e9no ulice, \u010d\u00edslo popisn\u00e9 a orienta\u010dn\u00ed\" tabindex=\"8\" ><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-left'><label for='ff_1_address2[city]'>M\u011bsto<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address2[city]\" id=\"ff_1_address2[city]\" class=\"ff-el-form-control\" placeholder=\"M\u011bsto\" tabindex=\"9\" ><\/div><\/div><\/div><\/div><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-left'><label for='ff_1_address2[state]'>St\u00e1t<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address2[state]\" id=\"ff_1_address2[state]\" class=\"ff-el-form-control\" placeholder=\"St\u00e1t\" tabindex=\"10\" ><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group'><div class='ff-el-input--label asterisk-left'><label for='ff_1_address2[zip]'>Sm\u011brovac\u00ed \u010d\u00edslo<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"address2[zip]\" id=\"ff_1_address2[zip]\" class=\"ff-el-form-control\" placeholder=\"Sm\u011brovac\u00ed \u010d\u00edslo\" tabindex=\"11\" ><\/div><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group ff-el-form-'><div class='ff-el-input--label ff-el-is-required asterisk-left'><label for='ff_1_numeric-field'>Telefon \u017eadatele<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field\" id=\"ff_1_numeric-field\" class=\"ff-el-form-control\" placeholder=\"Telefonn\u00ed \u010d\u00edslo\" data-name=\"numeric-field\" tabindex=\"12\" ><\/div><\/div><div class='ff-el-group ff-el-form-'><div class='ff-el-input--label ff-el-is-required asterisk-left'><label for='ff_1_email'>Email \u017eadatele<\/label> <\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_1_email\" class=\"ff-el-form-control\" placeholder=\"Email\" data-name=\"email\" tabindex=\"13\" ><\/div><\/div><div class='ff-el-group ff-el-form-'><div class='ff-el-input--label ff-el-is-required asterisk-left'><label for='ff_1_dropdown_1'>Jsem osobou v\u00fdd\u011ble\u010dn\u011b \u010dinnou:<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown_1\" id=\"ff_1_dropdown_1\" class=\"ff-el-form-control\" data-name=\"dropdown_1\" tabindex=\"14\" ><option value='' selected>Vyberte mo\u017enost<\/option><option value='Ano' >Ano<\/option><option value='Ne' >Ne<\/option><\/select><\/div><\/div><div class='ff-el-group ff-el-form-'><div class='ff-el-input--label ff-el-is-required asterisk-left'><label for='ff_1_numeric-field_1'>Bankovn\u00ed spojen\u00ed (pro zasl\u00e1n\u00ed finan\u010dn\u00ed pomoci):<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_1\" id=\"ff_1_numeric-field_1\" class=\"ff-el-form-control\" placeholder=\"\u010c\u00edslo \u00fa\u010dtu\" data-name=\"numeric-field_1\" tabindex=\"15\" ><\/div><\/div><div class='ff-el-group ff-el-form-'><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_4\" id=\"ff_1_numeric-field_4\" class=\"ff-el-form-control\" placeholder=\"K\u00f3d banky\" data-name=\"numeric-field_4\" tabindex=\"16\" ><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-67600427769f199598e4795.14128991\" ><h3 class='ff-el-section-title'>II. \u00daDAJE O OSOB\u011a, V JEJ\u00cd\u017d PROSP\u011aCH M\u00c1 B\u00ddT GRANT POSKYTNUT <\/h3><div><p><em>(Vypl\u0148te v\u00a0p\u0159\u00edpad\u011b, jedn\u00e1-li se o jinou osobu, ne\u017e je \u017eadatel.)<\/em><\/p><\/div><hr \/><\/div><div data-type=\"name-element\" data-name=\"names_1\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell'><div class='ff-el-group  ff-el-form-top'><div class='ff-el-input--label asterisk-left'><label for='ff_1_names_1[first_name]'>Jm\u00e9no<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[first_name]\" id=\"ff_1_names_1[first_name]\" class=\"ff-el-form-control\" placeholder=\"K\u0159estn\u00ed jm\u00e9no\" tabindex=\"17\" ><\/div><\/div><\/div><div class='ff-t-cell'><div class='ff-el-group  ff-el-form-top'><div class='ff-el-input--label asterisk-left'><label for='ff_1_names_1[last_name]'>P\u0159\u00edjmen\u00ed<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names_1[last_name]\" id=\"ff_1_names_1[last_name]\" class=\"ff-el-form-control\" placeholder=\"P\u0159\u00edjmen\u00ed\" tabindex=\"18\" ><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group ff-el-form-'><div class='ff-el-input--label asterisk-left'><label for='ff_1_input_mask_2'>Datum narozen\u00ed<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_mask_2\" data-mask=\"00\/00\/0000\" class=\"ff-el-form-control\" placeholder=\"DD\/MM\/RRRR\" data-name=\"input_mask_2\" tabindex=\"19\" id=\"ff_1_input_mask_2\" ><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-102898318369f199598e4c98.11985855\" ><h3 class='ff-el-section-title'>III. ZDRAVOTN\u00cd \u00daDAJE<\/h3><div><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-'><div class='ff-el-input--label ff-el-is-required asterisk-left'><label for='ff_1_description'>Stru\u010dn\u00fd popis handicapu osoby, v jej\u00ed\u017e prosp\u011bch m\u00e1 b\u00fdt grant poskytnut:<\/label> <\/div><div class='ff-el-input--content'><textarea name=\"description\" id=\"ff_1_description\" class=\"ff-el-form-control\" rows=\"10\" cols=\"1\" data-name=\"description\" tabindex=\"20\" ><\/textarea><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-58844701369f199598e5a71.43004782\" ><h3 class='ff-el-section-title'>IV. FINAN\u010cN\u00cd ZAJI\u0160T\u011aNOST OSOBY, V JEJ\u00cd\u017d PROSP\u011aCH M\u00c1 B\u00ddT GRANT POSKYTNUT<\/h3><div><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-'><div class='ff-el-input--label ff-el-is-required asterisk-left'><label for='ff_1_numeric-field_2'>\u010cist\u00fd m\u011bs\u00ed\u010dn\u00ed p\u0159\u00edjem, pop\u0159\u00edpad\u011b \u010dist\u00fd m\u011bs\u00ed\u010dn\u00ed p\u0159\u00edjem osob, kter\u00e9 se o osobu staraj\u00ed (zahrnuj\u00edc\u00ed t\u00e9\u017e ve\u0161ker\u00e9 soci\u00e1ln\u00ed d\u00e1vky):<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_2\" id=\"ff_1_numeric-field_2\" class=\"ff-el-form-control\" placeholder=\"Celkov\u00e1 v\u00fd\u0161e \u010dist\u00e9ho m\u011bs\u00ed\u010dn\u00edho p\u0159\u00edjmu v K\u010d\" data-name=\"numeric-field_2\" tabindex=\"21\" ><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-25516922569f199598e5c85.87023858\" ><h3 class='ff-el-section-title'>V. Z\u00c1M\u011aR GRANTU<\/h3><div><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-'><div class='ff-el-input--label ff-el-is-required asterisk-left'><label for='ff_1_numeric-field_3'>V\u00fd\u0161e po\u017eadovan\u00e9 finan\u010dn\u00ed pomoci:<\/label> <\/div><div class='ff-el-input--content'><input type=\"number\" name=\"numeric-field_3\" id=\"ff_1_numeric-field_3\" class=\"ff-el-form-control\" placeholder=\"Po\u017eadovan\u00e1 v\u00fd\u0161e finan\u010dn\u00ed pomoci v K\u010d \" data-name=\"numeric-field_3\" tabindex=\"22\" ><\/div><\/div><div class='ff-el-group ff-el-form-'><div class='ff-el-input--label ff-el-is-required asterisk-left'><label for='ff_1_description_1'>Popis situace a \u00fa\u010del, na n\u011bj\u017e m\u00e1 b\u00fdt finan\u010dn\u00ed pomoc poskytnuta:<\/label> <\/div><div class='ff-el-input--content'><textarea name=\"description_1\" id=\"ff_1_description_1\" class=\"ff-el-form-control\" placeholder=\"Vysv\u011btlete co nejjasn\u011bji \u00fa\u010del vyu\u017eit\u00ed finan\u010dn\u00ed pomoci a situaci, kterou poskytnut\u00ed p\u0159\u00edsp\u011bvku \u0159e\u0161\u00ed.\" rows=\"10\" cols=\"1\" data-name=\"description_1\" tabindex=\"23\" ><\/textarea><\/div><\/div><div class='ff-el-group ff-el-form-'><div class='ff-el-input--label asterisk-left'><label for='ff_1_description_2'>Popis o\u010dek\u00e1van\u00e9ho p\u0159\u00ednosu finan\u010dn\u00ed pomoci:<\/label> <\/div><div class='ff-el-input--content'><textarea name=\"description_2\" id=\"ff_1_description_2\" class=\"ff-el-form-control\" rows=\"5\" cols=\"1\" data-name=\"description_2\" tabindex=\"24\" ><\/textarea><\/div><\/div><div class='ff-el-group ff-el-form-'><div class='ff-el-input--label ff-el-is-required asterisk-left'><label for='ff_1_input_text_2'>Obdob\u00ed vyu\u017eit\u00ed finan\u010dn\u00ed pomoci:<\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_2\" class=\"ff-el-form-control\" placeholder=\"nap\u0159. Listopad 2019\" data-name=\"input_text_2\" tabindex=\"25\" id=\"ff_1_input_text_2\" ><\/div><\/div><div class='ff-el-group ff-el-form-'><div class='ff-el-input--label ff-el-is-required asterisk-left'><label for='ff_1_dropdown'>Financov\u00e1n\u00ed z v\u00edce zdroj\u016f:<\/label> <\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_1_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" tabindex=\"26\" ><option value='' selected>Vyberte mo\u017enost<\/option><option value='Ano' >Ano<\/option><option value='Ne' >Ne<\/option><option value='\u017d\u00e1dost byla pod\u00e1na, ale prozat\u00edm nebylo o pomoci rozhodnuto.' >\u017d\u00e1dost byla pod\u00e1na, ale prozat\u00edm nebylo o pomoci rozhodnuto.<\/option><\/select><\/div><\/div><div class='ff-el-group ff-el-form-'><div class='ff-el-input--label asterisk-left'><label for='ff_1_input_text_1'>Pokud ANO, uve\u010fte, kdo je poskytovatelem finan\u010dn\u00ed pomoci: <\/label> <\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" placeholder=\"N\u00e1zev instituce\" data-name=\"input_text_1\" tabindex=\"27\" id=\"ff_1_input_text_1\" ><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-49033887569f199598e6286.41077870\" ><h3 class='ff-el-section-title'>VI. DOPL\u0147UJ\u00cdC\u00cd INFORMACE<\/h3><div><\/div><hr \/><\/div><div class='ff-el-group ff-el-form-'><div class='ff-el-input--label asterisk-left'><label for='ff_1_description_3'>Dopl\u0148uj\u00edc\u00ed informace, kter\u00e9 si p\u0159eji uv\u00e9st:<\/label> <\/div><div class='ff-el-input--content'><textarea name=\"description_3\" id=\"ff_1_description_3\" class=\"ff-el-form-control\" rows=\"10\" cols=\"1\" data-name=\"description_3\" tabindex=\"28\" ><\/textarea><\/div><\/div><div class=\"ff-el-group ff-el-section-break  ff_left\" data-name=\"section_break-19233006769f199598e6400.41042673\" ><h3 class='ff-el-section-title'>Dopl\u0148uj\u00edc\u00ed dokumenty<\/h3><div><p>Pokud m\u00e1te jak\u00e9koliv dokumenty, kter\u00e9 s \u017e\u00e1dost\u00ed souvis\u00ed (nap\u0159. cenovou nab\u00eddku kompenza\u010dn\u00ed pom\u016fcky, l\u00e9ka\u0159skou zpr\u00e1vu apod.), za\u0161lete n\u00e1m je, pros\u00edme, jako p\u0159\u00edlohu na emailovou adresu <strong>granty@maltezskamladez.cz<\/strong>. K zasl\u00e1n\u00ed pou\u017eijte stejn\u00fd mail, jak\u00fd jste uvedli v \u017e\u00e1dosti. D\u011bkujeme.<\/p><\/div><hr \/><\/div><div class='ff-el-group ff-text-center ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit   ff-btn-md\" tabindex=\"29\" >Odeslat \u017e\u00e1dost<\/button><style>form.fluent_form_1 .ff-btn-submit { background-color: #409EFF; color: #ffffff; }<\/style><\/div><\/form><div id='fluentform_1_errors' class='ff-errors-in-stack ff_form_instance_1_1 ff-form-loading_errors ff_form_instance_1_1_errors'><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"http:\/\/www.maltezskyrad.cz\/gdpr\/wp-json\/wp\/v2\/pages\/244"}],"collection":[{"href":"http:\/\/www.maltezskyrad.cz\/gdpr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/www.maltezskyrad.cz\/gdpr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/www.maltezskyrad.cz\/gdpr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.maltezskyrad.cz\/gdpr\/wp-json\/wp\/v2\/comments?post=244"}],"version-history":[{"count":1,"href":"http:\/\/www.maltezskyrad.cz\/gdpr\/wp-json\/wp\/v2\/pages\/244\/revisions"}],"predecessor-version":[{"id":245,"href":"http:\/\/www.maltezskyrad.cz\/gdpr\/wp-json\/wp\/v2\/pages\/244\/revisions\/245"}],"wp:attachment":[{"href":"http:\/\/www.maltezskyrad.cz\/gdpr\/wp-json\/wp\/v2\/media?parent=244"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}