{"id":708,"date":"2025-10-29T10:43:21","date_gmt":"2025-10-29T10:43:21","guid":{"rendered":"https:\/\/nuviaglobal.org\/?page_id=708"},"modified":"2025-11-22T15:46:27","modified_gmt":"2025-11-22T15:46:27","slug":"modulo-di-rinvio","status":"publish","type":"page","link":"https:\/\/nuviaglobal.org\/it\/referral-form\/","title":{"rendered":"Referral Form"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"708\" class=\"elementor elementor-708\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-badd7e5 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"badd7e5\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7041a69\" data-id=\"7041a69\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-240d9fd elementor-widget elementor-widget-heading\" data-id=\"240d9fd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Segnalare un partecipante<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-66debe6\" data-id=\"66debe6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-63546a4 elementor-icon-list--layout-inline elementor-align-end elementor-mobile-align-center elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"63546a4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Casa<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-right\" viewbox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M285.476 272.971L91.132 467.314c-9.373 9.373-24.569 9.373-33.941 0l-22.667-22.667c-9.357-9.357-9.375-24.522-.04-33.901L188.505 256 34.484 101.255c-9.335-9.379-9.317-24.544.04-33.901l22.667-22.667c9.373-9.373 24.569-9.373 33.941 0L285.475 239.03c9.373 9.372 9.373 24.568.001 33.941z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">Contatto <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-d3ef571 e-flex e-con-boxed e-con e-parent\" data-id=\"d3ef571\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3be80bd elementor-widget elementor-widget-html\" data-id=\"3be80bd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<script type=\"text\/javascript\" src=\"https:\/\/form.jotform.com\/jsform\/252644429721156\"><\/script>\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-a0fdc6b elementor-hidden-widescreen elementor-hidden-desktop elementor-hidden-laptop elementor-hidden-tablet_extra elementor-hidden-tablet elementor-hidden-mobile_extra elementor-hidden-mobile e-flex e-con-boxed e-con e-parent\" data-id=\"a0fdc6b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-04b31c8 elementor-hidden-widescreen elementor-hidden-desktop elementor-hidden-laptop elementor-hidden-tablet_extra elementor-hidden-tablet elementor-hidden-mobile_extra elementor-hidden-mobile elementor-widget elementor-widget-heading\" data-id=\"04b31c8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Segnalare un partecipante<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0a4cf5d elementor-widget__width-initial elementor-hidden-widescreen elementor-hidden-desktop elementor-hidden-laptop elementor-hidden-tablet_extra elementor-hidden-tablet elementor-hidden-mobile_extra elementor-hidden-mobile elementor-widget elementor-widget-text-editor\" data-id=\"0a4cf5d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Conosci una ragazza o una giovane donna che potrebbe beneficiare di Nuvia? Utilizzate questo modulo per segnalarla in modo confidenziale al nostro team.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5787e44 elementor-widget elementor-widget-html\" data-id=\"5787e44\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<script type=\"text\/javascript\" src=\"https:\/\/form.jotform.com\/jsform\/252644429721156\"><\/script>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c5c5a40 elementor-widget__width-initial elementor-hidden-widescreen elementor-hidden-desktop elementor-hidden-laptop elementor-hidden-tablet_extra elementor-hidden-tablet elementor-hidden-mobile_extra elementor-hidden-mobile elementor-widget elementor-widget-shortcode\" data-id=\"c5c5a40\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-726 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-726\" data-uid=\"6a14a11d8d35d\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-726\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-726 forminator-design--default  forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"726\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"6a14a11d8d35d\" action=\"\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_6a14a11d8d35d\" id=\"forminator-field-first-name-1_6a14a11d8d35d-label\" class=\"forminator-label\">Nome <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-first-name\" placeholder=\"\" id=\"forminator-field-first-name-1_6a14a11d8d35d\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_6a14a11d8d35d\" id=\"forminator-field-last-name-1_6a14a11d8d35d-label\" class=\"forminator-label\">Cognome<\/label><input type=\"text\" name=\"name-1-last-name\" placeholder=\"\" id=\"forminator-field-last-name-1_6a14a11d8d35d\" class=\"forminator-input\" aria-required=\"false\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a14a11d8d35d\" id=\"forminator-field-email-1_6a14a11d8d35d-label\" class=\"forminator-label\">Indirizzo e-mail<\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"ex: myname@example.com\" id=\"forminator-field-email-1_6a14a11d8d35d\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_6a14a11d8d35d\" id=\"forminator-field-phone-2_6a14a11d8d35d-label\" class=\"forminator-label\">Numero di contatto<\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-2_6a14a11d8d35d\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" data-national_mode=\"disabled\" data-country=\"US\" data-validation=\"international\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6a14a11d8d35d\" id=\"forminator-field-text-2_6a14a11d8d35d-label\" class=\"forminator-label\">Nome dell'azienda\/scuola<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_6a14a11d8d35d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-726__field--select-1_6a14a11d8d35d\" id=\"forminator-form-726__field--select-1_6a14a11d8d35d-label\" class=\"forminator-label\">Rapporto con il partner<\/label><select  id=\"forminator-form-726__field--select-1_6a14a11d8d35d\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-726__field--select-1_6a14a11d8d35d-label\"><option value=\"one\"  data-calculation=\"0\">Selezionare<\/option><option value=\"two\"  data-calculation=\"0\">Guardiano<\/option><option value=\"Workshops\"  data-calculation=\"0\">Insegnante<\/option><option value=\"Not-Sure\"  data-calculation=\"0\">Assistente sociale<\/option><option value=\"Other\"  data-calculation=\"0\">Fornitore di salute<\/option><option value=\"Community-Leader\"  data-calculation=\"0\">Leader della comunit\u00e0<\/option><option value=\"Other\"  data-calculation=\"0\">Altro<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6a14a11d8d35d\" id=\"forminator-field-text-3_6a14a11d8d35d-label\" class=\"forminator-label\">Testo<\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\" id=\"forminator-field-text-3_6a14a11d8d35d\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6a14a11d8d35d\" id=\"forminator-field-text-4_6a14a11d8d35d-label\" class=\"forminator-label\">Altro (specificare) <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"\" id=\"forminator-field-text-4_6a14a11d8d35d\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_6a14a11d8d35d\" id=\"forminator-field-name-3_6a14a11d8d35d-label\" class=\"forminator-label\">Nome e cognome del partecipante <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"\" id=\"forminator-field-name-3_6a14a11d8d35d\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6a14a11d8d35d\" id=\"forminator-field-text-5_6a14a11d8d35d-label\" class=\"forminator-label\">Et\u00e0 del partecipante <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"ad esempio, 23\" id=\"forminator-field-text-5_6a14a11d8d35d\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-2\" class=\"forminator-field-email forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-email-2_6a14a11d8d35d\" id=\"forminator-field-email-2_6a14a11d8d35d-label\" class=\"forminator-label\">Indirizzo e-mail del partecipante <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-2\" value=\"\" placeholder=\"\" id=\"forminator-field-email-2_6a14a11d8d35d\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a14a11d8d35d\" id=\"forminator-field-phone-1_6a14a11d8d35d-label\" class=\"forminator-label\">Numero di telefono del partecipante <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"(000) 000-0000\" id=\"forminator-field-phone-1_6a14a11d8d35d\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-form-726__field--select-2_6a14a11d8d35d\" id=\"forminator-form-726__field--select-2_6a14a11d8d35d-label\" class=\"forminator-label\">Motivo del rinvio (selezionare tutto ci\u00f2 che \u00e8 applicabile)<\/label><select  id=\"forminator-form-726__field--select-2_6a14a11d8d35d\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-726__field--select-2_6a14a11d8d35d-label\"><option value=\"one\"  data-calculation=\"0\">Selezionare<\/option><option value=\"two\"  data-calculation=\"0\">Violenza\/Abusi<\/option><option value=\"Mental-health-concerns\"  data-calculation=\"0\">Problemi di salute mentale<\/option><option value=\"Education-Related\"  data-calculation=\"0\">Istruzione<\/option><option value=\"Chronic-Illness-or-Disability\"  data-calculation=\"0\">Malattia cronica o disabilit\u00e0<\/option><option value=\"Teen-Motherhood\"  data-calculation=\"0\">Maternit\u00e0 adolescenziale<\/option><option value=\"Loss-&amp;-Grief\"  data-calculation=\"0\">Perdita e dolore<\/option><option value=\"Social-Economic-Hardship\"  data-calculation=\"0\">Disagio sociale\/economico<\/option><option value=\"Other\"  data-calculation=\"0\">Altro<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6a14a11d8d35d\" id=\"forminator-field-text-6_6a14a11d8d35d-label\" class=\"forminator-label\">Altro (specificare) <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"\" id=\"forminator-field-text-6_6a14a11d8d35d\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6a14a11d8d35d\" id=\"forminator-field-textarea-1_6a14a11d8d35d-label\" class=\"forminator-label\">Commenti aggiuntivi<\/label><textarea name=\"textarea-1\" placeholder=\"\" id=\"forminator-field-textarea-1_6a14a11d8d35d\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Invia<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"3447041124\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/it\/wp-json\/wp\/v2\/pages\/708\" \/><input type=\"hidden\" name=\"form_id\" value=\"726\"><input type=\"hidden\" name=\"page_id\" value=\"708\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/nuviaglobal.org\/it\/referral-form\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"trp-form-language\" value=\"it\"\/><\/form><\/div>\n\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>Refer a Participant Home Contact Refer a Participant Know a girl or young woman who could benefit from Nuvia? Use this form to confidentially refer her to our team.<\/p>","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-708","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nuviaglobal.org\/it\/wp-json\/wp\/v2\/pages\/708","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nuviaglobal.org\/it\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nuviaglobal.org\/it\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nuviaglobal.org\/it\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/nuviaglobal.org\/it\/wp-json\/wp\/v2\/comments?post=708"}],"version-history":[{"count":25,"href":"https:\/\/nuviaglobal.org\/it\/wp-json\/wp\/v2\/pages\/708\/revisions"}],"predecessor-version":[{"id":3255,"href":"https:\/\/nuviaglobal.org\/it\/wp-json\/wp\/v2\/pages\/708\/revisions\/3255"}],"wp:attachment":[{"href":"https:\/\/nuviaglobal.org\/it\/wp-json\/wp\/v2\/media?parent=708"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}