{"id":76,"date":"2016-11-22T22:47:22","date_gmt":"2016-11-22T22:47:22","guid":{"rendered":"http:\/\/rapideyetechnology.com\/technicians\/?page_id=76"},"modified":"2016-11-26T17:53:07","modified_gmt":"2016-11-26T17:53:07","slug":"certificate-request","status":"publish","type":"page","link":"https:\/\/rapideyetechnology.com\/technicians\/certificate-request\/","title":{"rendered":"Request a Certificate"},"content":{"rendered":"<form id=\"Certification\" action=\"http:\/\/rapideyetechnology.com\/cgi-sys\/FormMail.cgi\" method=\"post\" name=\"Certification\">Please use the form below to certify completion of your RET or MRET requirements. All fields that apply to you are required.<br \/>\nCertificate Requested:<br \/>\n<input name=\"Certificate_Requested\" type=\"radio\" value=\"RET\" \/>RET<br \/>\n<input name=\"Certificate_Requested\" type=\"radio\" value=\"MRET\" \/>MRETName:<br \/>\n<input id=\"Name2\" name=\"Name\" size=\"35\" type=\"text\" \/><br \/>\nMailing Address:<br \/>\n<textarea id=\"Address3\" cols=\"35\" name=\"Address\" rows=\"5\"><\/textarea><br \/>\nContact Phone:<br \/>\n<input id=\"Phone2\" name=\"Phone\" type=\"text\" \/><br \/>\nEmail:<br \/>\n<input id=\"Email2\" name=\"Email\" size=\"35\" type=\"text\" \/>Date and location of Certification you attended:<br \/>\nMonth:<br \/>\n<select id=\"Certification_Month\" name=\"Certification_Month\" size=\"1\"><option selected=\"selected\" value=\"Did not select Month\">&#8211;Select&#8211;<\/option><option value=\"Jan\">January<\/option><option value=\"Feb\">February<\/option><option value=\"Mar\">March<\/option><option value=\"Apr\">April<\/option><option value=\"May\">May<\/option><option value=\"Jun\">June<\/option><option value=\"Jul\">July<\/option><option value=\"Aug\">August<\/option><option value=\"Sep\">September<\/option><option value=\"Oct\">October<\/option><option value=\"Nov\">November<\/option><option value=\"Dec\">December<\/option><\/select><br \/>\nYear(yyyy):<br \/>\n<input name=\"year\" maxlength=\"4\" size=\"4\" type=\"text\" \/><br \/>\nLocation (OR, UT, TX&#8230;):<br \/>\n<input name=\"location\" maxlength=\"2\" size=\"2\" type=\"text\" \/><\/p>\n<p><em>By submitting this form to the Rapid Eye Institute, I certify that the information above is true and correct to the best of my knowledge and that I have completed the required hours of practicum for the level of certificate I&#8217;m requesting. I understand that my Certificate must be renewed annually in December.<\/em><\/p>\n<p><input name=\"Submit\" type=\"submit\" value=\"Submit\" \/> <input id=\"Reset\" name=\"Reset\" type=\"reset\" value=\"Reset\" \/><br \/>\n<input name=\"recipient\" type=\"hidden\" value=\"ranae@rapideyetechnology.com\" \/><br \/>\n<input name=\"redirect\" type=\"hidden\" value=\"http:\/\/www.rapideyetechnology.com\/technicians\" \/><br \/>\n<input name=\"subject\" type=\"hidden\" value=\"RET\/MRET Certificate Request\" \/><\/p>\n<\/form>\n","protected":false},"excerpt":{"rendered":"<p>Please use the form below to certify completion of your RET or MRET requirements. All fields that apply to you are required. Certificate Requested: RET MRETName: Mailing Address: Contact Phone: Email: Date and location of Certification you attended: Month: &#8211;Select&#8211;JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Year(yyyy): Location (OR, UT, TX&#8230;): By submitting this form to the Rapid Eye Institute, I &hellip; <a href=\"https:\/\/rapideyetechnology.com\/technicians\/certificate-request\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Request a Certificate&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-76","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rapideyetechnology.com\/technicians\/wp-json\/wp\/v2\/pages\/76","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rapideyetechnology.com\/technicians\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rapideyetechnology.com\/technicians\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rapideyetechnology.com\/technicians\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rapideyetechnology.com\/technicians\/wp-json\/wp\/v2\/comments?post=76"}],"version-history":[{"count":12,"href":"https:\/\/rapideyetechnology.com\/technicians\/wp-json\/wp\/v2\/pages\/76\/revisions"}],"predecessor-version":[{"id":135,"href":"https:\/\/rapideyetechnology.com\/technicians\/wp-json\/wp\/v2\/pages\/76\/revisions\/135"}],"wp:attachment":[{"href":"https:\/\/rapideyetechnology.com\/technicians\/wp-json\/wp\/v2\/media?parent=76"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}