{"id":62,"date":"2017-03-09T22:21:40","date_gmt":"2017-03-10T03:21:40","guid":{"rendered":"http:\/\/www.canhelps.ca\/webportal\/?page_id=62"},"modified":"2017-03-11T16:44:42","modified_gmt":"2017-03-11T21:44:42","slug":"join-us","status":"publish","type":"page","link":"https:\/\/www.canhelps.ca\/webportal\/index.php\/join-us\/","title":{"rendered":"Join us"},"content":{"rendered":"\n\n<!-- Fast Secure Contact Form plugin 4.0.49 - begin - FastSecureContactForm.com -->\r\n<div style=\"clear:both;\"><\/div>\n<p>CanHelp showcase is distributed on iPads. All iPads come with Canhelp showcase pre-installed. These iPads are fully managed from control room in Canada hence in case of any update or addition of new App\/s into the showcase, these iPads are automatically updated with or without user interaction. There is no financial liability for enrollment in CanHelp project. Subject to approval, cancer centres\/clinics operating \u00a0within Canada will receive CanHelp iPads free of charge.  If your Cancer clinic is outside Canada, your are also  encouraged to apply as you may qualify to have CanHelp showcase, subject to certain terms and conditions.<\/p>\r\n<div id=\"FSContact1\" style=\"width:99%; max-width:555px;      margin: 0 auto;\">\r\n<form action=\"https:\/\/www.canhelps.ca\/webportal\/index.php\/wp-json\/wp\/v2\/pages\/62#FSContact1\" id=\"fscf_form1\" method=\"post\">\r\n\n<div id=\"fscf_required1\">\n  <span style=\"text-align:left;\">*<\/span> <span style=\"text-align:left;\">indicates required field<\/span>\n<\/div>\n\n\n<div id=\"fscf_div_clear1_4\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_4\" style=\"clear:left; float:left; width:99%; max-width:250px; margin-right:10px;\">\n    <div  id=\"fscf_label1_4\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_4\">Site Name:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_4\" name=\"Site-Name\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n  <div id=\"fscf_div_follow1_5\" style=\"float:left; padding-left:10px; width:99%; max-width:250px;\">\n    <div  id=\"fscf_label1_5\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_5\">Site Address:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_5\" name=\"Site-Address\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_6\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_6\" style=\"clear:left; float:left; width:99%; max-width:250px; margin-right:10px;\">\n    <div  id=\"fscf_label1_6\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_6\">Site Phone:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_6\" name=\"Phone\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n  <div id=\"fscf_div_follow1_1\" style=\"float:left; padding-left:10px; width:99%; max-width:250px;\">\n    <div style=\"text-align:left; padding-top:5px;\">\n      <label style=\"text-align:left;\" for=\"fscf_email1\">Email:<\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_email1\" name=\"email\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_8\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_8\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_8\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_8\">In order enable us to assess the number of iPads required at your Center, please describe briefly about number of clinics &amp; Oncologists available in the centre and Patients being treated annually:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <textarea style=\"text-align:left; margin:0; width:99%; max-width:520px; height:120px;\" id=\"fscf_field1_8\" name=\"In-order-enable-us-to-assess-the-number\" cols=\"30\" rows=\"10\" ><\/textarea>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_9\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_9\" style=\"clear:left; float:left; width:99%; max-width:250px; margin-right:10px;\">\n    <div  id=\"fscf_label1_9\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_9\">Your Name:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_9\" name=\"Your-Name\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n  <div id=\"fscf_div_follow1_10\" style=\"float:left; padding-left:10px; width:99%; max-width:250px;\">\n    <div  id=\"fscf_label1_10\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_10\">Designation &amp; general responsibility:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_10\" name=\"Designation-general-responsibility\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_11\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_11\" style=\"clear:left; float:left; width:99%; max-width:250px; margin-right:10px;\">\n    <div  id=\"fscf_label1_11\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_11\">Contact Phone:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_11\" name=\"Contact-Phone\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n  <div id=\"fscf_div_follow1_12\" style=\"float:left; padding-left:10px; width:99%; max-width:250px;\">\n    <div  id=\"fscf_label1_12\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_12\">Email Contact:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"email\" id=\"fscf_field1_12\" name=\"Email-Contact\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_13\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_13\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_13\" style=\"text-align:left; padding-top:5px;\">\n    <\/div>\n    <div style=\"text-align:left;\">\n      <span><input type=\"checkbox\" style=\"width:16px; height:16px;\" id=\"fscf_field1_13\" name=\"I-am-fully-authorized-by-my-Cancer-centr\" value=\"1\" \/> <label style=\"display:inline;\" for=\"fscf_field1_13\">I am fully authorized by my Cancer centre management to have our cancer centre enrolled in CanHelp Project:<span style=\"text-align:left;\">*<\/span><\/label><\/span>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_14\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_14\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_14\" style=\"text-align:left; padding-top:5px;\">\n    <\/div>\n    <div style=\"text-align:left;\">\n      <span><input type=\"checkbox\" style=\"width:16px; height:16px;\" id=\"fscf_field1_14\" name=\"I-acknowledge-that-CanHelp-iPads-provide\" value=\"1\" \/> <label style=\"display:inline;\" for=\"fscf_field1_14\">I acknowledge that CanHelp-iPads provided under CanHelp project are for in-clinic use only and same will not be taken outside from cancer centre:<\/label><\/span>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_15\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_15\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_15\" style=\"text-align:left; padding-top:5px;\">\n    <\/div>\n    <div style=\"text-align:left;\">\n      <span><input type=\"checkbox\" style=\"width:16px; height:16px;\" id=\"fscf_field1_15\" name=\"I-acknowledge-that-in-case-one-or-all-Ca\" value=\"1\" \/> <label style=\"display:inline;\" for=\"fscf_field1_15\">I acknowledge that in case one or all CanHelp-iPads will be no more in use in the cancer centre, then the out of use iPad(s) will be returned to Canris Technologies immediately:<span style=\"text-align:left;\">*<\/span><\/label><\/span>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_16\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_16\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_16\" style=\"text-align:left; padding-top:5px;\">\n    <\/div>\n    <div style=\"text-align:left;\">\n      <span><input type=\"checkbox\" style=\"width:16px; height:16px;\" id=\"fscf_field1_16\" name=\"I-acknowledge-that-an-internet-connectio\" value=\"1\" \/> <label style=\"display:inline;\" for=\"fscf_field1_16\">I acknowledge that an internet connection will be provided to CanHelp-iPads for time to time Apps Updates and remote management:<span style=\"text-align:left;\">*<\/span><\/label><\/span>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_17\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_17\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_17\" style=\"text-align:left; padding-top:5px;\">\n    <\/div>\n    <div style=\"text-align:left;\">\n      <span><input type=\"checkbox\" style=\"width:16px; height:16px;\" id=\"fscf_field1_17\" name=\"I-acknowledge-that-CanHelp-iPads-accesso\" value=\"1\" \/> <label style=\"display:inline;\" for=\"fscf_field1_17\">I acknowledge that CanHelp iPads & accessories will be used very carefully to avoid any damage to the device and property:<span style=\"text-align:left;\">*<\/span><\/label><\/span>\n    <\/div>\n  <\/div>\n<\/div>\r\n<div style=\"clear:both;\"><\/div>\n\n<div style=\"text-align:left; padding-top:5px;\">\n<\/div>\n<div id=\"fscf_recaptcha1\"><\/div>\n\n<div id=\"fscf_submit_div1\" style=\"text-align:left; clear:both; padding-top:15px;\">\r\n\t\t<input type=\"submit\" id=\"fscf_submit1\" style=\"cursor:pointer; margin:0;\" value=\"Submit\"  onclick=\"return confirm('Are you sure?')\" \/> <input type=\"reset\" id=\"fscf_reset1\" style=\"cursor:pointer; margin:0;\" value=\"Reset\" onclick=\"return confirm('Do you really want to reset the form?')\" \/>\n<\/div>\n\n<input type=\"hidden\" name=\"fscf_submitted\" value=\"0\" \/>\n<input type=\"hidden\" name=\"fs_postonce_1\" value=\"417019fff594faaef80c4dc64941f002,1777538649\" \/>\n<input type=\"hidden\" name=\"si_contact_action\" value=\"send\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"1\" \/>\n<input type=\"hidden\" name=\"mailto_id\" value=\"1\" \/>\n\n<\/form>\n<\/div>\r\n<div style=\"clear:both;\"><\/div>\n\n<!-- Fast Secure Contact Form plugin 4.0.49 - end - FastSecureContactForm.com -->\n\n<p>\n\t&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"page-templates\/full-width.php","meta":[],"_links":{"self":[{"href":"https:\/\/www.canhelps.ca\/webportal\/index.php\/wp-json\/wp\/v2\/pages\/62"}],"collection":[{"href":"https:\/\/www.canhelps.ca\/webportal\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.canhelps.ca\/webportal\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.canhelps.ca\/webportal\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.canhelps.ca\/webportal\/index.php\/wp-json\/wp\/v2\/comments?post=62"}],"version-history":[{"count":12,"href":"https:\/\/www.canhelps.ca\/webportal\/index.php\/wp-json\/wp\/v2\/pages\/62\/revisions"}],"predecessor-version":[{"id":105,"href":"https:\/\/www.canhelps.ca\/webportal\/index.php\/wp-json\/wp\/v2\/pages\/62\/revisions\/105"}],"wp:attachment":[{"href":"https:\/\/www.canhelps.ca\/webportal\/index.php\/wp-json\/wp\/v2\/media?parent=62"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}