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contacto.html
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contacto.html
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---
layout: default
---
<section class="container-blue">
<div class="container">
<div class="col-md-8">
<body dir="ltr" class="ss-base-body">
<div itemscope itemtype="http://schema.org/CreativeWork/FormObject">
<meta itemprop="name" content="Contacta al equipo LabCívico">
<meta itemprop="description" content="¿Quieres un LabCívico? ¿Te gustaría tener más información? ¡Escríbele al equipo de Fundación Ciudadano Inteligente! Te contestaremos dentro de 2 días hábiles.">
<meta itemprop="url" content="https://docs.google.com/forms/d/e/1FAIpQLScRWxnsP98PT0jfZNVL3s3UaTFoVJ6OdlxHLuaTgSA7aSfHrQ/viewform">
<meta itemprop="embedUrl" content="https://docs.google.com/forms/d/e/1FAIpQLScRWxnsP98PT0jfZNVL3s3UaTFoVJ6OdlxHLuaTgSA7aSfHrQ/viewform?embedded=true">
<meta itemprop="faviconUrl" content="https://ssl.gstatic.com/docs/spreadsheets/forms/favicon_qp2.png">
<div class="ss-form-container">
<div class="ss-header-image-container">
<div class="ss-header-image-image">
<div class="ss-header-image-sizer">
</div>
</div>
</div>
<div class="ss-top-of-page">
<div class="ss-form-heading">
<h1 class="ss-form-title" dir="ltr">Contacta al equipo LabCívico</h1>
<div class="bajada" dir="ltr">¿Quieres un LabCívico? ¿Te gustaría tener más información? ¡Escríbele al equipo de Fundación Ciudadano Inteligente! Te contestaremos dentro de 2 días hábiles.</div>
<div class="ss-required-asterisk" aria-hidden="true">*Obligatorio</div>
</div>
</div>
<div class="ss-form">
<form action="https://docs.google.com/forms/d/e/1FAIpQLScRWxnsP98PT0jfZNVL3s3UaTFoVJ6OdlxHLuaTgSA7aSfHrQ/formResponse" method="POST" id="ss-form" target="_self" autocomplete="on" onsubmit=""><ol role="list" class="ss-question-list" style="padding-left: 0;">
<div class="ss-form-question errorbox-good" role="listitem">
<div dir="auto" class="ss-item ss-item-required ss-text">
<div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_532890552">
<div class="ss-q-title"><h4>Dirección de correo electrónico*</h4>
</div>
<div class="ss-q-help ss-secondary-text" dir="auto"></div>
</label>
<input type="email" name="entry.532890552" value="" class="ss-q-short" id="entry_532890552" dir="auto" aria-label="Dirección de correo electrónico Debe ser una dirección de correo electrónico válida" aria-required="true" required="" title="Debe ser una dirección de correo electrónico válida">
</div>
</div>
</div>
<div class="ss-form-question errorbox-good" role="listitem">
<div dir="auto" class="ss-item ss-item-required ss-text">
<div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_1462884554">
<div class="ss-q-title"><h4>Nombre *</h4>
</div>
<div class="ss-q-help ss-secondary-text" dir="auto"></div>
</label>
<input type="text" name="entry.1462884554" value="" class="ss-q-short" id="entry_1462884554" dir="auto" aria-label="Nombre " aria-required="true" required="" title="">
<div class="error-message" id="977649151_errorMessage"></div>
</div>
</div>
</div>
<div class="ss-form-question errorbox-good" role="listitem">
<div dir="auto" class="ss-item ss-item-required ss-text">
<div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_1487333774">
<div class="ss-q-title"><h4>País *</h4>
</div>
<div class="ss-q-help ss-secondary-text" dir="auto"></div>
</label>
<input type="text" name="entry.1487333774" value="" class="ss-q-short" id="entry_1487333774" dir="auto" aria-label="País " aria-required="true" required="" title="">
<div class="error-message" id="110396692_errorMessage"></div>
</div>
</div>
</div>
<div class="ss-form-question errorbox-good" role="listitem">
<div dir="auto" class="ss-item ss-text"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_810032167">
<div class="ss-q-title"><h4>Institución</h4></div>
<div class="ss-q-help ss-secondary-text" dir="auto"></div>
</label>
<input type="text" name="entry.810032167" value="" class="ss-q-short" id="entry_810032167" dir="auto" aria-label="Institución " title="">
<div class="error-message" id="1849788589_errorMessage"></div>
</div>
</div>
</div>
<div class="ss-form-question errorbox-good" role="listitem">
<div dir="auto" class="ss-item ss-radio">
<div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_430577620">
<div class="ss-q-title"><h4>Sector</h4></div>
<div class="ss-q-help ss-secondary-text" dir="auto"></div>
</label>
<ul class="ss-choices" role="radiogroup" aria-label="Sector ">
<li class="ss-choice-item list-unstyled">
<label class="ss-space">
<span class="ss-choice-item-control goog-inline-block"><input type="radio" name="entry.598482206" value="Social" id="group_598482206_1" role="radio" class="ss-q-radio" aria-label="Social"></span>
<span class="ss-choice-label">Social</span>
</label>
</li>
<li class="ss-choice-item list-unstyled">
<label>
<span class="ss-choice-item-control goog-inline-block"><input type="radio" name="entry.598482206" value="Público" id="group_598482206_2" role="radio" class="ss-q-radio" aria-label="Público"></span>
<span class="ss-choice-label">Público</span>
</label>
</li>
<li class="ss-choice-item list-unstyled">
<label>
<span class="ss-choice-item-control goog-inline-block"><input type="radio" name="entry.598482206" value="Privado" id="group_598482206_3" role="radio" class="ss-q-radio" aria-label="Privado"></span>
<span class="ss-choice-label">Privado</span>
</label>
</li>
<li class="ss-choice-item list-unstyled">
<label>
<span class="ss-choice-item-control goog-inline-block"><input type="radio" name="entry.598482206" value="Académico" id="group_598482206_4" role="radio" class="ss-q-radio" aria-label="Académico"></span>
<span class="ss-choice-label">Académico</span>
</label>
</li>
<li class="ss-choice-item list-unstyled">
<label>
<span class="ss-choice-item-control goog-inline-block"><input type="radio" name="entry.598482206" value="__other_option__" id="group_598482206_5" role="radio" class="ss-q-radio ss-q-other-toggle"></span>
<span class="ss-choice-label">Otro:</span>
</label>
<span class="ss-q-other-container goog-inline-block"><input type="text" name="entry.598482206.other_option_response" value="" class="ss-q-other" id="entry_598482206_other_option_response" dir="auto" aria-label="Otro"></span>
</li>
</ul>
</div>
</div>
</div>
<div class="ss-form-question errorbox-good" role="listitem">
<div dir="auto" class="ss-item ss-radio">
<div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_731708400">
<div class="ss-q-title"><h4>Motivo de contacto</h4></div>
<div class="ss-q-help ss-secondary-text" dir="auto"></div>
</label>
<ul class="ss-choices" role="radiogroup" aria-label="Motivo de contacto ">
<li class="ss-choice-item list-unstyled">
<label>
<span class="ss-choice-item-control goog-inline-block"><input type="radio" name="entry.1605724374" value="Me gustaría organizar un LabCívico" id="group_1605724374_1" role="radio" class="ss-q-radio" aria-label="Me gustaría organizar un LabCívico"></span>
<span class="ss-choice-label">Me gustaría organizar un LabCívico</span>
</label>
</li>
<li class="ss-choice-item list-unstyled">
<label>
<span class="ss-choice-item-control goog-inline-block"><input type="radio" name="entry.1605724374" value="Tengo una consulta sobre LabCívico" id="group_1605724374_2" role="radio" class="ss-q-radio" aria-label="Tengo una consulta sobre LabCívico"></span>
<span class="ss-choice-label">Tengo una consulta sobre LabCívico</span>
</label>
</li>
<li class="ss-choice-item list-unstyled">
<label>
<span class="ss-choice-item-control goog-inline-block"><input type="radio" name="entry.1605724374" value="__other_option__" id="group_1605724374_3" role="radio" class="ss-q-radio ss-q-other-toggle"></span>
<span class="ss-choice-label">Otro:</span>
</label>
<span class="ss-q-other-container goog-inline-block"><input type="text" name="entry.1605724374.other_option_response" value="" class="ss-q-other" id="entry_1605724374_other_option_response" dir="auto" aria-label="Otro"></span>
</li>
</ul>
<div class="error-message" id="731708400_errorMessage"></div>
</div>
</div>
</div>
<div class="ss-form-question errorbox-good" role="listitem">
<div dir="auto" class="ss-item ss-item-required ss-paragraph-text">
<div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_1630855524">
<div class="ss-q-title"><h4>Texto de tu mensaje *</h4>
</div>
<div class="ss-q-help ss-secondary-text" dir="auto"></div>
</label>
<textarea name="entry.1630855524" rows="8" cols="0" class="ss-q-long" id="entry_1630855524" dir="auto" aria-label="Texto de tu mensaje " aria-required="true" required=""></textarea>
<div class="error-message" id="462649725_errorMessage"></div>
</div>
</div>
</div>
<input type="hidden" name="draftResponse" value="[null,null,"-3004847346328982445"]">
<input type="hidden" name="pageHistory" value="0">
<input type="hidden" name="fbzx" value="-3004847346328982445">
<div class="ss-send-email-receipt" style="margin-bottom: 4px;" dir="ltr">
<label for="emailReceipt" style="display:inline;"></label>
</div>
<div class="ss-item ss-navigate">
<table id="navigation-table">
<tbody>
<tr>
<td class="ss-form-entry goog-inline-block" id="navigation-buttons" dir="ltr">
<input type="submit" name="submit" value="Enviar" id="ss-submit" class="btn btn-warning">
</td>
</tr>
</tbody>
</table>
</div>
</ol>
</form>
</div>
<div id="docs-aria-speakable" class="docs-a11y-ariascreenreader-speakable docs-offscreen" aria-live="assertive" role="region" aria-atomic></div>
</div>
<script type='text/javascript' src='/static/forms/client/js/1014907624-formviewer_prd__es.js'></script>
<script type="text/javascript">H5F.setup(document.getElementById('ss-form'));
_initFormViewer(
"[100,null,[[[532890552,[[2,102,null,\x22\x22]\n]\n]\n]\n]\n]\n");</script></div></body>
</div>
</div>
</section>