{"id":895,"date":"2023-05-09T02:50:26","date_gmt":"2023-05-09T02:50:26","guid":{"rendered":"https:\/\/curtin.edu.my\/student\/?page_id=895"},"modified":"2023-05-09T02:56:51","modified_gmt":"2023-05-09T02:56:51","slug":"request-counselling-appointment","status":"publish","type":"page","link":"https:\/\/curtin.edu.my\/student\/health-wellbeing\/request-counselling-appointment\/","title":{"rendered":"Request For Counselling Appointment"},"content":{"rendered":"\n<div class=\"forminator-guttenberg\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-894 forminator-design--material  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-894\" data-uid=\"69e3d0d378eb6\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-894\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-894 forminator-design--material  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=\"894\"\r\n\t\t\t\t data-color-option=\"default\" data-design=\"material\" data-grid=\"open\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"69e3d0d378eb6\"\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=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><p>If you do not hear back from us within 48 hours, please email us at <a href=\"mailto:wellbeing@curtin.edu.my\">wellbeing@curtin.edu.my<\/a><\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_69e3d0d378eb6\" id=\"forminator-field-name-1_69e3d0d378eb6-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"E.g. John Doe\" id=\"forminator-field-name-1_69e3d0d378eb6\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69e3d0d378eb6\" id=\"forminator-field-text-1_69e3d0d378eb6-label\" class=\"forminator-label\">Student ID <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_69e3d0d378eb6\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/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_69e3d0d378eb6\" id=\"forminator-field-email-1_69e3d0d378eb6-label\" class=\"forminator-label\">Email Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-1_69e3d0d378eb6\" 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_69e3d0d378eb6\" id=\"forminator-field-phone-1_69e3d0d378eb6-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"E.g. +1 300 400 5000\" id=\"forminator-field-phone-1_69e3d0d378eb6\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_69e3d0d378eb6\" id=\"forminator-field-date-1-picker_69e3d0d378eb6-label\" class=\"forminator-label\">Initial appointment date <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-1-picker_69e3d0d378eb6\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" 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name=\"form_id\" value=\"894\"><input type=\"hidden\" name=\"page_id\" value=\"895\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/curtin.edu.my\/student\/health-wellbeing\/request-counselling-appointment\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":882,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_crdt_document":"","_oasis_is_in_workflow":0,"_oasis_original":0,"_oasis_task_priority":"","footnotes":""},"tags":[],"class_list":["post-895","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/curtin.edu.my\/student\/wp-json\/wp\/v2\/pages\/895","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/curtin.edu.my\/student\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/curtin.edu.my\/student\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/curtin.edu.my\/student\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/curtin.edu.my\/student\/wp-json\/wp\/v2\/comments?post=895"}],"version-history":[{"count":0,"href":"https:\/\/curtin.edu.my\/student\/wp-json\/wp\/v2\/pages\/895\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/curtin.edu.my\/student\/wp-json\/wp\/v2\/pages\/882"}],"wp:attachment":[{"href":"https:\/\/curtin.edu.my\/student\/wp-json\/wp\/v2\/media?parent=895"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/curtin.edu.my\/student\/wp-json\/wp\/v2\/tags?post=895"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}