{"id":2,"date":"2014-05-14T15:04:07","date_gmt":"2014-05-14T07:04:07","guid":{"rendered":"http:\/\/www.amp.org.ph\/?page_id=2"},"modified":"2022-11-20T18:40:28","modified_gmt":"2022-11-20T10:40:28","slug":"sample-page","status":"publish","type":"page","link":"https:\/\/www.amp.org.ph\/?page_id=2","title":{"rendered":"NEW MEMBER&#8217;S APPLICATION FORM 110A"},"content":{"rendered":"<p style=\"text-align: center;\"><strong><em>ONLINE APPLICATION FORM FOR MEMBERSHIP<\/em><\/strong><\/p>\n<p><b>Step 1: New Member&#8217;s Application form 110A<\/b><\/p>\n<p>Please accomplish the form as complete as possible, then click on the Submit Form button. The organization shall be notified and your application will be reviewed. AMP will contact you for further notice: \u00a0<em><strong>All information submitted shall be confidential<\/strong><\/em>.<\/p>\n<p style=\"text-align: center;\"><i style=\"color: #000000;\"><b><div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-2434\"><form id=\"wpforms-form-2434\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"2434\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F2\" data-token=\"5e669d06ad7519397e2454cabff5206c\" data-token-time=\"1776421622\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-2434-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-2434-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" required><label for=\"wpforms-2434-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-2434-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" required><label for=\"wpforms-2434-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-2434-field_33-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_33\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-2434-field_33\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][33]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-2434-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_2\">Street Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2434-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" required><\/div><div id=\"wpforms-2434-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_4\">Street Address Line 2 <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2434-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-2434-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_5\">City<\/label><input type=\"text\" id=\"wpforms-2434-field_5\" class=\"wpforms-field-small\" name=\"wpforms[fields][5]\" ><\/div><div id=\"wpforms-2434-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_7\">Postal \/ Zip Code <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2434-field_7\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-2434-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_6\">State \/ Province \/ Region <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2434-field_6\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-2434-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_8\">Country<\/label><input type=\"text\" id=\"wpforms-2434-field_8\" class=\"wpforms-field-small\" name=\"wpforms[fields][8]\" ><\/div><div id=\"wpforms-2434-field_3-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_3\">Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-2434-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" step=\"any\" required><\/div><div id=\"wpforms-2434-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_9\">Religion <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2434-field_9\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/div><div id=\"wpforms-2434-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_10\">Fax Number (if any):<\/label><input type=\"text\" id=\"wpforms-2434-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" ><\/div><div id=\"wpforms-2434-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_11\">Cellphone Number: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2434-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required><\/div><div id=\"wpforms-2434-field_12-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_12\">Date of Birth: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-2434-field_12\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][12]\" step=\"any\" required><div class=\"wpforms-field-description\">MM-DD-YY<\/div><\/div><div id=\"wpforms-2434-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_13\">Place of Birth:  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2434-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required><\/div><div id=\"wpforms-2434-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_14\">Age:<\/label><input type=\"text\" id=\"wpforms-2434-field_14\" class=\"wpforms-field-small\" name=\"wpforms[fields][14]\" ><\/div><div id=\"wpforms-2434-field_15-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"15\"><label class=\"wpforms-field-label\">Sex: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2434-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2434-field_15_1\" name=\"wpforms[fields][15]\" value=\"Male\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2434-field_15_1\">Male<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-2434-field_15_2\" name=\"wpforms[fields][15]\" value=\"Female\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2434-field_15_2\">Female<\/label><\/li><\/ul><\/div><div id=\"wpforms-2434-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_16\">Civil Status: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2434-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" required><\/div><div id=\"wpforms-2434-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_17\">Citizenship: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2434-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" required><\/div><div id=\"wpforms-2434-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_18\">Emergency contact Name\/phone: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2434-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" required><\/div><div id=\"wpforms-2434-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_19\">Main Musical Instrument played:<\/label><input type=\"text\" id=\"wpforms-2434-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" ><\/div><div id=\"wpforms-2434-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_20\">Secondary musical instrument:<\/label><input type=\"text\" id=\"wpforms-2434-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" ><\/div><div id=\"wpforms-2434-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_21\">Gears used:<\/label><input type=\"text\" id=\"wpforms-2434-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" ><\/div><div id=\"wpforms-2434-field_22-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"22\"><label class=\"wpforms-field-label\">Musical Training:<\/label><ul id=\"wpforms-2434-field_22\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2434-field_22_1\" name=\"wpforms[fields][22]\" value=\"Formal\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2434-field_22_1\">Formal<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-2434-field_22_2\" name=\"wpforms[fields][22]\" value=\"Informal\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2434-field_22_2\">Informal<\/label><\/li><\/ul><\/div><div id=\"wpforms-2434-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_23\">If formal, please. indicate name of institution:  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2434-field_23\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][23]\" required><\/div><div id=\"wpforms-2434-field_24-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_24\">If informal, please. indicate name of mentor:  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2434-field_24\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][24]\" required><\/div><div id=\"wpforms-2434-field_25-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_25\">Styles of music played: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2434-field_25\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][25]\" required><\/div><div id=\"wpforms-2434-field_26-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"26\"><label class=\"wpforms-field-label\">Reading ability :<\/label><ul id=\"wpforms-2434-field_26\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2434-field_26_1\" name=\"wpforms[fields][26][]\" value=\"Advance Player\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2434-field_26_1\">Advance Player<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2434-field_26_2\" name=\"wpforms[fields][26][]\" value=\"Intermediate\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2434-field_26_2\">Intermediate<\/label><\/li><\/ul><\/div><div id=\"wpforms-2434-field_27-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_27\">Other expertise (example: MIDI application, etc.):<\/label><textarea id=\"wpforms-2434-field_27\" class=\"wpforms-field-medium\" name=\"wpforms[fields][27]\" ><\/textarea><\/div><div id=\"wpforms-2434-field_28-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-2434-field_28\">Work Experiences (bands, orchestras, recordings and other music work done):<\/label><textarea id=\"wpforms-2434-field_28\" class=\"wpforms-field-medium\" name=\"wpforms[fields][28]\" ><\/textarea><\/div><div id=\"wpforms-2434-field_29-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-id=\"29\"><label class=\"wpforms-field-label\">Educational Attainment:<\/label><ul id=\"wpforms-2434-field_29\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2434-field_29_1\" name=\"wpforms[fields][29][]\" value=\"First Primary:\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2434-field_29_1\">First Primary:<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2434-field_29_2\" name=\"wpforms[fields][29][]\" value=\"Secondary:\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2434-field_29_2\">Secondary:<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2434-field_29_3\" name=\"wpforms[fields][29][]\" value=\"Collegiate:\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2434-field_29_3\">Collegiate:<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-2434-field_29_4\" name=\"wpforms[fields][29][]\" value=\"Post Graduate:\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2434-field_29_4\">Post Graduate:<\/label><\/li><\/ul><\/div><div id=\"wpforms-2434-field_30-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"30\"><label class=\"wpforms-field-label\">Pls Check <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2434-field_30\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2434-field_30_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][30][]\" value=\"I CERTIFY THAT ALL INFORMATION ENTERED ABOVE IS TRUE AND IN FACT HAVE BEEN FILLED UP PERSONALLY BY MY AUTHORIZED REPRESENTATIVE OR ME.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2434-field_30_1\">I CERTIFY THAT ALL INFORMATION ENTERED ABOVE IS TRUE AND IN FACT HAVE BEEN FILLED UP PERSONALLY BY MY AUTHORIZED REPRESENTATIVE OR ME.<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v2\" ><div class=\"g-recaptcha\" data-sitekey=\"6LcryB4jAAAAABX6c2010dkQ7WYaJfqZGRlu5sJf\"><\/div><input type=\"text\" name=\"g-recaptcha-hidden\" class=\"wpforms-recaptcha-hidden\" style=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\" data-rule-recaptcha=\"1\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"2434\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.amp.org.ph\/index.php?rest_route=\/wp\/v2\/pages\/2\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-2434\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.amp.org.ph\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container --><\/b><\/i><\/p>\n<p style=\"text-align: left;\"><strong>After submission, please proceed to step 2 by clicking on the PhilAm Life Insurance form 120A tab.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>ONLINE APPLICATION FORM FOR MEMBERSHIP Step 1: New Member&#8217;s Application form 110A Please accomplish the form as complete as possible, then click on the Submit Form button. The organization shall be notified and your application will be reviewed. AMP will contact you for further notice: \u00a0All information submitted shall be confidential. After submission, please proceed [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1336,"menu_order":1,"comment_status":"open","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.amp.org.ph\/index.php?rest_route=\/wp\/v2\/pages\/2","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.amp.org.ph\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.amp.org.ph\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.amp.org.ph\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.amp.org.ph\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2"}],"version-history":[{"count":41,"href":"https:\/\/www.amp.org.ph\/index.php?rest_route=\/wp\/v2\/pages\/2\/revisions"}],"predecessor-version":[{"id":2453,"href":"https:\/\/www.amp.org.ph\/index.php?rest_route=\/wp\/v2\/pages\/2\/revisions\/2453"}],"up":[{"embeddable":true,"href":"https:\/\/www.amp.org.ph\/index.php?rest_route=\/wp\/v2\/pages\/1336"}],"wp:attachment":[{"href":"https:\/\/www.amp.org.ph\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}