{"id":511,"date":"2026-09-10T16:08:03","date_gmt":"2026-09-10T13:08:03","guid":{"rendered":"https:\/\/joanschoolofnursing.ac.ke\/?page_id=511"},"modified":"2026-09-10T16:08:10","modified_gmt":"2026-09-10T13:08:10","slug":"industrial-attachment-application","status":"publish","type":"page","link":"https:\/\/joanschoolofnursing.ac.ke\/?page_id=511","title":{"rendered":"Industrial Attachment Application"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-1820f408-26b7-4001-b9ff-9cbcc8a2eff5 wpforms-render-modern\" id=\"wpforms-506\"><form id=\"wpforms-form-506\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"506\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F511\" data-token=\"56136c3a1348a4deb5fe3d2e0a0cf37f\" data-token-time=\"1790611162\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-506-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Full Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-506-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-506-field_1-error\" required><label for=\"wpforms-506-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-506-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-506-field_1-last-error\" required><label for=\"wpforms-506-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-506-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-506-field_2\">Phone Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-506-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" aria-errormessage=\"wpforms-506-field_2-error\" required><\/div><div id=\"wpforms-506-field_3-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-506-field_3\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-506-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" spellcheck=\"false\" aria-errormessage=\"wpforms-506-field_3-error\" required><\/div><div id=\"wpforms-506-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-506-field_4\">Whatsapp Number<\/label><input type=\"text\" id=\"wpforms-506-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-506-field_4-error\" ><\/div><div id=\"wpforms-506-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-506-field_5\">Institution \/ College \/ University <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-506-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-506-field_5-error\" required><\/div><div id=\"wpforms-506-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-506-field_6\">Course \/ Programme <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-506-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-506-field_6-error\" required><\/div><div id=\"wpforms-506-field_8-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-506-field_8\">Level of Education <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-506-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212; Select Choice &#8212;<\/option><option value=\"Certificate\"  class=\"choice-1 depth-1\"  >Certificate<\/option><option value=\"Diploma\"  class=\"choice-2 depth-1\"  >Diploma<\/option><option value=\"Degree\"  class=\"choice-3 depth-1\"  >Degree<\/option><option value=\"Other\"  class=\"choice-4 depth-1\"  >Other<\/option><\/select><\/div><div id=\"wpforms-506-field_9-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-506-field_9\">Year of Study <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-506-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212; Select Choice &#8212;<\/option><option value=\"Year 1\"  class=\"choice-1 depth-1\"  >Year 1<\/option><option value=\"Year 2\"  class=\"choice-2 depth-1\"  >Year 2<\/option><option value=\"Year 3\"  class=\"choice-3 depth-1\"  >Year 3<\/option><option value=\"Year 4\"  class=\"choice-4 depth-1\"  >Year 4<\/option><option value=\"Year 5\"  class=\"choice-5 depth-1\"  >Year 5<\/option><\/select><\/div>\t\t<div id=\"wpforms-506-field_7-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"7\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-506-field_7\" >Date Additional \/<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-506-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-506-field_10-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-506-field_10\">Preffered Attachment Period<\/label><select id=\"wpforms-506-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\"><option value=\"1 Month\"  class=\"choice-1 depth-1\"  >1 Month<\/option><option value=\"2 Months\"  class=\"choice-2 depth-1\"  >2 Months<\/option><option value=\"3 Months\"  class=\"choice-3 depth-1\"  >3 Months<\/option><option value=\"4 Months\"  class=\"choice-4 depth-1\"  >4 Months<\/option><option value=\"5 Months\"  class=\"choice-5 depth-1\"  >5 Months<\/option><option value=\"6 Months\"  class=\"choice-6 depth-1\"  >6 Months<\/option><\/select><\/div><div id=\"wpforms-506-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-506-field_11\">Preffered Attachment Start Date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-506-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" placeholder=\"DD\/MM\/YYYY\" aria-errormessage=\"wpforms-506-field_11-error\" required><\/div><div id=\"wpforms-506-field_12-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-506-field_12\">Preferred Attachment Department \/ Area  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-506-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212; Select Choice &#8212;<\/option><option value=\"Nursing\"  class=\"choice-1 depth-1\"  >Nursing<\/option><option value=\"Community Health\"  class=\"choice-2 depth-1\"  >Community Health<\/option><\/select><\/div><div id=\"wpforms-506-field_13-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-506-field_13\">Institution Placement Letter Available? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-506-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212; Select Choice &#8212;<\/option><option value=\"YES\"  class=\"choice-1 depth-1\"  >YES<\/option><option value=\"NO\"  class=\"choice-2 depth-1\"  >NO<\/option><\/select><\/div><div id=\"wpforms-506-field_14-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-506-field_14\">Additional Comments<\/label><textarea id=\"wpforms-506-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-506-field_14-error\" ><\/textarea><\/div><div id=\"wpforms-506-field_15-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"15\"><fieldset><legend class=\"wpforms-field-label\">Declaration <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-506-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-506-field_15_1\" name=\"wpforms[fields][15][]\" value=\"I declare that the information provided in this application is true and complete to the best of my knowledge. I understand that submission of this application does not guarantee placement for industrial attachment.\" aria-errormessage=\"wpforms-506-field_15_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-506-field_15_1\">I declare that the information provided in this application is true and complete to the best of my knowledge. I understand that submission of this application does not guarantee placement for industrial attachment.<\/label><\/li><\/ul><\/fieldset><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-506-field_7-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-506-field_7-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-506-field_7-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"506\"><input type=\"hidden\" name=\"wpforms[time_token]\" value=\"1790611162.a9af6a65b0bd7880cfe4bcb85e0e0f0bbbf04214859cc58dd367e51d736d1054\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/joanschoolofnursing.ac.ke\/index.php?rest_route=\/wp\/v2\/pages\/511\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-506\" 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:\/\/joanschoolofnursing.ac.ke\/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 -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"class_list":["post-511","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/joanschoolofnursing.ac.ke\/index.php?rest_route=\/wp\/v2\/pages\/511","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/joanschoolofnursing.ac.ke\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/joanschoolofnursing.ac.ke\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/joanschoolofnursing.ac.ke\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/joanschoolofnursing.ac.ke\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=511"}],"version-history":[{"count":2,"href":"https:\/\/joanschoolofnursing.ac.ke\/index.php?rest_route=\/wp\/v2\/pages\/511\/revisions"}],"predecessor-version":[{"id":514,"href":"https:\/\/joanschoolofnursing.ac.ke\/index.php?rest_route=\/wp\/v2\/pages\/511\/revisions\/514"}],"wp:attachment":[{"href":"https:\/\/joanschoolofnursing.ac.ke\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=511"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}