Balai Bahasa Indonesia Perth

Contact form – Application to become an Indonesian language ambassador

[et_pb_section fb_built=”1″ _builder_version=”3.19.18″][et_pb_row _builder_version=”3.19.18″][et_pb_column type=”4_4″ _builder_version=”3.19.18″][et_pb_contact_form email=”duta@balaibahasaperth.org” title=”Application to become an Indonesian language ambassador” custom_message=”My name is %%name%%. I am interested in becoming an Indonesian language ambassador with Balai Bahasa Indonesia Perth.||et_pb_line_break_holder||My contact details are %%phone%% and %%email%%.||et_pb_line_break_holder||Birth year %%birthyear%%||et_pb_line_break_holder||Highest level of study of Indonesian %%languagelevel%%||et_pb_line_break_holder||WWC clearance %%WWC-clearance%%||et_pb_line_break_holder||Do I have a car? %%transport%%||et_pb_line_break_holder||%%Experience%%||et_pb_line_break_holder||%%Attributes%%||et_pb_line_break_holder||||et_pb_line_break_holder||” success_message=”Thanks for contacting Balai Bahasa Indonesia Perth. The coordinator will contact you very soon. You can contact the coordinator directly at duta@balaibahasaperth.org” submit_button_text=”Send your application now.” admin_label=”Contact Form” _builder_version=”3.19.18″ title_font=”||||||||” form_field_font=”||||||||” form_field_text_align=”left” form_field_text_color=”#e02b20″ form_field_line_height=”1.8em” text_orientation=”left” max_width=”50%” module_alignment=”left”][et_pb_contact_field field_id=”Name” field_title=”Name” _builder_version=”3.19.18″ border_radii=”on||||” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][/et_pb_contact_field][et_pb_contact_field field_id=”Phone” field_title=”Phone number” fullwidth_field=”on” _builder_version=”3.19.18″][/et_pb_contact_field][et_pb_contact_field field_id=”Email” field_title=”Email Address” field_type=”email” _builder_version=”3.16″ border_radii=”on||||” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][/et_pb_contact_field][et_pb_contact_field field_id=”BirthYear” field_title=”What year were you born? (Must be between 1980 and 1997.)” min_length=”2″ max_length=”4″ allowed_symbols=”numbers” fullwidth_field=”on” _builder_version=”3.19.18″][/et_pb_contact_field][et_pb_contact_field field_id=”LanguageLevel” field_title=”What is the highest level of your studies in Indonesian language?” field_type=”radio” radio_options=”%91{%22value%22:%22Year 12 in secondary school%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Major in undergraduate degree.%22,%22checked%22:0,%22dragID%22:0,%22link_url%22:%22%22,%22link_text%22:%22%22},{%22value%22:%22Post-graduate degree%22,%22checked%22:0,%22dragID%22:1}%93″ fullwidth_field=”on” conditional_logic=”on” conditional_logic_rules=”%91{%22field%22:%22comments%22,%22condition%22:%22is%22,%22value%22:%22%22}%93″ _builder_version=”3.19.18″][/et_pb_contact_field][et_pb_contact_field field_id=”WWC-clearance” field_title=”Do you hold a current Working With Children Clearance card? (BBIP will assist you to get one, if needed.)” field_type=”radio” radio_options=”%91{%22value%22:%22Yes.%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No.%22,%22checked%22:0,%22dragID%22:0}%93″ fullwidth_field=”on” _builder_version=”3.19.18″][/et_pb_contact_field][et_pb_contact_field field_id=”Transport” field_title=”Do you own or have access to a car for the purpose of travelling to schools?” field_type=”radio” radio_options=”%91{%22value%22:%22Yes.%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22No.%22,%22checked%22:0,%22dragID%22:0}%93″ fullwidth_field=”on” _builder_version=”3.19.18″][/et_pb_contact_field][et_pb_contact_field field_id=”Experience” field_title=”Tell us about your experience in living/studying/working in Indonesia.” max_length=”255″ fullwidth_field=”on” _builder_version=”3.19.18″][/et_pb_contact_field][et_pb_contact_field field_id=”Attributes” field_title=”What else do we need to know about you that would make you a good ambassador?” max_length=”255″ fullwidth_field=”on” _builder_version=”3.19.18″][/et_pb_contact_field][/et_pb_contact_form][/et_pb_column][/et_pb_row][/et_pb_section]