[de_fb_form title=”Registro de cliente” form_id=”registro_cliente” form_type=”register” register_wrong_password_text=”Las contraseñas no coinciden” default_user_role=”cliente_amsi” auto_login=”on” submit_button_text=”Registrarme” use_preload_animation=”on” preload_anim_style=”load-1″ redirect_after_success=”on” redirect_url_after_submission=”/tu-proximo-paso/” use_custom_email=”off” custom_contact_email=”AMSI@AMSIPR.COM” email_title=”AMSI WEB || Nuevo cliente registrado” email_template_html=”on” email_template=”
” select2=”on” whole_form_padding=”||||false|false” whole_form_margin=”||||false|false” multistep_enabled=”on” date_text_color=”gcid-d48d641a-7f8d-4a2f-a421-98ed1b673d8a” date_text_active=”#FFFFFF” date_highlight_color=”gcid-6b878b4d-b458-4a3e-bddb-4866fe71f7dc” date_number_bg_active=”#eb683b” date_highlight_bg=”#eb683b” date_number_border_radius=”500%” admin_label=”Form – cliente – ESP” _builder_version=”4.23.1″ _module_preset=”default” form_field_background_color=”#FFFFFF” form_field_focus_background_color=”gcid-5bec4aa9-d7ee-467f-b76e-172ef9b7bd3c” form_field_focus_text_color=”gcid-d48d641a-7f8d-4a2f-a421-98ed1b673d8a” form_field_custom_margin=”||||false|false” form_field_custom_padding=”||||false|false” form_title_font=”|800||on|||||” form_title_text_color=”gcid-42f9da1b-3760-4de5-a125-a511238c9571″ label_text_font=”|700|||||||” placeholder_text_text_color=”RGBA(255,255,255,0)” field_description_font=”|300|on||||||” 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previous_step_button_use_icon=”off” previous_step_button_custom_margin=”15px||||false|false” custom_next_step_button=”on” next_step_button_text_color=”#ffffff” next_step_button_bg_color=”gcid-42f9da1b-3760-4de5-a125-a511238c9571″ next_step_button_border_width=”2px” next_step_button_border_color=”gcid-42f9da1b-3760-4de5-a125-a511238c9571″ next_step_button_border_radius=”8px” next_step_button_use_icon=”off” next_step_button_custom_margin=”15px||||false|false” form_title_text_align_tablet=”” form_title_text_align_phone=”center” form_title_text_align_last_edited=”on|phone” form_title_font_size_tablet=”” form_title_font_size_phone=”1.5rem” form_title_font_size_last_edited=”on|phone” progress_bar_step_title_font_size_tablet=”0rem” progress_bar_step_title_font_size_phone=”0rem” progress_bar_step_title_font_size_last_edited=”on|tablet” progress_bar_step_number_text_color_last_edited=”off|phone” progress_bar_step_number_font_size_tablet=”” progress_bar_step_number_font_size_phone=”” progress_bar_step_number_font_size_last_edited=”on|phone” progress_bar_step_number_line_height_tablet=”” progress_bar_step_number_line_height_phone=”” progress_bar_step_number_line_height_last_edited=”on|phone” border_radii=”on|8px|8px|8px|8px” border_width_all=”1px” border_color_all=”gcid-8c42ea43-57ea-4130-b9b9-3ad5f4e5c6f7″ global_colors_info=”{%22gcid-42f9da1b-3760-4de5-a125-a511238c9571%22:%91%22border_color_all_form_whole%22,%22form_title_text_color%22,%22previous_step_button_icon_color%22,%22next_step_button_bg_color%22,%22next_step_button_icon_color__hover%22,%22next_step_button_text_color__hover%22,%22next_step_button_border_color__hover%22,%22next_step_button_border_color%22,%22previous_step_button_text_color%22,%22previous_step_button_bg_color__hover%22,%22previous_step_button_border_color%22,%22button_text_color__hover%22,%22button_bg_color%22,%22button_border_color%22,%22button_icon_color__hover%22%93,%22gcid-8c42ea43-57ea-4130-b9b9-3ad5f4e5c6f7%22:%91%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22%93,%22gcid-d48d641a-7f8d-4a2f-a421-98ed1b673d8a%22:%91%22form_field_focus_text_color%22,%22field_description_text_color%22,%22date_text_color%22,%22form_field_focus_text_color%22,%22field_description_text_color%22,%22date_text_color%22%93,%22gcid-5bec4aa9-d7ee-467f-b76e-172ef9b7bd3c%22:%91%22form_field_focus_background_color%22,%22form_field_focus_background_color%22,%22form_field_focus_background_color%22,%22form_field_focus_background_color%22,%22form_field_focus_background_color%22,%22form_field_focus_background_color%22,%22form_field_focus_background_color%22,%22form_field_focus_background_color%22,%22form_field_focus_background_color%22,%22form_field_focus_background_color%22%93,%22gcid-6b878b4d-b458-4a3e-bddb-4866fe71f7dc%22:%91%22date_highlight_color%22,%22next_step_button_bg_color__hover%22,%22previous_step_button_text_color__hover%22%93}” next_step_button_bg_color__hover_enabled=”on|hover” next_step_button_bg_color__hover=”#ffffff” next_step_button_bg_enable_color__hover=”on” next_step_button_text_color__hover_enabled=”on|hover” next_step_button_text_color__hover=”#eb683b” previous_step_button_text_color__hover_enabled=”on|desktop” previous_step_button_text_color__hover=”#ffffff” previous_step_button_bg_color__hover_enabled=”on|hover” previous_step_button_bg_color__hover=”#eb683b” previous_step_button_bg_enable_color__hover=”on” previous_step_button_icon_color__hover_enabled=”on|desktop” previous_step_button_icon_color__hover=”#FFFFFF” next_step_button_icon_color__hover_enabled=”on|hover” next_step_button_icon_color__hover=”#eb683b” button_bg_color__hover_enabled=”on|desktop” button_bg_color__hover=”” button_bg_enable_color__hover=”off” button_text_color__hover_enabled=”on|hover” button_text_color__hover=”#eb683b” button_icon_color__hover_enabled=”on|hover” button_icon_color__hover=”#eb683b” next_step_button_border_width__hover_enabled=”on|desktop” next_step_button_border_width__hover=”2px” next_step_button_border_color__hover_enabled=”on|hover” next_step_button_border_color__hover=”#eb683b”][de_fb_form_field field_title=”Información básica de registro” admin_title=”Paso 1: Información básica de registro” field_id=”from_amsi_client_next1″ field_type=”step” step_prev_text=”Anterior” step_next_text=”Siguiente” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” label_text_font_size_last_edited=”off|phone” global_colors_info=”%91%93″ form_step=”0″ form_class=”de_fb_form_0″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Primer nombre” admin_title=”Primer nombre” field_id=”form_client_first_name” required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_default” user_default_field=”first_name” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”1″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Segundo nombre” admin_title=”Segundo nombre” field_id=”form_client_second_name” field_mapping_type=”user_meta” user_field_name=” client_second_name” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” _builder_version=”4.20.2″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”1″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Apellido paterno” admin_title=”Apellido paterno” field_id=”form_client_lastname” required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_default” user_default_field=”last_name” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”1″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Apellido materno” admin_title=”Apellido materno” field_id=”form_client_second_lastname” field_mapping_type=”user_meta” user_field_name=”client_second_lastname” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” _builder_version=”4.20.2″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”1″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Fecha de nacimiento” admin_title=”Fecha de Nacimiento (Solo validación)” field_id=”form_client_dob” field_type=”datepicker” required_mark=”on” required_message=”Este campo es requerido.” date_time_picker_lang=”es” date_format=”mm/dd/yy” field_mapping_type=”user_meta” user_field_name=”client_date_of_birth” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” description_text=”on” description_text_location=”below” description_text_text=”Ingrese solo números.” enable_autocomplete=”off” _builder_version=”4.22.1″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”1″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Seguro social” admin_title=”ClientSSN” field_id=”form_client_ssn” min_length=”11″ max_length=”11″ minlength_message=”Su SSN está incompleto.” required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_meta” user_field_name=”client_ssn” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” description_text=”on” description_text_location=”below” description_text_text=”Ingrese solo números.” _builder_version=”4.22.1″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”1″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Correo electrónico” admin_title=”Correo electrónico” field_id=”form_client_email” field_type=”email” email_message=”Ingrese una dirección de correo válida.” required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_default” user_default_field=”user_login” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”1″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Confirma correo electrónico” admin_title=”Confirma correo electrónico” field_id=”form_client_emailconf” field_type=”email” email_message=”Ingrese una dirección de correo válida.” required_mark=”on” required_message=”Ese campo es requerido.” field_mapping_type=”user_default” user_default_field=”user_email” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” _builder_version=”4.19.5″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”1″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Contraseña” admin_title=”Contraseña” field_id=”form_client_password” field_type=”password” required_mark=”on” field_mapping_type=”user_default” user_default_field=”user_pass” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”1″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Confirmar contraseña” admin_title=”Confirmar contraseña” field_id=”form_client_passwordconf” field_type=”password” required_mark=”on” field_mapping_type=”user_default” user_default_field=”pass_repeat” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”1″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”¿Cómo se enteró de nosotros?” admin_title=”¿Cómo se enteró de nosotros?” field_id=”form_client_visit_how_do_you_know_id” field_type=”select” select_placeholder=”on” select_placeholder_text=”– Selecciona una opción –” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ field_mapping_type=”user_meta” user_field_name=”client_visit_how_do_you_know_id” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” _builder_version=”4.20.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”1″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”¿Cuál es el propósito principal de registrarse con la AMSI?” admin_title=”¿Cuál es el propósito principal de registrase con AMSI?” field_id=”form_client_visit_purpose_type” field_type=”select” select_placeholder=”on” select_placeholder_text=”– Seleccione una opción –” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ field_mapping_type=”user_meta” user_field_name=”client_visit_purpose_type” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”1″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”¿Dónde le gustaría recibir los servicios?” admin_title=”¿Donde le gustaría recibir los servicios?” field_id=”form_client_localoffice” field_type=”select” select_auto_detect=”on” select_placeholder=”on” select_placeholder_text=”– Seleccione una opción –” required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”acf” acf_field=”field_642268fc09845″ field_label_position=”top” field_placeholder=” ” _builder_version=”4.22.1″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”1″ current_step=”1″][/de_fb_form_field][de_fb_form_field admin_title=”hideen – ¿Donde le gustaría erecibir los servicios?” field_id=”form_hidden_client_localoffice” field_type=”hidden” hidden_value=”custom” hidden_value_custom=”9″ field_mapping_type=”user_meta” user_field_name=”client_localoffice” field_label_position=”top” field_placeholder=” ” _builder_version=”4.20.2″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” custom_css_main_element=”display:none;” global_colors_info=”%91%93″ form_step=”1″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Información de contacto” admin_title=”Paso 2: Información de contacto” field_id=”from_amsi_client_next2_2″ field_type=”step” step_prev_text=”Anterior” step_next_text=”Siguiente” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ prev_step_next=”Siguiente” prev_step_prev=”Anterior” form_step=”1″ form_class=”de_fb_form_0″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Teléfono 1″ admin_title=”Teléfono 1″ field_id=”form_client_telephone1″ required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_meta” user_field_name=”client_telephone1″ field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” description_text=”on” description_text_location=”below” description_text_text=”Ingrese solo números.” enable_autocomplete=”off” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”2″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Tipo de teléfono 1″ admin_title=”Tipo de teléfono 1″ field_id=”form_client_telephone_type1″ field_type=”select” select_placeholder=”on” select_placeholder_text=”– Seleccione una opción –” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_meta” user_field_name=”client_telephone_type1″ field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” description_text=”on” description_text_location=”below” description_text_text=”Ingrese solo números.” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”2″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Teléfono 2″ admin_title=”Teléfono 2″ field_id=”form_client_telephone2″ field_mapping_type=”user_meta” user_field_name=”client_telephone2″ field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” description_text=”on” description_text_location=”below” description_text_text=”Ingrese solo números.” enable_autocomplete=”off” _builder_version=”4.20.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”2″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Tipo de teléfono 2″ admin_title=”Tipo de teléfono 2″ field_id=”form_client_telephone_type2″ field_type=”select” select_placeholder=”on” select_placeholder_text=”– Seleccione una opción –” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ field_mapping_type=”user_meta” user_field_name=”client_telephone_type2″ field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” _builder_version=”4.20.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”2″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Dirección Física Línea 1″ admin_title=”Dirección Física Línea 1″ field_id=”form_client_physical_address_1″ required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_meta” user_field_name=”physical_address_1″ field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”2″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Dirección Física Línea 2″ admin_title=”Dirección Física Línea 2″ field_id=”form_client_physical_address_2″ field_mapping_type=”user_meta” user_field_name=”physical_address_2″ field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.20.2″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”2″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Zip Code” admin_title=”Zip Code” field_id=”form_client_physical_address_zipcode” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:1}%93″ required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_meta” user_field_name=”physical_address_zipcode” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”2″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Extensión” admin_title=”Extensión” field_id=”form_client_physical_address_code_extension” field_mapping_type=”user_meta” user_field_name=”physical_address_code_extension” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.22.1″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”2″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Estado” admin_title=”State” field_id=”form_client_physical_address_state” field_mapping_type=”user_meta” user_field_name=”physical_address_state” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.22.1″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” form_field_background_color=”gcid-5bec4aa9-d7ee-467f-b76e-172ef9b7bd3c” form_field_text_color=”gcid-d48d641a-7f8d-4a2f-a421-98ed1b673d8a” form_field_focus_background_color=”gcid-5bec4aa9-d7ee-467f-b76e-172ef9b7bd3c” form_field_focus_text_color=”gcid-d48d641a-7f8d-4a2f-a421-98ed1b673d8a” global_colors_info=”%91%93″ form_step=”2″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Ciudad” admin_title=”City” field_id=”form_client_physical_address_city” field_mapping_type=”user_meta” user_field_name=”physical_address_city” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.22.1″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” form_field_background_color=”gcid-5bec4aa9-d7ee-467f-b76e-172ef9b7bd3c” form_field_text_color=”gcid-d48d641a-7f8d-4a2f-a421-98ed1b673d8a” form_field_focus_background_color=”gcid-5bec4aa9-d7ee-467f-b76e-172ef9b7bd3c” form_field_focus_text_color=”gcid-d48d641a-7f8d-4a2f-a421-98ed1b673d8a” global_colors_info=”%91%93″ form_step=”2″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”¿Desea mantener su dirección física como dirección postal?” admin_title=”¿Desea mantener su dirección física como dirección postal?” field_id=”form_client_match_fields” field_type=”checkbox” checkbox_options=”%91{%22value%22:%22Si%22,%22checked%22:0,%22dragID%22:-1}%93″ field_label_position=”top” radio_checkbox_checked_color=”gcid-42f9da1b-3760-4de5-a125-a511238c9571″ _builder_version=”4.20.2″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” form_field_background_color=”gcid-1bc9e95f-eb06-46af-8fde-0c05d1ea5a54″ global_colors_info=”%91%93″ form_step=”2″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Dirección Postal Línea 1″ admin_title=”Dirección Postal Línea 1″ field_id=”form_client_postal_address_1″ required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_meta” user_field_name=”postal_address_1″ field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”2″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Dirección Postal Línea 2″ admin_title=”Dirección Postal Línea 2″ field_id=”form_client_postal_address_2″ field_mapping_type=”user_meta” user_field_name=”postal_address_2″ field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.20.2″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”2″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Zip Code” admin_title=”Zip Code” field_id=”form_client_postal_address_zipcode” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:1}%93″ required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_meta” user_field_name=”postal_address_zipcode” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”2″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Extensión” admin_title=”Extensión” field_id=”form_client_postal_address_code_extension” field_mapping_type=”user_meta” user_field_name=”postal_address_code_extension” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.22.1″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”2″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Estado” admin_title=”State” field_id=”form_client_postal_address_state” field_mapping_type=”user_meta” user_field_name=”postal_address_state” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.22.1″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” form_field_background_color=”gcid-5bec4aa9-d7ee-467f-b76e-172ef9b7bd3c” form_field_text_color=”gcid-d48d641a-7f8d-4a2f-a421-98ed1b673d8a” form_field_focus_background_color=”gcid-5bec4aa9-d7ee-467f-b76e-172ef9b7bd3c” form_field_focus_text_color=”gcid-d48d641a-7f8d-4a2f-a421-98ed1b673d8a” global_colors_info=”%91%93″ form_step=”2″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Ciudad” admin_title=”City” field_id=”form_client_postal_address_city” field_mapping_type=”user_meta” user_field_name=”postal_address_city” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.22.1″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” form_field_background_color=”gcid-5bec4aa9-d7ee-467f-b76e-172ef9b7bd3c” form_field_text_color=”gcid-d48d641a-7f8d-4a2f-a421-98ed1b673d8a” form_field_focus_background_color=”gcid-5bec4aa9-d7ee-467f-b76e-172ef9b7bd3c” form_field_focus_text_color=”gcid-d48d641a-7f8d-4a2f-a421-98ed1b673d8a” global_colors_info=”%91%93″ form_step=”2″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Información de igualdad” admin_title=”Paso 3: Información de igualdad” field_id=”from_amsi_client_next3″ field_type=”step” step_prev_text=”Anterior” step_next_text=”Siguiente” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ prev_step_next=”Siguiente” prev_step_prev=”Anterior” form_step=”2″ form_class=”de_fb_form_0″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”fecha de nacimiento” admin_title=”Fecha de nacimiento” field_id=”form_client_date_of_birth” icon_top_position=”13px” required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_meta” user_field_name=”client_date_of_birth” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” use_icon=”on” font_icon=”||divi||400″ icon_font_size=”22px” enable_autocomplete=”off” _builder_version=”4.22.1″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” form_field_background_color=”gcid-5bec4aa9-d7ee-467f-b76e-172ef9b7bd3c” form_field_text_color=”gcid-d48d641a-7f8d-4a2f-a421-98ed1b673d8a” form_field_focus_background_color=”gcid-5bec4aa9-d7ee-467f-b76e-172ef9b7bd3c” form_field_focus_text_color=”gcid-d48d641a-7f8d-4a2f-a421-98ed1b673d8a” global_colors_info=”%91%93″ form_step=”3″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Género” admin_title=”Género” field_id=”form_client_sex” field_type=”select” select_placeholder=”on” select_placeholder_text=”– Seleccione una opción –” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_meta” user_field_name=” client_sex” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”3″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Edad” admin_title=”Edad” field_id=”form_client_age” allowed_symbols=”numbers” required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_meta” user_field_name=”client_age” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” ” _builder_version=”4.22.1″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” form_field_background_color=”gcid-5bec4aa9-d7ee-467f-b76e-172ef9b7bd3c” form_field_text_color=”gcid-d48d641a-7f8d-4a2f-a421-98ed1b673d8a” form_field_focus_background_color=”gcid-5bec4aa9-d7ee-467f-b76e-172ef9b7bd3c” form_field_focus_text_color=”gcid-d48d641a-7f8d-4a2f-a421-98ed1b673d8a” global_colors_info=”%91%93″ form_step=”3″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”¿Está registrado al servicio selectivo?” admin_title=”¿Está registrado al servicio selectivo?” field_id=”form_client_selective_service” field_type=”select” select_placeholder=”on” select_placeholder_text=”– Seleccione una opción –” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_meta” user_field_name=”client_selective_service” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” — Seleccione una opción –” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”3″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Ciudadano americano o autorizado a trabajar en EEUU” admin_title=”Ciudadano americano o autorizado a trabajar en EEUU” field_id=”form_client_citizen” field_type=”select” select_placeholder=”on” select_placeholder_text=”– Seleccione una opción –” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_meta” user_field_name=” client_citizen” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” — Seleccione una opción –” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”3″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”¿Individuo con impedimento?” admin_title=”¿Individuo con impedimento?” field_id=”form_client_individual_with_a_disability” field_type=”select” select_placeholder=”on” select_placeholder_text=”– Seleccione una opción –” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ field_mapping_type=”user_meta” user_field_name=”client_individual_with_a_disability” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” field_placeholder=” — Seleccione una opción –” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”3″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Información de educación y empleo” admin_title=”Paso 4: Información de educación y empleo” field_id=”from_amsi_client_next4″ field_type=”step” step_prev_text=”Anterior” step_next_text=”Siguiente” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ prev_step_next=”Siguiente” prev_step_prev=”Anterior” form_step=”3″ form_class=”de_fb_form_0″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Condición educacional” admin_title=”Condición educacional” field_id=”form_client_school_status_at_program_entry” field_type=”select” select_placeholder=”on” select_placeholder_text=”– Seleccione una opción –” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_meta” user_field_name=”client_school_status_at_program_entry” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”4″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Nivel educacional más alto alcanzado” admin_title=”Nivel educacional más alto alcanzado” field_id=”form_client_highest_educational_level_completed” field_type=”select” select_placeholder=”on” select_placeholder_text=”– Seleccione una opción –” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_meta” user_field_name=”client_highest_educational_level_completed” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”4″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Grado más alto completado” admin_title=”Grado más alto completado” field_id=”form_client_highest_school_grade_completed” field_type=”select” select_placeholder=”on” select_placeholder_text=”– Seleccione una opción –” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ field_mapping_type=”user_meta” user_field_name=”client_highest_school_grade_completed” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”4″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Condición laboral” admin_title=”Condición laboral” field_id=”form_client_employment_status_at_program_entry” field_type=”select” select_placeholder=”on” select_placeholder_text=”– Seleccione una opción –” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ required_mark=”on” required_message=”Este campo es requerido.” field_mapping_type=”user_meta” user_field_name=”client_employment_status_at_program_entry” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.21.0″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”4″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”¿Lleva más de 27 semanas consecutivas sin empleo?” admin_title=”¿Lleva más de 27 semanas consecutivas sin empleo?” field_id=”form_client_long_Term_unemployed_at_program_entry” field_type=”select” select_placeholder=”on” select_placeholder_text=”– Seleccione una opción –” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ field_mapping_type=”user_meta” user_field_name=”client_long_Term_unemployed_at_program_entry” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.19.5″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”4″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”¿Ha quedado desempleado por alguna de estas causas?” admin_title=”¿Ha quedado desempleado por alguna de estas causas?” field_id=”form_client_dislocation_category” field_type=”select” select_placeholder=”on” select_placeholder_text=”– Seleccione una opción –” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ field_mapping_type=”user_meta” user_field_name=”client_dislocation_category” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.19.5″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”4″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”¿Quedó desplazado como resultado de alguno de estos desastres naturales? ” admin_title=”¿Quedó desplazado como resultado de alguno de estos desastres naturales? ” field_id=”form_client_disaster_dislocated_reason” field_type=”select” select_placeholder=”on” select_placeholder_text=”– Seleccione una opción –” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ field_mapping_type=”user_meta” user_field_name=”client_disaster_dislocated_reason” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.19.5″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”4″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”¿Recibe o recibió el beneficio Seguro por Desempleo en los pasados 6 meses? ” admin_title=”¿Recibe o recibió el beneficio Seguro por Desempleo en los pasados 6 meses? ” field_id=”form_client_uc_eligible_status” field_type=”select” select_placeholder=”on” select_placeholder_text=”– Seleccione una opción –” select_options=”%91{%22value%22:%22%22,%22checked%22:0,%22dragID%22:-1}%93″ field_mapping_type=”user_meta” user_field_name=”client_uc_eligible_status” field_grid_column=”et_pb_column_1_2″ field_label_position=”top” _builder_version=”4.19.5″ _module_preset=”1d09ba4a-b4ae-49eb-ad2e-2b8cf34af1fd” global_colors_info=”%91%93″ form_step=”4″ current_step=”1″][/de_fb_form_field][de_fb_form_field field_title=”Preferencia área de trabajo 1″ admin_title=”Preferencia área de trabajo 1″ field_id=”form_client_preferred_laboral_area_1″ 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