{"id":21676,"date":"2025-03-30T20:38:28","date_gmt":"2025-03-30T18:38:28","guid":{"rendered":"https:\/\/iranianpsychologists.com\/collaboration-request-form\/"},"modified":"2025-10-02T23:37:35","modified_gmt":"2025-10-02T21:37:35","slug":"collaboration-request-form","status":"publish","type":"page","link":"https:\/\/iranianpsychologists.com\/en\/collaboration-request-form\/","title":{"rendered":"collaboration request form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"21676\" class=\"elementor elementor-21676 elementor-20742\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c1f0e7f elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"c1f0e7f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c76a4c4\" data-id=\"c76a4c4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fb14d29 e-flex e-con-boxed e-con e-parent\" data-id=\"fb14d29\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-73db479 e-con-full e-flex e-con e-child\" data-id=\"73db479\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-779083f elementor-widget elementor-widget-text-editor\" data-id=\"779083f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">You can submit your collaboration request through the form below.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-38ee37b nobat2 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"38ee37b\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;\\u0628\\u0639\\u062f\\u06cc&quot;,&quot;step_previous_label&quot;:&quot;\\u0642\\u0628\\u0644\\u06cc&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" id=\"hamkar2\" name=\"\u0647\u0645\u06a9\u0627\u0631\u06cc EN\" aria-label=\"\u0647\u0645\u06a9\u0627\u0631\u06cc EN\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"21676\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"38ee37b\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"collaboration request form\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"21676\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text\">\n\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[yek]\" id=\"form-field-yek\" class=\"elementor-field elementor-size-md \" style=\"display:none !important;\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-50 elementor-md-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFull Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"(Required)\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_f389e11 elementor-col-50 elementor-md-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_f389e11\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tField of Study and Specialization\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_f389e11]\" id=\"form-field-field_f389e11\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"(Required)\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_59b1bd0 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_59b1bd0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tType of Collaboration\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Registering your profile in the platform\u2019s directory\" id=\"form-field-field_59b1bd0-0\" name=\"form_fields[field_59b1bd0][]\"> <label for=\"form-field-field_59b1bd0-0\">Registering your profile in the platform\u2019s directory<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Receiving exclusive client referrals from the platform\" id=\"form-field-field_59b1bd0-1\" name=\"form_fields[field_59b1bd0][]\"> <label for=\"form-field-field_59b1bd0-1\">Receiving exclusive client referrals from the platform<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Host your course with international certification from a Canadian university\" id=\"form-field-field_59b1bd0-2\" name=\"form_fields[field_59b1bd0][]\"> <label for=\"form-field-field_59b1bd0-2\">Host your course with international certification from a Canadian university<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Collaborate as a workshop instructor to host online courses\" id=\"form-field-field_59b1bd0-3\" name=\"form_fields[field_59b1bd0][]\"> <label for=\"form-field-field_59b1bd0-3\">Collaborate as a workshop instructor to host online courses<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Sell pre-recorded courses\" id=\"form-field-field_59b1bd0-4\" name=\"form_fields[field_59b1bd0][]\"> <label for=\"form-field-field_59b1bd0-4\">Sell pre-recorded courses<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Selling digital content, such as e-books\" id=\"form-field-field_59b1bd0-5\" name=\"form_fields[field_59b1bd0][]\"> <label for=\"form-field-field_59b1bd0-5\">Selling digital content, such as e-books<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Creating, preparing, and selling mental health\u2013related content\" id=\"form-field-field_59b1bd0-6\" name=\"form_fields[field_59b1bd0][]\"> <label for=\"form-field-field_59b1bd0-6\">Creating, preparing, and selling mental health\u2013related content<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Obtaining a license from the platform to host in-person and online courses\" id=\"form-field-field_59b1bd0-7\" name=\"form_fields[field_59b1bd0][]\"> <label for=\"form-field-field_59b1bd0-7\">Obtaining a license from the platform to host in-person and online courses<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Advertising and receiving dedicated branding services from the platform\" id=\"form-field-field_59b1bd0-8\" name=\"form_fields[field_59b1bd0][]\"> <label for=\"form-field-field_59b1bd0-8\">Advertising and receiving dedicated branding services from the platform<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Content Creation Specialist\" id=\"form-field-field_59b1bd0-9\" name=\"form_fields[field_59b1bd0][]\"> <label for=\"form-field-field_59b1bd0-9\">Content Creation Specialist<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Other\" id=\"form-field-field_59b1bd0-10\" name=\"form_fields[field_59b1bd0][]\"> <label for=\"form-field-field_59b1bd0-10\">Other<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-message elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-message\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCollaboration Details\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-md\" name=\"form_fields[message]\" id=\"form-field-message\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_54a0a7f elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_54a0a7f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTherapeutic Field\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"&quot;Children &amp; Adolescents&quot;\" id=\"form-field-field_54a0a7f-0\" name=\"form_fields[field_54a0a7f][]\"> <label for=\"form-field-field_54a0a7f-0\">\"Children & Adolescents\"<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"&quot;Academic Counseling&quot;\" id=\"form-field-field_54a0a7f-1\" name=\"form_fields[field_54a0a7f][]\"> <label for=\"form-field-field_54a0a7f-1\">\"Academic Counseling\"<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"&quot;Personal Issues&quot;\" id=\"form-field-field_54a0a7f-2\" name=\"form_fields[field_54a0a7f][]\"> <label for=\"form-field-field_54a0a7f-2\">\"Personal Issues\"<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"&quot;Couples Therapy&quot;\" id=\"form-field-field_54a0a7f-3\" name=\"form_fields[field_54a0a7f][]\"> <label for=\"form-field-field_54a0a7f-3\">\"Couples Therapy\"<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"&quot;Elderly Care&quot;\" id=\"form-field-field_54a0a7f-4\" name=\"form_fields[field_54a0a7f][]\"> <label for=\"form-field-field_54a0a7f-4\">\"Elderly Care\"<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"&quot;Career Counseling&quot;\" id=\"form-field-field_54a0a7f-5\" name=\"form_fields[field_54a0a7f][]\"> <label for=\"form-field-field_54a0a7f-5\">\"Career Counseling\"<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_63a83db elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_63a83db\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tBrief Resume and Self-Introduction\"\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-md\" name=\"form_fields[field_63a83db]\" id=\"form-field-field_63a83db\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-whatsapp elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-whatsapp\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhatsApp Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[whatsapp]\" id=\"form-field-whatsapp\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"(Required)\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-city elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-city\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCity and Country of Residence\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[city]\" id=\"form-field-city\" class=\"elementor-field elementor-size-md  elementor-field-textual\" placeholder=\"(Required)\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_fea3331 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_fea3331\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPhone Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_fea3331]\" id=\"form-field-field_fea3331\" class=\"elementor-field elementor-size-md  elementor-field-textual\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_016ce39 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_016ce39\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_016ce39]\" id=\"form-field-field_016ce39\" class=\"elementor-field elementor-size-md  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\" id=\"sabtnobat\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Submit<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-e6568e1 e-flex e-con-boxed e-con e-parent\" data-id=\"e6568e1\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d3333b0 elementor-widget elementor-widget-text-editor\" data-id=\"d3333b0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><span style=\"color: #3366ff;\">For inquiries about therapist registration, collaboration, advertising, and branding,<\/span><span style=\"color: #ff6600;\"><a style=\"color: #ff6600;\" href=\"https:\/\/iranianpsychologists.com\/advertising\/\"> click here<\/a><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>You can submit your collaboration request through the form below. For inquiries about therapist registration, collaboration, advertising, and branding, click [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-21676","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/iranianpsychologists.com\/en\/wp-json\/wp\/v2\/pages\/21676","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/iranianpsychologists.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/iranianpsychologists.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/iranianpsychologists.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/iranianpsychologists.com\/en\/wp-json\/wp\/v2\/comments?post=21676"}],"version-history":[{"count":0,"href":"https:\/\/iranianpsychologists.com\/en\/wp-json\/wp\/v2\/pages\/21676\/revisions"}],"wp:attachment":[{"href":"https:\/\/iranianpsychologists.com\/en\/wp-json\/wp\/v2\/media?parent=21676"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}