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Add new front page in staging area with custom css.
[libreplanet-static.git] / 2014 / scholarships / index.html
CommitLineData
c13aae63 1<!DOCTYPE html>
2<html lang="en">
3 <head>
4 <meta charset="utf-8" />
5 <meta name="viewport" content="width=device-width, initial-scale=1.0" />
6
7 <link href="/2014/assets/css/bootstrap.min.css" rel="stylesheet" media="screen" />
8 <link href="/2014/assets/css/custom.css" rel="stylesheet" media="screen" />
32fad69a 9 <link href="https://static.fsf.org/fsforg/img/favicon.ico" rel="shortcut icon">
c13aae63 10 <title> Scholarships &mdash; LibrePlanet 2014</title>
3e93a766 11 <script>
12 /**
13 * @licstart The following is the entire license notice for the JavaScript code in this page.
14 *
15 * Copyright (C) 2013 Free Software Foundation, Inc
16
17 * Licensed under the Apache License, Version 2.0 (the
18 * "License"); you may not use this file except in compliance
19 * with the License. You may obtain a copy of the License at
20
21 * http://www.apache.org/licenses/LICENSE-2.0
22
23 * Unless required by applicable law or agreed to in writing,
24 * software distributed under the License is distributed on an
25 * "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND,
26 * either express or implied. See the License for the specific
27 * language governing permissions and limitations under the
28 * License.
29
30 *
31 * @licend The above is the entire license notice for the JavaScript code in this page.
32 **/
33 </script>
c13aae63 34 </head>
35 <body>
36
37 <div id="wrapper"> <!-- start of wrapper -->
38 <div class="lp-banner"> <!--start of lp banner -->
39 <div class="container"> <!-- start of container -->
40 <div class="row">
d61f4262 41 <div class="col-sm-6"> <!-- start of lp header -->
c13aae63 42 <div class="lp-head">
d61f4262 43 <a href="/2014/">
44 <img src="http://static.fsf.org/nosvn/libreplanet/2014/site/logo/lp_2014_logo.png"
45 class="img-responsive"
46 alt="[ LibrePlanet 2014 &mdash; Free Software, free society ]" />
47 </a>
48 <p class="text-muted">March 22nd-23rd 2014, MIT, Cambridge, MA</p>
c13aae63 49 </div>
50 </div><!-- end of lp header -->
d61f4262 51 <div class="col-sm-offset-3 col-sm-3"> <!-- start of Register button -->
c13aae63 52 <a class="btn btn-register-lp14 btn-lg btn-block"
53 href="https://libreplanet.org/2014/register">
54 <span class="glyphicon glyphicon-ok"></span>
55 Register now
56 </a>
57 <p class="text-muted text-center">
58 gratis for members and students!
59 </p>
60 </div> <!-- end of Register button -->
61 </div>
62 </div> <!-- end of header container -->
63 </div> <!-- end of lp banner -->
64
65 <div class="container"> <!-- start of container -->
66 <div class="row">
4631f20a 67<div class="col-sm-3"> <!-- start of nav items -->
c13aae63 68 <p class="text-center lp-home">
69 <a class="text-muted" href="/2014/">
70 <span class="glyphicon glyphicon-chevron-left"></span> Home
71 </a>
72 </p>
73 <ul class="nav nav-pills nav-stacked">
74 <!--<li><a href="/2014/call_for_sessions">Propose a session</a></li>-->
1fa4e2f2 75 <!--<li><a href="/2014/volunteer">Help plan LibrePlanet</a></li>-->
fdd80f1f 76 <li><a href="/2014/program">Program</a></li>
e601f89c 77 <li><a href="/2014/speakers">Speakers</a></li>
35825907 78 <li><a href="/2014/video/">Watch the video</a></li>
c13aae63 79 <li><a href="/2014/exhibit">Promotional opportunities</a></li>
80 <li>
81 <a href="https://libreplanet.org/wiki/LibrePlanet:Conference/2014/Conference_brainstorm">
82 Share your ideas</a></li>
4631f20a
ZR		 83 </ul>
84
85 <ul class="nav nav-pills nav-stacked">
86
1fa4e2f2 87 <li><a href="/2014/logistics">Getting around Cambridge</a></li>
f0299181 88 <!--<li class="active"><a href="/2014/scholarships">Scholarships (until January 10th)</a></li>-->
4631f20a
ZR		 89 <li><a href="/2014/scholarship_donation">Donate to the scholarship fund</a></li>
90
c13aae63 91 </ul>
4631f20a
ZR		 92
93
c13aae63 94 <ul class="nav nav-pills nav-stacked">
95 <li><a href="http://media.libreplanet.org/">LibrePlanet 2013 videos</a></li>
96 <li><a href="https://libreplanet.org/wiki/LibrePlanet:Conference">Previous conferences</a></li>
97 <li><a href="/2014/anti-harassment/">Anti-harassment policy</a></li>
98 <li class="fsf-donate">
99 <a href="https://my.fsf.org/associate/support_freedom">
100 <span class="glyphicon glyphicon-heart"></span>
101 Become an FSF member
102 </a>
103 </li>
104 </ul>
105 <p class="text-muted text-center">and attend the conference gratis!</p>
106 </div> <!-- end of nav items -->
107
108 <div class="col-sm-9"> <!-- start of Scholarships LP14 main text -->
109 <h2> Scholarship <small>application</small> </h2>
110
111 <p>We are offering a limited number of travel scholarships to assist with expenses related to attending LibrePlanet 2014. While we cannot offer stipends to everyone who applies, we will do our best to bring as many people as possible from as many communities as possible. We are generally unable to cover 100% of your travel and hotel costs, applicants should be prepared to cover some portion of travel expenses. <strong>The application deadline for travel stipends is Friday, January 10, 2014 at 22:00 UTC (17:00 EST).</strong></p>
112
1f27ee33 113 <p>One of the goals of our scholarship program is to increase participation by marginalized groups in our conference. We ask for information about your gender, racial, ethnic, and other identities to help us meet this goal. All of these fields are optional.</p>
114
c13aae63 115 <form action="https://crm.fsf.org/civicrm/profile/create?gid=250&amp;reset=1"
116 class="form-horizontal margin-top" method="post" name="Edit" id="Edit" role="form">
117
c13aae63 118 <div>
119 <input name="postURL" type="hidden"
120 value="https://www.libreplanet.org/2014/scholarships/confirmation.html" />
121 <input name="cancelURL" type="hidden"
122 value="https://www.libreplanet.org/2014" />
123 <input name="add_to_group" type="hidden" value="572" />
124 <input name="_qf_default" type="hidden" value="Edit:cancel" />
125 </div>
126
127 <div id="crm-container" class="crm-container crm-public" lang="en"
128 xml:lang="en">
129
130
c13aae63 131 <div id="editrow-first_name"
132 class="form-group">
133 <label class="col-sm-3 control-label" for="first_name">
134 First Name
135 <span class="field-required">*</span>
136 </label>
137 <div class="col-sm-5">
138 <input class="form-control"
139 name="first_name"
140 type="text" id="first_name" required>
141 </div>
142 </div>
143
144 <div id="editrow-last_name" class="form-group">
145 <label class="col-sm-3 control-label"
146 for="last_name">
147 Last Name
148 <span class="field-required">*</span>
149 </label>
150 <div class="col-sm-5">
151 <input
152 name="last_name"
153 type="text"
154 id="last_name"
155 class="form-control" required>
156 </div>
157 </div>
158
1f27ee33 159 <div id="editrow-email-Primary" class="form-group">
160 <label for="email-Primary" class="col-sm-3 control-label">
161 Email
162 <span class="field-required">*</span>
163 </label>
164
165 <div class="col-sm-5">
166 <input name="email-Primary"
167 class="form-control"
168 type="email" id="email-Primary"
169 placeholder="Your email address" required>
170 </div>
171 </div>
172
c13aae63 173 <div class="form-group"
174 id="helprow-street_address-Primary">
175 <div class="col-sm-offset-3 col-sm-5">
14eeabee 176 <p class="help-block scholarship-input-annotation">
c13aae63 177 <small>Please tell us where you're coming from.</small>
178 </p>
179 </div>
180 </div>
181
182 <div id="editrow-street_address-Primary" class="form-group">
183 <label class="col-sm-3 control-label"
184 for="street_address-Primary">
185 Street Address
186 </label>
187 <div class="col-sm-7">
188 <input name="street_address-Primary" type="text"
189 id="street_address-Primary" class="form-control">
190 </div>
191 </div>
192
193 <div id="editrow-city-Primary"
194 class="form-group">
195 <label class="col-sm-3 control-label" for="city-Primary">
196 City
197 </label>
198 <div
199 class="col-sm-5">
200 <input name="city-Primary" type="text" id="city-Primary" class="form-control"
201 />
202 </div>
203 </div>
204
205 <div id="editrow-postal_code-Primary" class="form-group">
206 <label class="col-sm-3 control-label"
207 for="postal_code-Primary">
208 Postal Code
209 </label>
210 <div class="col-sm-5">
211 <input
212 name="postal_code-Primary" type="text" id="postal_code-Primary"
213 class="form-control" />
214 </div>
215 </div>
216
217 <div id="editrow-country-Primary" class="form-group">
218 <label class="col-sm-3 control-label" for="country-Primary">
219 Country
220 <span class="field-required">*</span>
221 </label>
222 <div class="col-sm-5">
223 <select
224 name="country-Primary" id="country-Primary" class="form-control"
225 required>
226 <option value="">- select -</option>
227 <option value="1228" selected="selected">United States</option>
228 <option value="1001">Afghanistan</option>
229 <option value="1241">Åland Islands</option>
230 <option value="1002">Albania</option>
231 <option value="1003">Algeria</option>
232 <option value="1004">American Samoa</option>
233 <option value="1005">Andorra</option>
234 <option value="1006">Angola</option>
235 <option value="1007">Anguilla</option>
236 <option value="1008">Antarctica</option>
237 <option value="1009">Antigua and Barbuda</option>
238 <option value="1010">Argentina</option>
239 <option value="1011">Armenia</option>
240 <option value="1012">Aruba</option>
241 <option value="1013">Australia</option>
242 <option value="1014">Austria</option>
243 <option value="1015">Azerbaijan</option>
244 <option value="1212">Bahamas</option>
245 <option value="1016">Bahrain</option>
246 <option value="1017">Bangladesh</option>
247 <option value="1018">Barbados</option>
248 <option value="1019">Belarus</option>
249 <option value="1020">Belgium</option>
250 <option value="1021">Belize</option>
251 <option value="1022">Benin</option>
252 <option value="1023">Bermuda</option>
253 <option value="1024">Bhutan</option>
254 <option value="1025">Bolivia</option>
255 <option value="1250">Bonaire, Saint Eustatius and Saba</option>
256 <option value="1026">Bosnia and Herzegovina</option>
257 <option value="1027">Botswana</option>
258 <option value="1028">Bouvet Island</option>
259 <option value="1029">Brazil</option>
260 <option value="1030">British Indian Ocean Territory</option>
261 <option value="1032">Brunei Darussalam</option>
262 <option value="1033">Bulgaria</option>
263 <option value="1034">Burkina Faso</option>
264 <option value="1036">Burundi</option>
265 <option value="1037">Cambodia</option>
266 <option value="1038">Cameroon</option>
267 <option value="1039">Canada</option>
268 <option value="1040">Cape Verde</option>
269 <option value="1041">Cayman Islands</option>
270 <option value="1042">Central African Republic</option>
271 <option value="1043">Chad</option>
272 <option value="1044">Chile</option>
273 <option value="1045">China</option>
274 <option value="1046">Christmas Island</option>
275 <option value="1047">Cocos (Keeling) Islands</option>
276 <option value="1048">Colombia</option>
277 <option value="1049">Comoros</option>
278 <option value="1051">Congo, Republic of the</option>
279 <option value="1050">Congo, The Democratic Republic of the</option>
280 <option value="1052">Cook Islands</option>
281 <option value="1053">Costa Rica</option>
282 <option value="1054">Côte d'Ivoire</option>
283 <option value="1055">Croatia</option>
284 <option value="1056">Cuba</option>
285 <option value="1248">Curaçao</option>
286 <option value="1057">Cyprus</option>
287 <option value="1058">Czech Republic</option>
288 <option value="1059">Denmark</option>
289 <option value="1060">Djibouti</option>
290 <option value="1061">Dominica</option>
291 <option value="1062">Dominican Republic</option>
292 <option value="1064">Ecuador</option>
293 <option value="1065">Egypt</option>
294 <option value="1066">El Salvador</option>
295 <option value="1067">Equatorial Guinea</option>
296 <option value="1068">Eritrea</option>
297 <option value="1069">Estonia</option>
298 <option value="1070">Ethiopia</option>
299 <option value="1072">Falkland Islands (Malvinas)</option>
300 <option value="1073">Faroe Islands</option>
301 <option value="1074">Fiji</option>
302 <option value="1075">Finland</option>
303 <option value="1076">France</option>
304 <option value="1077">French Guiana</option>
305 <option value="1078">French Polynesia</option>
306 <option value="1079">French Southern Territories</option>
307 <option value="1080">Gabon</option>
308 <option value="1213">Gambia</option>
309 <option value="1081">Georgia</option>
310 <option value="1082">Germany</option>
311 <option value="1083">Ghana</option>
312 <option value="1084">Gibraltar</option>
313 <option value="1085">Greece</option>
314 <option value="1086">Greenland</option>
315 <option value="1087">Grenada</option>
316 <option value="1088">Guadeloupe</option>
317 <option value="1089">Guam</option>
318 <option value="1090">Guatemala</option>
319 <option value="1245">Guernsey</option>
320 <option value="1091">Guinea</option>
321 <option value="1092">Guinea-Bissau</option>
322 <option value="1093">Guyana</option>
323 <option value="1094">Haiti</option>
324 <option value="1095">Heard Island and McDonald Islands</option>
325 <option value="1096">Holy See (Vatican City State)</option>
326 <option value="1097">Honduras</option>
327 <option value="1098">Hong Kong</option>
328 <option value="1099">Hungary</option>
329 <option value="1100">Iceland</option>
330 <option value="1101">India</option>
331 <option value="1102">Indonesia</option>
332 <option value="1103">Iran, Islamic Republic of</option>
333 <option value="1104">Iraq</option>
334 <option value="1105">Ireland</option>
335 <option value="1246">Isle of Man</option>
336 <option value="1106">Israel</option>
337 <option value="1107">Italy</option>
338 <option value="1108">Jamaica</option>
339 <option value="1109">Japan</option>
340 <option value="1244">Jersey</option>
341 <option value="1110">Jordan</option>
342 <option value="1111">Kazakhstan</option>
343 <option value="1112">Kenya</option>
344 <option value="1113">Kiribati</option>
345 <option value="1114">Korea, Democratic People's Republic of</option>
346 <option value="1115">Korea, Republic of</option>
347 <option value="1251">Kosovo</option>
348 <option value="1116">Kuwait</option>
349 <option value="1117">Kyrgyzstan</option>
350 <option value="1118">Lao People's Democratic Republic</option>
351 <option value="1119">Latvia</option>
352 <option value="1120">Lebanon</option>
353 <option value="1121">Lesotho</option>
354 <option value="1122">Liberia</option>
355 <option value="1123">Libya</option>
356 <option value="1124">Liechtenstein</option>
357 <option value="1125">Lithuania</option>
358 <option value="1126">Luxembourg</option>
359 <option value="1127">Macao</option>
360 <option value="1128">Macedonia, Republic of</option>
361 <option value="1129">Madagascar</option>
362 <option value="1130">Malawi</option>
363 <option value="1131">Malaysia</option>
364 <option value="1132">Maldives</option>
365 <option value="1133">Mali</option>
366 <option value="1134">Malta</option>
367 <option value="1135">Marshall Islands</option>
368 <option value="1136">Martinique</option>
369 <option value="1137">Mauritania</option>
370 <option value="1138">Mauritius</option>
371 <option value="1139">Mayotte</option>
372 <option value="1140">Mexico</option>
373 <option value="1141">Micronesia, Federated States of</option>
374 <option value="1142">Moldova</option>
375 <option value="1143">Monaco</option>
376 <option value="1144">Mongolia</option>
377 <option value="1243">Montenegro</option>
378 <option value="1145">Montserrat</option>
379 <option value="1146">Morocco</option>
380 <option value="1147">Mozambique</option>
381 <option value="1035">Myanmar</option>
382 <option value="1148">Namibia</option>
383 <option value="1149">Nauru</option>
384 <option value="1150">Nepal</option>
385 <option value="1152">Netherlands</option>
386 <option value="1153">New Caledonia</option>
387 <option value="1154">New Zealand</option>
388 <option value="1155">Nicaragua</option>
389 <option value="1156">Niger</option>
390 <option value="1157">Nigeria</option>
391 <option value="1158">Niue</option>
392 <option value="1159">Norfolk Island</option>
393 <option value="1160">Northern Mariana Islands</option>
394 <option value="1161">Norway</option>
395 <option value="1162">Oman</option>
396 <option value="1163">Pakistan</option>
397 <option value="1164">Palau</option>
398 <option value="1165">Palestinian Territory, Occupied</option>
399 <option value="1166">Panama</option>
400 <option value="1167">Papua New Guinea</option>
401 <option value="1168">Paraguay</option>
402 <option value="1169">Peru</option>
403 <option value="1170">Philippines</option>
404 <option value="1171">Pitcairn</option>
405 <option value="1172">Poland</option>
406 <option value="1173">Portugal</option>
407 <option value="1174">Puerto Rico</option>
408 <option value="1175">Qatar</option>
409 <option value="1179">Reunion</option>
410 <option value="1176">Romania</option>
411 <option value="1177">Russian Federation</option>
412 <option value="1178">Rwanda</option>
413 <option value="1180">Saint Helena</option>
414 <option value="1181">Saint Kitts and Nevis</option>
415 <option value="1182">Saint Lucia</option>
416 <option value="1183">Saint Pierre and Miquelon</option>
417 <option value="1184">Saint Vincent and the Grenadines</option>
418 <option value="1185">Samoa</option>
419 <option value="1186">San Marino</option>
420 <option value="1207">Sao Tome and Principe</option>
421 <option value="1187">Saudi Arabia</option>
422 <option value="1188">Senegal</option>
423 <option value="1242">Serbia</option>
424 <option value="1238">Serbia and Montenegro</option>
425 <option value="1189">Seychelles</option>
426 <option value="1190">Sierra Leone</option>
427 <option value="1191">Singapore</option>
428 <option value="1249">Sint Maarten (Dutch Part)</option>
429 <option value="1192">Slovakia</option>
430 <option value="1193">Slovenia</option>
431 <option value="1194">Solomon Islands</option>
432 <option value="1195">Somalia</option>
433 <option value="1196">South Africa</option>
434 <option value="1197">South Georgia and the South Sandwich Islands</option>
435 <option value="1247">South Sudan</option>
436 <option value="1198">Spain</option>
437 <option value="1199">Sri Lanka</option>
438 <option value="1200">Sudan</option>
439 <option value="1201">Suriname</option>
440 <option value="1202">Svalbard and Jan Mayen</option>
441 <option value="1203">Swaziland</option>
442 <option value="1204">Sweden</option>
443 <option value="1205">Switzerland</option>
444 <option value="1206">Syrian Arab Republic</option>
445 <option value="1208">Taiwan</option>
446 <option value="1209">Tajikistan</option>
447 <option value="1210">Tanzania, United Republic of</option>
448 <option value="1211">Thailand</option>
449 <option value="1063">Timor-Leste</option>
450 <option value="1214">Togo</option>
451 <option value="1215">Tokelau</option>
452 <option value="1216">Tonga</option>
453 <option value="1217">Trinidad and Tobago</option>
454 <option value="1218">Tunisia</option>
455 <option value="1219">Turkey</option>
456 <option value="1220">Turkmenistan</option>
457 <option value="1221">Turks and Caicos Islands</option>
458 <option value="1222">Tuvalu</option>
459 <option value="1223">Uganda</option>
460 <option value="1224">Ukraine</option>
461 <option value="1225">United Arab Emirates</option>
462 <option value="1226">United Kingdom</option>
463 <option value="1227">United States Minor Outlying Islands</option>
464 <option value="1229">Uruguay</option>
465 <option value="1230">Uzbekistan</option>
466 <option value="1231">Vanuatu</option>
467 <option value="1232">Venezuela</option>
468 <option value="1233">Viet Nam</option>
469 <option value="1031">Virgin Islands, British</option>
470 <option value="1234">Virgin Islands, U.S.</option>
471 <option value="1235">Wallis and Futuna</option>
472 <option value="1236">Western Sahara</option>
473 <option value="1237">Yemen</option>
474 <option value="1239">Zambia</option>
475 <option value="1240">Zimbabwe</option>
476 </select>
477 </div>
478 </div>
479
480 <div id="editrow-state_province-Primary" class="form-group">
481 <label class="col-sm-3 control-label" for="state_province-Primary">
482 State or Province
483 </label>
484 <div class="col-sm-5">
485 <select name="state_province-Primary" id="state_province-Primary"
486 class="form-control">
487 <option value="">- select -</option>
488 <option value="1000">Alabama</option>
489 <option value="1001">Alaska</option>
490 <option value="1052">American Samoa</option>
491 <option value="1002">Arizona</option>
492 <option value="1003">Arkansas</option>
493 <option value="1060">Armed Forces Americas</option>
494 <option value="1059">Armed Forces Europe</option>
495 <option value="1061">Armed Forces Pacific</option>
496 <option value="1004">California</option>
497 <option value="1005">Colorado</option>
498 <option value="1006">Connecticut</option>
499 <option value="1007">Delaware</option>
500 <option value="1050">District of Columbia</option>
501 <option value="1008">Florida</option>
502 <option value="1009">Georgia</option>
503 <option value="1053">Guam</option>
504 <option value="1010">Hawaii</option>
505 <option value="1011">Idaho</option>
506 <option value="1012">Illinois</option>
507 <option value="1013">Indiana</option>
508 <option value="1014">Iowa</option>
509 <option value="1015">Kansas</option>
510 <option value="1016">Kentucky</option>
511 <option value="1017">Louisiana</option>
512 <option value="1018">Maine</option>
513 <option value="1019">Maryland</option>
514 <option value="1020">Massachusetts</option>
515 <option value="1021">Michigan</option>
516 <option value="1022">Minnesota</option>
517 <option value="1023">Mississippi</option>
518 <option value="1024">Missouri</option>
519 <option value="1025">Montana</option>
520 <option value="1026">Nebraska</option>
521 <option value="1027">Nevada</option>
522 <option value="1028">New Hampshire</option>
523 <option value="1029">New Jersey</option>
524 <option value="1030">New Mexico</option>
525 <option value="1031">New York</option>
526 <option value="1032">North Carolina</option>
527 <option value="1033">North Dakota</option>
528 <option value="1055">Northern Mariana Islands</option>
529 <option value="1034">Ohio</option>
530 <option value="1035">Oklahoma</option>
531 <option value="1036">Oregon</option>
532 <option value="1037">Pennsylvania</option>
533 <option value="1056">Puerto Rico</option>
534 <option value="1038">Rhode Island</option>
535 <option value="1039">South Carolina</option>
536 <option value="1040">South Dakota</option>
537 <option value="1041">Tennessee</option>
538 <option value="1042">Texas</option>
539 <option value="1058">United States Minor Outlying Islands</option>
540 <option value="1043">Utah</option>
541 <option value="1044">Vermont</option>
542 <option value="1057">Virgin Islands</option>
543 <option value="1045">Virginia</option>
544 <option value="1046">Washington</option>
545 <option value="1047">West Virginia</option>
546 <option value="1048">Wisconsin</option>
547 <option value="1049">Wyoming</option>
548 </select>
549 </div>
550 </div>
551
552 <hr/>
553
d42e41d1 554 <div id="editrow-custom_147"
555 class="form-group">
556 <label class="col-sm-3 control-label">Age</label>
557
558 <div class="col-sm-9">
559
1f27ee33 560 <label for="CIVICRM_QFID_20_or_under_2"
d42e41d1 561 class="radio-inline">
562 20 or under
563 <input value="20 or under" type="radio"
1f27ee33 564 id="CIVICRM_QFID_20_or_under_2"
d42e41d1 565 name="custom_147" /></label>&nbsp;
566
1f27ee33 567 <label for="CIVICRM_QFID_21_30_4"
d42e41d1 568 class="radio-inline">
569 21-30
570 <input value="21-30" type="radio"
1f27ee33 571 id="CIVICRM_QFID_21_30_4" name="custom_147" />
d42e41d1 572 </label>&nbsp;
573
574 <label class="radio-inline"
1f27ee33 575 for="CIVICRM_QFID_31_40_6">31-40
d42e41d1 576 <input value="31-40"
1f27ee33 577 type="radio" id="CIVICRM_QFID_31_40_6"
d42e41d1 578 name="custom_147" />
579 </label>&nbsp;
580
581 <label class="radio-inline"
1f27ee33 582 for="CIVICRM_QFID_41_50_8">
d42e41d1 583 41-50
584 <input value="41-50"
585 type="radio"
1f27ee33 586 id="CIVICRM_QFID_41_50_8"
d42e41d1 587 name="custom_147"/>
588 </label>&nbsp;
589
590 <label class="radio-inline"
1f27ee33 591 for="CIVICRM_QFID_51_60_10">51-60
d42e41d1 592 <input value="51-60"
1f27ee33 593 type="radio" id="CIVICRM_QFID_51_60_10"
d42e41d1 594 name="custom_147"/></label>&nbsp;
595
596 <label class="radio-inline"
1f27ee33 597 for="CIVICRM_QFID_61_12">61+
d42e41d1 598 <input value="61 +"
1f27ee33 599 type="radio" id="CIVICRM_QFID_61_12"
d42e41d1 600 name="custom_147"/></label>&nbsp;
601
602 <span class="radio-clear-link">
603 (<a href="#"
604 title="unselect"
605 onclick="unselectRadio('custom_147', 'Edit'); return false;">
606 clear</a>)</span>
c13aae63 607 </div>
608 </div>
609
c13aae63 610
1f27ee33 611 <div id="editrow-custom_155" class="form-group">
612 <label class="col-sm-3 control-label"
613 for="custom_155">
614 Gender
c13aae63 615 </label>
1f27ee33 616 <div class="col-sm-5">
617 <input name="custom_155" type="text" id="custom_155"
618 class="form-control" />
619 </div>
620 </div>
c13aae63 621
c13aae63 622
1f27ee33 623 <div id="editrow-custom_156" class="form-group">
624 <label class="col-sm-3 control-label"
625 for="custom_156">
626 Race/Ethnicity</label>
627 <div class="col-sm-5">
628 <input name="custom_156" type="text" id="custom_156"
629 class="form-control" />
c13aae63 630 </div>
631 </div>
632
1f27ee33 633 <div id="editrow-custom_150" class="form-group">
634 <label for="custom_150"
635 class="col-sm-3 control-label">
636 Additional Information
637 </label>
638 <div class="col-sm-9">
639 <textarea rows="4" name="custom_150" id="custom_150"
640 class="form-control"></textarea>
641 <p class="help-block"><small>We are working to increase the participation of marginalized groups at LibrePlanet. Please describe any other identity information you feel is important. These may include race, ethnicity, age, class background, ability/disability, national origin/citizenship status, gender, sexuality, religion/spiritual practice, geography/regional affiliations, education, types of work, etc.</small></p>
c13aae63 642 </div>
643 </div>
644
d42e41d1 645 <div id="editrow-custom_154" class="form-group">
646 <label class="col-sm-3 control-label" for="custom_154">
1f27ee33 647 Are there any special accommodations that would make it easier for you to attend LibrePlanet?
c13aae63 648 </label>
649 <div class="col-sm-9">
d42e41d1 650 <textarea rows="4" name="custom_154" id="custom_154"
c13aae63 651 class="form-control"></textarea>
1f27ee33 652 <p class="help-block"><small>Examples: ASL interpretation, wheelchair accessibility, etc.</small></p>
c13aae63 653 </div>
654 </div>
655
d42e41d1 656 <div id="editrow-custom_151" class="form-group">
657 <label class="col-sm-3 control-label" for="custom_151">
c13aae63 658 Why do you want to attend LibrePlanet 2014?</label>
659 <div class="col-sm-9">
660 <textarea
d42e41d1 661 rows="4" name="custom_151" id="custom_151"
c13aae63 662 class="form-control"></textarea>
663 </div>
664 </div>
665
d42e41d1 666 <div id="editrow-custom_152" class="form-group">
667 <label class="col-sm-3 control-label" for="custom_152">
c13aae63 668 How do you plan to bring your
669 experience back to your community?
670 </label>
671 <div class="col-sm-9">
d42e41d1 672 <textarea rows="4" name="custom_152" id="custom_152"
c13aae63 673 class="form-control"></textarea>
674 </div>
675 </div>
676
d42e41d1 677 <div id="editrow-custom_153" class="form-group">
1f27ee33 678 <label class="col-sm-3 control-label" for="custom_153">
c13aae63 679 Estimated travel and hotel expenses
680 </label>
681 <div class="col-sm-9">
d42e41d1 682 <textarea rows="4" name="custom_153" id="custom_153"
c13aae63 683 class="form-control"></textarea>
684 </div>
685 </div>
686 </div>
687
688 <!-- end form-layout-compressed for last profile -->
689
690 <div class="form-group">
1f27ee33 691 <div class="col-sm-12">
692 <p>
693 We will not publish or share
694 your information with any party outside the FSF. See our
695 <a href="https://my.fsf.org/donate/privacypolicy.html">
696 privacy policy</a> for more information.
697 </p>
698 </div>
c13aae63 699 </div>
700
701 <div class="form-group">
1f27ee33 702 <div class="col-sm-12">
703 <input class="btn btn-default"
704 accesskey="S" name="_qf_Edit_next"
705 value="Save" type="submit"
706 id="_qf_Edit_next" />
707 </div>
c13aae63 708 </div>
709
710 </form>
711
712
713 </div> <!-- end of Scholarships LP14 main text -->
714 </div>
715 </div> <!-- end of container -->
716
717 </div> <!-- end of wrapper -->
718
719 <div id="footer">
720 <div class="container">
721 <p class="text-muted text-center">
722 The <a href="http://www.fsf.org/">Free Software
723 Foundation</a> is a nonprofit with a worldwide mission to
7ed1ed65 724 advance software freedom. LibrePlanet 2014 is produced in partnership by the <a href="https://www.fsf.org">Free Software Foundation</a> with the <a href="http://sipb.mit.edu/">Student Information Processing Board (SIPB)</a> at MIT.
c13aae63 725 <a href="https://my.fsf.org/associate/support_freedom">
726 Donate</a>.
727 </p>
728
729 <p class="text-muted text-center">
730 <a rel="license"
731 href="http://creativecommons.org/licenses/by-sa/3.0/us/">
732 <img alt="[ Creative Commons License ]" style="border-width:0"
733 src="//i.creativecommons.org/l/by-sa/3.0/80x15.png" />
734 </a>
735 This page and its images, logos and videos are licensed under a <br />
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737 href="http://creativecommons.org/licenses/by-sa/3.0/us/">
738 Creative Commons Attribution-ShareAlike 3.0 US
739 </a>.
740 Copyright &copy; 2013 Free Software Foundation.
741 </p>
742
743 <p class="text-muted text-center">
744 <a href="http://weblabels.fsf.org/libreplanet.org/CURRENT/" rel="jslicense">
745 JavaScript license information
746 </a>
747 </p>
748
749 <p class="text-muted text-center">
750 This site, including fonts, CSS, and JavaScript, was built using
751 <a href="http://getbootstrap.com">Bootstrap</a>,
752 which is licensed under the
753 <a href="https://directory.fsf.org/wiki/License:Apache2.0">
754 Apache 2.0 license</a>.
755 </p>
756 </div>
757 </div>
758
759 <script type="text/javascript"
760 src="/2014/assets/js/jquery-1.8.3.min.js">
761 </script>
762
763 <script type="text/javascript"
764 src="/2014/assets/js/jquery.chainedSelects.js">
765 </script>
766
767 <script type="text/javascript"
768 src="/2014/assets/js/jquery.form.js">
769 </script>
770
771 <script type="text/javascript"
772 src="/2014/assets/js/Common.js">
773 </script>
774
c13aae63 775 <script type="text/javascript">
e37cf2df 776 // @license magnet:?xt=urn:btih:8e4f440f4c65981c5bf93c76d35135ba5064d8b7&dn=apache-2.0.txt
c13aae63 777
778 var cj = jQuery.noConflict(); $ = cj;
779
780 cj(function() {
781 countryID = "#country-Primary"
782 stateProvinceID = "#state_province-Primary"
783 callbackURL = "https://crm.fsf.org/civicrm/ajax/jqState"
784 cj(countryID).chainSelect(stateProvinceID, callbackURL, null);
785 });
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788 </body>
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