/2014/ chmod 755 (for SSI includes).
[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" />
b8632935 9 <link href="/server/lp-common.css" rel="stylesheet" media="screen" />
32fad69a 10 <link href="https://static.fsf.org/fsforg/img/favicon.ico" rel="shortcut icon">
c13aae63 11 <title> Scholarships &mdash; LibrePlanet 2014</title>
3e93a766 12 <script>
13 /**
14 * @licstart The following is the entire license notice for the JavaScript code in this page.
15 *
16 * Copyright (C) 2013 Free Software Foundation, Inc
17
18 * Licensed under the Apache License, Version 2.0 (the
19 * "License"); you may not use this file except in compliance
20 * with the License. You may obtain a copy of the License at
21
22 * http://www.apache.org/licenses/LICENSE-2.0
23
24 * Unless required by applicable law or agreed to in writing,
25 * software distributed under the License is distributed on an
26 * "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND,
27 * either express or implied. See the License for the specific
28 * language governing permissions and limitations under the
29 * License.
30
31 *
32 * @licend The above is the entire license notice for the JavaScript code in this page.
33 **/
34 </script>
c13aae63 35 </head>
36 <body>
37
38 <div id="wrapper"> <!-- start of wrapper -->
b8632935 39 <!--#include virtual="/server/lp-archived.html"-->
c13aae63 40 <div class="lp-banner"> <!--start of lp banner -->
41 <div class="container"> <!-- start of container -->
42 <div class="row">
adc69873 43 <div class="lp-head"> <!-- start of lp header -->
44 <div class="col-sm-3">
d61f4262 45 <a href="/2014/">
7897d43b 46 <img src="//static.fsf.org/nosvn/libreplanet/2014/site/logo/lp_2014_logo.png"
d61f4262 47 class="img-responsive"
48 alt="[ LibrePlanet 2014 &mdash; Free Software, free society ]" />
49 </a>
adc69873 50 </div>
51 <div class="col-sm-3">
52 <p class="text-muted">
53 March 22<sup>nd</sup>-23<sup>rd</sup><br />
54 MIT, Cambridge, MA</p>
c13aae63 55 </div>
56 </div><!-- end of lp header -->
6eaf7d91
ZR
57 <div class="col-sm-6"> <!-- start of signup form -->
58 <form role="form" class="margin-top lp-signup"
47a032d5 59 action="https://my.fsf.org/civicrm/profile/create?gid=285&amp;reset=1"
6eaf7d91
ZR
60 method="post" name="Edit" id="Edit">
61 <div>
62 <input name="postURL" type="hidden" value="https://libreplanet.org/2014/confirmation.html" />
63 <input name="cancelURL" type="hidden"
47a032d5 64 value="https://my.fsf.org/civicrm/profile?reset=1&amp;gid=285" />
6eaf7d91
ZR
65 <input name="add_to_group" type="hidden" value="619" />
66 <input name="_qf_default" type="hidden" value="Edit:cancel" />
67 </div>
68
69 <div id="crm-container" lang="en" xml:lang="en">
70 <p>Sign up for updates on LibrePlanet 2015!</p>
71 <div id="editrow-email-Primary"
72 class="form-group">
73 <label class="sr-only" for="email-Primary">
74 Email
75 </label>
76 <div class="input-group">
77 <input class="form-control"
78 name="email-Primary"
79 id="email-Primary"
80 type="email"
81 placeholder="Your email address" required>
82 <span class="input-group-btn">
83 <button type="submit" class="btn btn-default"
84 accesskey="S" name="_qf_Edit_next" value="Save"
85 id="_qf_Edit_next">
86 Receive updates
87 </button>
88 </span>
89 </div>
90 </div>
91 <div id="editrow-custom_79">
92 <div class="checkbox">
93 <input
94 type="hidden" name="custom_79[yes]" value="" />
95 <label class="lp-label-news">
96 <input id="custom_79_yes"
97 name="custom_79[yes]" type="checkbox" value="1" checked="checked"
98 class="checkbox" />
99 Also join the FSF's newsletter
100 </label>
101 &middot;
102 <p class="help-block">
103 <a href="https://my.fsf.org/donate/privacypolicy.html">Read our privacy policy.</a></p>
104 </div>
105 </div>
106 </div>
107 </form>
108 </div> <!-- end of signup form -->
109
110<!-- REGISTER BUTTON
111 <div class="col-sm-offset-3 col-sm-3"> // start of Register button
c13aae63 112 <a class="btn btn-register-lp14 btn-lg btn-block"
113 href="https://libreplanet.org/2014/register">
114 <span class="glyphicon glyphicon-ok"></span>
115 Register now
116 </a>
117 <p class="text-muted text-center">
118 gratis for members and students!
119 </p>
6eaf7d91
ZR
120 </div> //end of Register button
121-->
c13aae63 122 </div>
123 </div> <!-- end of header container -->
124 </div> <!-- end of lp banner -->
c13aae63 125 <div class="container"> <!-- start of container -->
126 <div class="row">
92cc41e3 127 <div id="lp-nav" class="col-sm-3"> <!-- start of nav items -->
c13aae63 128 <p class="text-center lp-home">
129 <a class="text-muted" href="/2014/">
130 <span class="glyphicon glyphicon-chevron-left"></span> Home
131 </a>
132 </p>
133 <ul class="nav nav-pills nav-stacked">
134 <!--<li><a href="/2014/call_for_sessions">Propose a session</a></li>-->
fdd80f1f 135 <li><a href="/2014/program">Program</a></li>
ce129fd5 136 <li><a href="/2014/program/exhibit_hall.html">Exhibit hall</a></li>
137 <li><a href="/2014/live">Participate online</a></li>
35825907 138 <li><a href="/2014/video/">Watch the video</a></li>
4631f20a
ZR
139 </ul>
140
141 <ul class="nav nav-pills nav-stacked">
1fa4e2f2 142 <li><a href="/2014/logistics">Getting around Cambridge</a></li>
f0299181 143 <!--<li class="active"><a href="/2014/scholarships">Scholarships (until January 10th)</a></li>-->
8ef0a881 144 <li><a href="/2014/volunteer">Volunteer</a></li>
4631f20a 145 <li><a href="/2014/scholarship_donation">Donate to the scholarship fund</a></li>
c13aae63 146 </ul>
4631f20a
ZR
147
148
c13aae63 149 <ul class="nav nav-pills nav-stacked">
ce129fd5 150 <li>
151 <a href="https://libreplanet.org/wiki/LibrePlanet:Conference/2014/Conference_brainstorm">
152 Share your ideas</a></li>
c13aae63 153 <li><a href="http://media.libreplanet.org/">LibrePlanet 2013 videos</a></li>
154 <li><a href="https://libreplanet.org/wiki/LibrePlanet:Conference">Previous conferences</a></li>
155 <li><a href="/2014/anti-harassment/">Anti-harassment policy</a></li>
156 <li class="fsf-donate">
157 <a href="https://my.fsf.org/associate/support_freedom">
158 <span class="glyphicon glyphicon-heart"></span>
159 Become an FSF member
160 </a>
161 </li>
162 </ul>
163 <p class="text-muted text-center">and attend the conference gratis!</p>
164 </div> <!-- end of nav items -->
165
92cc41e3 166 <div id="lp-content" class="col-sm-9"> <!-- start of Scholarships LP14 main text -->
c13aae63 167 <h2> Scholarship <small>application</small> </h2>
168
169 <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>
170
1f27ee33 171 <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>
172
47a032d5 173 <form action="https://my.fsf.org/civicrm/profile/create?gid=250&amp;reset=1"
c13aae63 174 class="form-horizontal margin-top" method="post" name="Edit" id="Edit" role="form">
175
c13aae63 176 <div>
177 <input name="postURL" type="hidden"
178 value="https://www.libreplanet.org/2014/scholarships/confirmation.html" />
179 <input name="cancelURL" type="hidden"
180 value="https://www.libreplanet.org/2014" />
181 <input name="add_to_group" type="hidden" value="572" />
182 <input name="_qf_default" type="hidden" value="Edit:cancel" />
183 </div>
184
185 <div id="crm-container" class="crm-container crm-public" lang="en"
186 xml:lang="en">
187
188
c13aae63 189 <div id="editrow-first_name"
190 class="form-group">
191 <label class="col-sm-3 control-label" for="first_name">
192 First Name
193 <span class="field-required">*</span>
194 </label>
195 <div class="col-sm-5">
196 <input class="form-control"
197 name="first_name"
198 type="text" id="first_name" required>
199 </div>
200 </div>
201
202 <div id="editrow-last_name" class="form-group">
203 <label class="col-sm-3 control-label"
204 for="last_name">
205 Last Name
206 <span class="field-required">*</span>
207 </label>
208 <div class="col-sm-5">
209 <input
210 name="last_name"
211 type="text"
212 id="last_name"
213 class="form-control" required>
214 </div>
215 </div>
216
1f27ee33 217 <div id="editrow-email-Primary" class="form-group">
218 <label for="email-Primary" class="col-sm-3 control-label">
219 Email
220 <span class="field-required">*</span>
221 </label>
222
223 <div class="col-sm-5">
224 <input name="email-Primary"
225 class="form-control"
226 type="email" id="email-Primary"
227 placeholder="Your email address" required>
228 </div>
229 </div>
230
c13aae63 231 <div class="form-group"
232 id="helprow-street_address-Primary">
233 <div class="col-sm-offset-3 col-sm-5">
14eeabee 234 <p class="help-block scholarship-input-annotation">
c13aae63 235 <small>Please tell us where you're coming from.</small>
236 </p>
237 </div>
238 </div>
239
240 <div id="editrow-street_address-Primary" class="form-group">
241 <label class="col-sm-3 control-label"
242 for="street_address-Primary">
243 Street Address
244 </label>
245 <div class="col-sm-7">
246 <input name="street_address-Primary" type="text"
247 id="street_address-Primary" class="form-control">
248 </div>
249 </div>
250
251 <div id="editrow-city-Primary"
252 class="form-group">
253 <label class="col-sm-3 control-label" for="city-Primary">
254 City
255 </label>
256 <div
257 class="col-sm-5">
258 <input name="city-Primary" type="text" id="city-Primary" class="form-control"
259 />
260 </div>
261 </div>
262
263 <div id="editrow-postal_code-Primary" class="form-group">
264 <label class="col-sm-3 control-label"
265 for="postal_code-Primary">
266 Postal Code
267 </label>
268 <div class="col-sm-5">
269 <input
270 name="postal_code-Primary" type="text" id="postal_code-Primary"
271 class="form-control" />
272 </div>
273 </div>
274
275 <div id="editrow-country-Primary" class="form-group">
276 <label class="col-sm-3 control-label" for="country-Primary">
277 Country
278 <span class="field-required">*</span>
279 </label>
280 <div class="col-sm-5">
281 <select
282 name="country-Primary" id="country-Primary" class="form-control"
283 required>
284 <option value="">- select -</option>
285 <option value="1228" selected="selected">United States</option>
286 <option value="1001">Afghanistan</option>
287 <option value="1241">Ã…land Islands</option>
288 <option value="1002">Albania</option>
289 <option value="1003">Algeria</option>
290 <option value="1004">American Samoa</option>
291 <option value="1005">Andorra</option>
292 <option value="1006">Angola</option>
293 <option value="1007">Anguilla</option>
294 <option value="1008">Antarctica</option>
295 <option value="1009">Antigua and Barbuda</option>
296 <option value="1010">Argentina</option>
297 <option value="1011">Armenia</option>
298 <option value="1012">Aruba</option>
299 <option value="1013">Australia</option>
300 <option value="1014">Austria</option>
301 <option value="1015">Azerbaijan</option>
302 <option value="1212">Bahamas</option>
303 <option value="1016">Bahrain</option>
304 <option value="1017">Bangladesh</option>
305 <option value="1018">Barbados</option>
306 <option value="1019">Belarus</option>
307 <option value="1020">Belgium</option>
308 <option value="1021">Belize</option>
309 <option value="1022">Benin</option>
310 <option value="1023">Bermuda</option>
311 <option value="1024">Bhutan</option>
312 <option value="1025">Bolivia</option>
313 <option value="1250">Bonaire, Saint Eustatius and Saba</option>
314 <option value="1026">Bosnia and Herzegovina</option>
315 <option value="1027">Botswana</option>
316 <option value="1028">Bouvet Island</option>
317 <option value="1029">Brazil</option>
318 <option value="1030">British Indian Ocean Territory</option>
319 <option value="1032">Brunei Darussalam</option>
320 <option value="1033">Bulgaria</option>
321 <option value="1034">Burkina Faso</option>
322 <option value="1036">Burundi</option>
323 <option value="1037">Cambodia</option>
324 <option value="1038">Cameroon</option>
325 <option value="1039">Canada</option>
326 <option value="1040">Cape Verde</option>
327 <option value="1041">Cayman Islands</option>
328 <option value="1042">Central African Republic</option>
329 <option value="1043">Chad</option>
330 <option value="1044">Chile</option>
331 <option value="1045">China</option>
332 <option value="1046">Christmas Island</option>
333 <option value="1047">Cocos (Keeling) Islands</option>
334 <option value="1048">Colombia</option>
335 <option value="1049">Comoros</option>
336 <option value="1051">Congo, Republic of the</option>
337 <option value="1050">Congo, The Democratic Republic of the</option>
338 <option value="1052">Cook Islands</option>
339 <option value="1053">Costa Rica</option>
340 <option value="1054">Côte d'Ivoire</option>
341 <option value="1055">Croatia</option>
342 <option value="1056">Cuba</option>
343 <option value="1248">Curaçao</option>
344 <option value="1057">Cyprus</option>
345 <option value="1058">Czech Republic</option>
346 <option value="1059">Denmark</option>
347 <option value="1060">Djibouti</option>
348 <option value="1061">Dominica</option>
349 <option value="1062">Dominican Republic</option>
350 <option value="1064">Ecuador</option>
351 <option value="1065">Egypt</option>
352 <option value="1066">El Salvador</option>
353 <option value="1067">Equatorial Guinea</option>
354 <option value="1068">Eritrea</option>
355 <option value="1069">Estonia</option>
356 <option value="1070">Ethiopia</option>
357 <option value="1072">Falkland Islands (Malvinas)</option>
358 <option value="1073">Faroe Islands</option>
359 <option value="1074">Fiji</option>
360 <option value="1075">Finland</option>
361 <option value="1076">France</option>
362 <option value="1077">French Guiana</option>
363 <option value="1078">French Polynesia</option>
364 <option value="1079">French Southern Territories</option>
365 <option value="1080">Gabon</option>
366 <option value="1213">Gambia</option>
367 <option value="1081">Georgia</option>
368 <option value="1082">Germany</option>
369 <option value="1083">Ghana</option>
370 <option value="1084">Gibraltar</option>
371 <option value="1085">Greece</option>
372 <option value="1086">Greenland</option>
373 <option value="1087">Grenada</option>
374 <option value="1088">Guadeloupe</option>
375 <option value="1089">Guam</option>
376 <option value="1090">Guatemala</option>
377 <option value="1245">Guernsey</option>
378 <option value="1091">Guinea</option>
379 <option value="1092">Guinea-Bissau</option>
380 <option value="1093">Guyana</option>
381 <option value="1094">Haiti</option>
382 <option value="1095">Heard Island and McDonald Islands</option>
383 <option value="1096">Holy See (Vatican City State)</option>
384 <option value="1097">Honduras</option>
385 <option value="1098">Hong Kong</option>
386 <option value="1099">Hungary</option>
387 <option value="1100">Iceland</option>
388 <option value="1101">India</option>
389 <option value="1102">Indonesia</option>
390 <option value="1103">Iran, Islamic Republic of</option>
391 <option value="1104">Iraq</option>
392 <option value="1105">Ireland</option>
393 <option value="1246">Isle of Man</option>
394 <option value="1106">Israel</option>
395 <option value="1107">Italy</option>
396 <option value="1108">Jamaica</option>
397 <option value="1109">Japan</option>
398 <option value="1244">Jersey</option>
399 <option value="1110">Jordan</option>
400 <option value="1111">Kazakhstan</option>
401 <option value="1112">Kenya</option>
402 <option value="1113">Kiribati</option>
403 <option value="1114">Korea, Democratic People's Republic of</option>
404 <option value="1115">Korea, Republic of</option>
405 <option value="1251">Kosovo</option>
406 <option value="1116">Kuwait</option>
407 <option value="1117">Kyrgyzstan</option>
408 <option value="1118">Lao People's Democratic Republic</option>
409 <option value="1119">Latvia</option>
410 <option value="1120">Lebanon</option>
411 <option value="1121">Lesotho</option>
412 <option value="1122">Liberia</option>
413 <option value="1123">Libya</option>
414 <option value="1124">Liechtenstein</option>
415 <option value="1125">Lithuania</option>
416 <option value="1126">Luxembourg</option>
417 <option value="1127">Macao</option>
418 <option value="1128">Macedonia, Republic of</option>
419 <option value="1129">Madagascar</option>
420 <option value="1130">Malawi</option>
421 <option value="1131">Malaysia</option>
422 <option value="1132">Maldives</option>
423 <option value="1133">Mali</option>
424 <option value="1134">Malta</option>
425 <option value="1135">Marshall Islands</option>
426 <option value="1136">Martinique</option>
427 <option value="1137">Mauritania</option>
428 <option value="1138">Mauritius</option>
429 <option value="1139">Mayotte</option>
430 <option value="1140">Mexico</option>
431 <option value="1141">Micronesia, Federated States of</option>
432 <option value="1142">Moldova</option>
433 <option value="1143">Monaco</option>
434 <option value="1144">Mongolia</option>
435 <option value="1243">Montenegro</option>
436 <option value="1145">Montserrat</option>
437 <option value="1146">Morocco</option>
438 <option value="1147">Mozambique</option>
439 <option value="1035">Myanmar</option>
440 <option value="1148">Namibia</option>
441 <option value="1149">Nauru</option>
442 <option value="1150">Nepal</option>
443 <option value="1152">Netherlands</option>
444 <option value="1153">New Caledonia</option>
445 <option value="1154">New Zealand</option>
446 <option value="1155">Nicaragua</option>
447 <option value="1156">Niger</option>
448 <option value="1157">Nigeria</option>
449 <option value="1158">Niue</option>
450 <option value="1159">Norfolk Island</option>
451 <option value="1160">Northern Mariana Islands</option>
452 <option value="1161">Norway</option>
453 <option value="1162">Oman</option>
454 <option value="1163">Pakistan</option>
455 <option value="1164">Palau</option>
456 <option value="1165">Palestinian Territory, Occupied</option>
457 <option value="1166">Panama</option>
458 <option value="1167">Papua New Guinea</option>
459 <option value="1168">Paraguay</option>
460 <option value="1169">Peru</option>
461 <option value="1170">Philippines</option>
462 <option value="1171">Pitcairn</option>
463 <option value="1172">Poland</option>
464 <option value="1173">Portugal</option>
465 <option value="1174">Puerto Rico</option>
466 <option value="1175">Qatar</option>
467 <option value="1179">Reunion</option>
468 <option value="1176">Romania</option>
469 <option value="1177">Russian Federation</option>
470 <option value="1178">Rwanda</option>
471 <option value="1180">Saint Helena</option>
472 <option value="1181">Saint Kitts and Nevis</option>
473 <option value="1182">Saint Lucia</option>
474 <option value="1183">Saint Pierre and Miquelon</option>
475 <option value="1184">Saint Vincent and the Grenadines</option>
476 <option value="1185">Samoa</option>
477 <option value="1186">San Marino</option>
478 <option value="1207">Sao Tome and Principe</option>
479 <option value="1187">Saudi Arabia</option>
480 <option value="1188">Senegal</option>
481 <option value="1242">Serbia</option>
482 <option value="1238">Serbia and Montenegro</option>
483 <option value="1189">Seychelles</option>
484 <option value="1190">Sierra Leone</option>
485 <option value="1191">Singapore</option>
486 <option value="1249">Sint Maarten (Dutch Part)</option>
487 <option value="1192">Slovakia</option>
488 <option value="1193">Slovenia</option>
489 <option value="1194">Solomon Islands</option>
490 <option value="1195">Somalia</option>
491 <option value="1196">South Africa</option>
492 <option value="1197">South Georgia and the South Sandwich Islands</option>
493 <option value="1247">South Sudan</option>
494 <option value="1198">Spain</option>
495 <option value="1199">Sri Lanka</option>
496 <option value="1200">Sudan</option>
497 <option value="1201">Suriname</option>
498 <option value="1202">Svalbard and Jan Mayen</option>
499 <option value="1203">Swaziland</option>
500 <option value="1204">Sweden</option>
501 <option value="1205">Switzerland</option>
502 <option value="1206">Syrian Arab Republic</option>
503 <option value="1208">Taiwan</option>
504 <option value="1209">Tajikistan</option>
505 <option value="1210">Tanzania, United Republic of</option>
506 <option value="1211">Thailand</option>
507 <option value="1063">Timor-Leste</option>
508 <option value="1214">Togo</option>
509 <option value="1215">Tokelau</option>
510 <option value="1216">Tonga</option>
511 <option value="1217">Trinidad and Tobago</option>
512 <option value="1218">Tunisia</option>
513 <option value="1219">Turkey</option>
514 <option value="1220">Turkmenistan</option>
515 <option value="1221">Turks and Caicos Islands</option>
516 <option value="1222">Tuvalu</option>
517 <option value="1223">Uganda</option>
518 <option value="1224">Ukraine</option>
519 <option value="1225">United Arab Emirates</option>
520 <option value="1226">United Kingdom</option>
521 <option value="1227">United States Minor Outlying Islands</option>
522 <option value="1229">Uruguay</option>
523 <option value="1230">Uzbekistan</option>
524 <option value="1231">Vanuatu</option>
525 <option value="1232">Venezuela</option>
526 <option value="1233">Viet Nam</option>
527 <option value="1031">Virgin Islands, British</option>
528 <option value="1234">Virgin Islands, U.S.</option>
529 <option value="1235">Wallis and Futuna</option>
530 <option value="1236">Western Sahara</option>
531 <option value="1237">Yemen</option>
532 <option value="1239">Zambia</option>
533 <option value="1240">Zimbabwe</option>
534 </select>
535 </div>
536 </div>
537
538 <div id="editrow-state_province-Primary" class="form-group">
539 <label class="col-sm-3 control-label" for="state_province-Primary">
540 State or Province
541 </label>
542 <div class="col-sm-5">
543 <select name="state_province-Primary" id="state_province-Primary"
544 class="form-control">
545 <option value="">- select -</option>
546 <option value="1000">Alabama</option>
547 <option value="1001">Alaska</option>
548 <option value="1052">American Samoa</option>
549 <option value="1002">Arizona</option>
550 <option value="1003">Arkansas</option>
551 <option value="1060">Armed Forces Americas</option>
552 <option value="1059">Armed Forces Europe</option>
553 <option value="1061">Armed Forces Pacific</option>
554 <option value="1004">California</option>
555 <option value="1005">Colorado</option>
556 <option value="1006">Connecticut</option>
557 <option value="1007">Delaware</option>
558 <option value="1050">District of Columbia</option>
559 <option value="1008">Florida</option>
560 <option value="1009">Georgia</option>
561 <option value="1053">Guam</option>
562 <option value="1010">Hawaii</option>
563 <option value="1011">Idaho</option>
564 <option value="1012">Illinois</option>
565 <option value="1013">Indiana</option>
566 <option value="1014">Iowa</option>
567 <option value="1015">Kansas</option>
568 <option value="1016">Kentucky</option>
569 <option value="1017">Louisiana</option>
570 <option value="1018">Maine</option>
571 <option value="1019">Maryland</option>
572 <option value="1020">Massachusetts</option>
573 <option value="1021">Michigan</option>
574 <option value="1022">Minnesota</option>
575 <option value="1023">Mississippi</option>
576 <option value="1024">Missouri</option>
577 <option value="1025">Montana</option>
578 <option value="1026">Nebraska</option>
579 <option value="1027">Nevada</option>
580 <option value="1028">New Hampshire</option>
581 <option value="1029">New Jersey</option>
582 <option value="1030">New Mexico</option>
583 <option value="1031">New York</option>
584 <option value="1032">North Carolina</option>
585 <option value="1033">North Dakota</option>
586 <option value="1055">Northern Mariana Islands</option>
587 <option value="1034">Ohio</option>
588 <option value="1035">Oklahoma</option>
589 <option value="1036">Oregon</option>
590 <option value="1037">Pennsylvania</option>
591 <option value="1056">Puerto Rico</option>
592 <option value="1038">Rhode Island</option>
593 <option value="1039">South Carolina</option>
594 <option value="1040">South Dakota</option>
595 <option value="1041">Tennessee</option>
596 <option value="1042">Texas</option>
597 <option value="1058">United States Minor Outlying Islands</option>
598 <option value="1043">Utah</option>
599 <option value="1044">Vermont</option>
600 <option value="1057">Virgin Islands</option>
601 <option value="1045">Virginia</option>
602 <option value="1046">Washington</option>
603 <option value="1047">West Virginia</option>
604 <option value="1048">Wisconsin</option>
605 <option value="1049">Wyoming</option>
606 </select>
607 </div>
608 </div>
609
610 <hr/>
611
d42e41d1 612 <div id="editrow-custom_147"
613 class="form-group">
614 <label class="col-sm-3 control-label">Age</label>
615
616 <div class="col-sm-9">
617
1f27ee33 618 <label for="CIVICRM_QFID_20_or_under_2"
d42e41d1 619 class="radio-inline">
620 20 or under
621 <input value="20 or under" type="radio"
1f27ee33 622 id="CIVICRM_QFID_20_or_under_2"
d42e41d1 623 name="custom_147" /></label>&nbsp;
624
1f27ee33 625 <label for="CIVICRM_QFID_21_30_4"
d42e41d1 626 class="radio-inline">
627 21-30
628 <input value="21-30" type="radio"
1f27ee33 629 id="CIVICRM_QFID_21_30_4" name="custom_147" />
d42e41d1 630 </label>&nbsp;
631
632 <label class="radio-inline"
1f27ee33 633 for="CIVICRM_QFID_31_40_6">31-40
d42e41d1 634 <input value="31-40"
1f27ee33 635 type="radio" id="CIVICRM_QFID_31_40_6"
d42e41d1 636 name="custom_147" />
637 </label>&nbsp;
638
639 <label class="radio-inline"
1f27ee33 640 for="CIVICRM_QFID_41_50_8">
d42e41d1 641 41-50
642 <input value="41-50"
643 type="radio"
1f27ee33 644 id="CIVICRM_QFID_41_50_8"
d42e41d1 645 name="custom_147"/>
646 </label>&nbsp;
647
648 <label class="radio-inline"
1f27ee33 649 for="CIVICRM_QFID_51_60_10">51-60
d42e41d1 650 <input value="51-60"
1f27ee33 651 type="radio" id="CIVICRM_QFID_51_60_10"
d42e41d1 652 name="custom_147"/></label>&nbsp;
653
654 <label class="radio-inline"
1f27ee33 655 for="CIVICRM_QFID_61_12">61+
d42e41d1 656 <input value="61 +"
1f27ee33 657 type="radio" id="CIVICRM_QFID_61_12"
d42e41d1 658 name="custom_147"/></label>&nbsp;
659
660 <span class="radio-clear-link">
661 (<a href="#"
662 title="unselect"
663 onclick="unselectRadio('custom_147', 'Edit'); return false;">
664 clear</a>)</span>
c13aae63 665 </div>
666 </div>
667
c13aae63 668
1f27ee33 669 <div id="editrow-custom_155" class="form-group">
670 <label class="col-sm-3 control-label"
671 for="custom_155">
672 Gender
c13aae63 673 </label>
1f27ee33 674 <div class="col-sm-5">
675 <input name="custom_155" type="text" id="custom_155"
676 class="form-control" />
677 </div>
678 </div>
c13aae63 679
c13aae63 680
1f27ee33 681 <div id="editrow-custom_156" class="form-group">
682 <label class="col-sm-3 control-label"
683 for="custom_156">
684 Race/Ethnicity</label>
685 <div class="col-sm-5">
686 <input name="custom_156" type="text" id="custom_156"
687 class="form-control" />
c13aae63 688 </div>
689 </div>
690
1f27ee33 691 <div id="editrow-custom_150" class="form-group">
692 <label for="custom_150"
693 class="col-sm-3 control-label">
694 Additional Information
695 </label>
696 <div class="col-sm-9">
697 <textarea rows="4" name="custom_150" id="custom_150"
698 class="form-control"></textarea>
699 <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 700 </div>
701 </div>
702
d42e41d1 703 <div id="editrow-custom_154" class="form-group">
704 <label class="col-sm-3 control-label" for="custom_154">
1f27ee33 705 Are there any special accommodations that would make it easier for you to attend LibrePlanet?
c13aae63 706 </label>
707 <div class="col-sm-9">
d42e41d1 708 <textarea rows="4" name="custom_154" id="custom_154"
c13aae63 709 class="form-control"></textarea>
1f27ee33 710 <p class="help-block"><small>Examples: ASL interpretation, wheelchair accessibility, etc.</small></p>
c13aae63 711 </div>
712 </div>
713
d42e41d1 714 <div id="editrow-custom_151" class="form-group">
715 <label class="col-sm-3 control-label" for="custom_151">
c13aae63 716 Why do you want to attend LibrePlanet 2014?</label>
717 <div class="col-sm-9">
718 <textarea
d42e41d1 719 rows="4" name="custom_151" id="custom_151"
c13aae63 720 class="form-control"></textarea>
721 </div>
722 </div>
723
d42e41d1 724 <div id="editrow-custom_152" class="form-group">
725 <label class="col-sm-3 control-label" for="custom_152">
c13aae63 726 How do you plan to bring your
727 experience back to your community?
728 </label>
729 <div class="col-sm-9">
d42e41d1 730 <textarea rows="4" name="custom_152" id="custom_152"
c13aae63 731 class="form-control"></textarea>
732 </div>
733 </div>
734
d42e41d1 735 <div id="editrow-custom_153" class="form-group">
1f27ee33 736 <label class="col-sm-3 control-label" for="custom_153">
c13aae63 737 Estimated travel and hotel expenses
738 </label>
739 <div class="col-sm-9">
d42e41d1 740 <textarea rows="4" name="custom_153" id="custom_153"
c13aae63 741 class="form-control"></textarea>
742 </div>
743 </div>
744 </div>
745
746 <!-- end form-layout-compressed for last profile -->
747
748 <div class="form-group">
1f27ee33 749 <div class="col-sm-12">
750 <p>
751 We will not publish or share
752 your information with any party outside the FSF. See our
753 <a href="https://my.fsf.org/donate/privacypolicy.html">
754 privacy policy</a> for more information.
755 </p>
756 </div>
c13aae63 757 </div>
758
759 <div class="form-group">
1f27ee33 760 <div class="col-sm-12">
761 <input class="btn btn-default"
762 accesskey="S" name="_qf_Edit_next"
763 value="Save" type="submit"
764 id="_qf_Edit_next" />
765 </div>
c13aae63 766 </div>
767
768 </form>
769
770
771 </div> <!-- end of Scholarships LP14 main text -->
772 </div>
773 </div> <!-- end of container -->
774
775 </div> <!-- end of wrapper -->
776
777 <div id="footer">
778 <div class="container">
779 <p class="text-muted text-center">
780 The <a href="http://www.fsf.org/">Free Software
781 Foundation</a> is a nonprofit with a worldwide mission to
7ed1ed65 782 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 783 <a href="https://my.fsf.org/associate/support_freedom">
784 Donate</a>.
785 </p>
786
787 <p class="text-muted text-center">
788 <a rel="license"
789 href="http://creativecommons.org/licenses/by-sa/3.0/us/">
790 <img alt="[ Creative Commons License ]" style="border-width:0"
791 src="//i.creativecommons.org/l/by-sa/3.0/80x15.png" />
792 </a>
793 This page and its images, logos and videos are licensed under a <br />
794 <a rel="license"
795 href="http://creativecommons.org/licenses/by-sa/3.0/us/">
796 Creative Commons Attribution-ShareAlike 3.0 US
797 </a>.
2c0341fd 798 Copyright &copy; 2013-2014 Free Software Foundation.
c13aae63 799 </p>
800
801 <p class="text-muted text-center">
802 <a href="http://weblabels.fsf.org/libreplanet.org/CURRENT/" rel="jslicense">
803 JavaScript license information
804 </a>
805 </p>
806
807 <p class="text-muted text-center">
808 This site, including fonts, CSS, and JavaScript, was built using
809 <a href="http://getbootstrap.com">Bootstrap</a>,
810 which is licensed under the
811 <a href="https://directory.fsf.org/wiki/License:Apache2.0">
812 Apache 2.0 license</a>.
813 </p>
814 </div>
815 </div>
816
817 <script type="text/javascript"
818 src="/2014/assets/js/jquery-1.8.3.min.js">
819 </script>
820
821 <script type="text/javascript"
822 src="/2014/assets/js/jquery.chainedSelects.js">
823 </script>
824
825 <script type="text/javascript"
826 src="/2014/assets/js/jquery.form.js">
827 </script>
828
829 <script type="text/javascript"
830 src="/2014/assets/js/Common.js">
831 </script>
832
c13aae63 833 <script type="text/javascript">
e37cf2df 834 // @license magnet:?xt=urn:btih:8e4f440f4c65981c5bf93c76d35135ba5064d8b7&dn=apache-2.0.txt
bd9d1b3f 835 // Copyright (C) 2013, 2014 Free Software Foundation, Inc
c13aae63 836
837 var cj = jQuery.noConflict(); $ = cj;
838
839 cj(function() {
840 countryID = "#country-Primary"
841 stateProvinceID = "#state_province-Primary"
47a032d5 842 callbackURL = "https://my.fsf.org/civicrm/ajax/jqState"
c13aae63 843 cj(countryID).chainSelect(stateProvinceID, callbackURL, null);
844 });
92cc41e3 845
a5fdf3f1 846 $(document).ready(lpNavPlace);
92cc41e3 847
848 $(window).resize(lpNavPlace);
849
850 function lpNavPlace() {
851 screenSize = $(window).width();
852 if(screenSize <= 767) {
853 $("#lp-nav").insertAfter("#lp-content");
854 } else {
855 $("#lp-nav").insertBefore("#lp-content");
856 }
857 }
858
e37cf2df 859 // @license-end
c13aae63 860 </script>
861 </body>
862</html>