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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" /> |
| 9 | <title> Scholarships — LibrePlanet 2014</title> |
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10 | <script> |
| 11 | /** |
| 12 | * @licstart The following is the entire license notice for the JavaScript code in this page. |
| 13 | * |
| 14 | * Copyright (C) 2013 Free Software Foundation, Inc |
| 15 | |
| 16 | * Licensed under the Apache License, Version 2.0 (the |
| 17 | * "License"); you may not use this file except in compliance |
| 18 | * with the License. You may obtain a copy of the License at |
| 19 | |
| 20 | * http://www.apache.org/licenses/LICENSE-2.0 |
| 21 | |
| 22 | * Unless required by applicable law or agreed to in writing, |
| 23 | * software distributed under the License is distributed on an |
| 24 | * "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, |
| 25 | * either express or implied. See the License for the specific |
| 26 | * language governing permissions and limitations under the |
| 27 | * License. |
| 28 | |
| 29 | * |
| 30 | * @licend The above is the entire license notice for the JavaScript code in this page. |
| 31 | **/ |
| 32 | </script> |
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33 | </head> |
| 34 | <body> |
| 35 | |
| 36 | <div id="wrapper"> <!-- start of wrapper --> |
| 37 | <div class="lp-banner"> <!--start of lp banner --> |
| 38 | <div class="container"> <!-- start of container --> |
| 39 | <div class="row"> |
| 40 | <div class="col-sm-9"> <!-- start of lp header --> |
| 41 | <div class="lp-head"> |
| 42 | <h1><a href="/2014/"> LibrePlanet <small>2014</small></a></h1> |
| 43 | <p><strong>March 22nd-23rd 2014 in Cambridge, MA</strong></p> |
| 44 | <p class="text-muted">Free software, free society</p> |
| 45 | </div> |
| 46 | </div><!-- end of lp header --> |
| 47 | <div class="col-sm-3"> <!-- start of Register button --> |
| 48 | <a class="btn btn-register-lp14 btn-lg btn-block" |
| 49 | href="https://libreplanet.org/2014/register"> |
| 50 | <span class="glyphicon glyphicon-ok"></span> |
| 51 | Register now |
| 52 | </a> |
| 53 | <p class="text-muted text-center"> |
| 54 | gratis for members and students! |
| 55 | </p> |
| 56 | </div> <!-- end of Register button --> |
| 57 | </div> |
| 58 | </div> <!-- end of header container --> |
| 59 | </div> <!-- end of lp banner --> |
| 60 | |
| 61 | <div class="container"> <!-- start of container --> |
| 62 | <div class="row"> |
| 63 | <div class="col-sm-3"> <!-- start of nav items --> |
| 64 | <p class="text-center lp-home"> |
| 65 | <a class="text-muted" href="/2014/"> |
| 66 | <span class="glyphicon glyphicon-chevron-left"></span> Home |
| 67 | </a> |
| 68 | </p> |
| 69 | <ul class="nav nav-pills nav-stacked"> |
| 70 | <!--<li><a href="/2014/call_for_sessions">Propose a session</a></li>--> |
| 71 | <li><a href="/2014/volunteer">Help plan LibrePlanet</a></li> |
| 72 | <li><a href="/2014/exhibit">Promotional opportunities</a></li> |
| 73 | <li> |
| 74 | <a href="https://libreplanet.org/wiki/LibrePlanet:Conference/2014/Conference_brainstorm"> |
| 75 | Share your ideas</a></li> |
| 5e83dae6 |
76 | <li><a href="/2014/logistics">Lodging</a></li> |
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77 | </ul> |
| 78 | <ul class="nav nav-pills nav-stacked"> |
| 79 | <li><a href="http://media.libreplanet.org/">LibrePlanet 2013 videos</a></li> |
| 80 | <li><a href="https://libreplanet.org/wiki/LibrePlanet:Conference">Previous conferences</a></li> |
| 81 | <li><a href="/2014/anti-harassment/">Anti-harassment policy</a></li> |
| 82 | <li class="fsf-donate"> |
| 83 | <a href="https://my.fsf.org/associate/support_freedom"> |
| 84 | <span class="glyphicon glyphicon-heart"></span> |
| 85 | Become an FSF member |
| 86 | </a> |
| 87 | </li> |
| 88 | </ul> |
| 89 | <p class="text-muted text-center">and attend the conference gratis!</p> |
| 90 | </div> <!-- end of nav items --> |
| 91 | |
| 92 | <div class="col-sm-9"> <!-- start of Scholarships LP14 main text --> |
| 93 | <h2> Scholarship <small>application</small> </h2> |
| 94 | |
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95 | <div class="alert alert-danger margin-top"> |
| 96 | <p> |
| 97 | <span class="glyphicon glyphicon-warning-sign"></span> |
| 98 | <strong>This form is under construction. Please don't submit. Thanks.</strong> |
| 99 | </p> |
| 100 | </div> |
| 101 | |
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102 | <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> |
| 103 | |
| 104 | <form action="https://crm.fsf.org/civicrm/profile/create?gid=250&reset=1" |
| 105 | class="form-horizontal margin-top" method="post" name="Edit" id="Edit" role="form"> |
| 106 | |
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107 | <div> |
| 108 | <input name="postURL" type="hidden" |
| 109 | value="https://www.libreplanet.org/2014/scholarships/confirmation.html" /> |
| 110 | <input name="cancelURL" type="hidden" |
| 111 | value="https://www.libreplanet.org/2014" /> |
| 112 | <input name="add_to_group" type="hidden" value="572" /> |
| 113 | <input name="_qf_default" type="hidden" value="Edit:cancel" /> |
| 114 | </div> |
| 115 | |
| 116 | <div id="crm-container" class="crm-container crm-public" lang="en" |
| 117 | xml:lang="en"> |
| 118 | |
| 119 | |
| 120 | <div id="editrow-email-Primary" class="form-group"> |
| 121 | <label for="email-Primary" class="col-sm-3 control-label"> |
| 122 | Email |
| 123 | <span class="field-required">*</span> |
| 124 | </label> |
| 125 | |
| 126 | <div class="col-sm-5"> |
| 127 | <input name="email-Primary" |
| 128 | class="form-control" |
| 129 | type="email" id="email-Primary" |
| 130 | placeholder="Your email address" required> |
| 131 | </div> |
| 132 | </div> |
| 133 | |
| 134 | <div id="editrow-first_name" |
| 135 | class="form-group"> |
| 136 | <label class="col-sm-3 control-label" for="first_name"> |
| 137 | First Name |
| 138 | <span class="field-required">*</span> |
| 139 | </label> |
| 140 | <div class="col-sm-5"> |
| 141 | <input class="form-control" |
| 142 | name="first_name" |
| 143 | type="text" id="first_name" required> |
| 144 | </div> |
| 145 | </div> |
| 146 | |
| 147 | <div id="editrow-last_name" class="form-group"> |
| 148 | <label class="col-sm-3 control-label" |
| 149 | for="last_name"> |
| 150 | Last Name |
| 151 | <span class="field-required">*</span> |
| 152 | </label> |
| 153 | <div class="col-sm-5"> |
| 154 | <input |
| 155 | name="last_name" |
| 156 | type="text" |
| 157 | id="last_name" |
| 158 | class="form-control" required> |
| 159 | </div> |
| 160 | </div> |
| 161 | |
| 162 | <div class="form-group" |
| 163 | id="helprow-street_address-Primary"> |
| 164 | <div class="col-sm-offset-3 col-sm-5"> |
| 14eeabee |
165 | <p class="help-block scholarship-input-annotation"> |
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166 | <small>Please tell us where you're coming from.</small> |
| 167 | </p> |
| 168 | </div> |
| 169 | </div> |
| 170 | |
| 171 | <div id="editrow-street_address-Primary" class="form-group"> |
| 172 | <label class="col-sm-3 control-label" |
| 173 | for="street_address-Primary"> |
| 174 | Street Address |
| 175 | </label> |
| 176 | <div class="col-sm-7"> |
| 177 | <input name="street_address-Primary" type="text" |
| 178 | id="street_address-Primary" class="form-control"> |
| 179 | </div> |
| 180 | </div> |
| 181 | |
| 182 | <div id="editrow-city-Primary" |
| 183 | class="form-group"> |
| 184 | <label class="col-sm-3 control-label" for="city-Primary"> |
| 185 | City |
| 186 | </label> |
| 187 | <div |
| 188 | class="col-sm-5"> |
| 189 | <input name="city-Primary" type="text" id="city-Primary" class="form-control" |
| 190 | /> |
| 191 | </div> |
| 192 | </div> |
| 193 | |
| 194 | <div id="editrow-postal_code-Primary" class="form-group"> |
| 195 | <label class="col-sm-3 control-label" |
| 196 | for="postal_code-Primary"> |
| 197 | Postal Code |
| 198 | </label> |
| 199 | <div class="col-sm-5"> |
| 200 | <input |
| 201 | name="postal_code-Primary" type="text" id="postal_code-Primary" |
| 202 | class="form-control" /> |
| 203 | </div> |
| 204 | </div> |
| 205 | |
| 206 | <div id="editrow-country-Primary" class="form-group"> |
| 207 | <label class="col-sm-3 control-label" for="country-Primary"> |
| 208 | Country |
| 209 | <span class="field-required">*</span> |
| 210 | </label> |
| 211 | <div class="col-sm-5"> |
| 212 | <select |
| 213 | name="country-Primary" id="country-Primary" class="form-control" |
| 214 | required> |
| 215 | <option value="">- select -</option> |
| 216 | <option value="1228" selected="selected">United States</option> |
| 217 | <option value="1001">Afghanistan</option> |
| 218 | <option value="1241">Åland Islands</option> |
| 219 | <option value="1002">Albania</option> |
| 220 | <option value="1003">Algeria</option> |
| 221 | <option value="1004">American Samoa</option> |
| 222 | <option value="1005">Andorra</option> |
| 223 | <option value="1006">Angola</option> |
| 224 | <option value="1007">Anguilla</option> |
| 225 | <option value="1008">Antarctica</option> |
| 226 | <option value="1009">Antigua and Barbuda</option> |
| 227 | <option value="1010">Argentina</option> |
| 228 | <option value="1011">Armenia</option> |
| 229 | <option value="1012">Aruba</option> |
| 230 | <option value="1013">Australia</option> |
| 231 | <option value="1014">Austria</option> |
| 232 | <option value="1015">Azerbaijan</option> |
| 233 | <option value="1212">Bahamas</option> |
| 234 | <option value="1016">Bahrain</option> |
| 235 | <option value="1017">Bangladesh</option> |
| 236 | <option value="1018">Barbados</option> |
| 237 | <option value="1019">Belarus</option> |
| 238 | <option value="1020">Belgium</option> |
| 239 | <option value="1021">Belize</option> |
| 240 | <option value="1022">Benin</option> |
| 241 | <option value="1023">Bermuda</option> |
| 242 | <option value="1024">Bhutan</option> |
| 243 | <option value="1025">Bolivia</option> |
| 244 | <option value="1250">Bonaire, Saint Eustatius and Saba</option> |
| 245 | <option value="1026">Bosnia and Herzegovina</option> |
| 246 | <option value="1027">Botswana</option> |
| 247 | <option value="1028">Bouvet Island</option> |
| 248 | <option value="1029">Brazil</option> |
| 249 | <option value="1030">British Indian Ocean Territory</option> |
| 250 | <option value="1032">Brunei Darussalam</option> |
| 251 | <option value="1033">Bulgaria</option> |
| 252 | <option value="1034">Burkina Faso</option> |
| 253 | <option value="1036">Burundi</option> |
| 254 | <option value="1037">Cambodia</option> |
| 255 | <option value="1038">Cameroon</option> |
| 256 | <option value="1039">Canada</option> |
| 257 | <option value="1040">Cape Verde</option> |
| 258 | <option value="1041">Cayman Islands</option> |
| 259 | <option value="1042">Central African Republic</option> |
| 260 | <option value="1043">Chad</option> |
| 261 | <option value="1044">Chile</option> |
| 262 | <option value="1045">China</option> |
| 263 | <option value="1046">Christmas Island</option> |
| 264 | <option value="1047">Cocos (Keeling) Islands</option> |
| 265 | <option value="1048">Colombia</option> |
| 266 | <option value="1049">Comoros</option> |
| 267 | <option value="1051">Congo, Republic of the</option> |
| 268 | <option value="1050">Congo, The Democratic Republic of the</option> |
| 269 | <option value="1052">Cook Islands</option> |
| 270 | <option value="1053">Costa Rica</option> |
| 271 | <option value="1054">Côte d'Ivoire</option> |
| 272 | <option value="1055">Croatia</option> |
| 273 | <option value="1056">Cuba</option> |
| 274 | <option value="1248">Curaçao</option> |
| 275 | <option value="1057">Cyprus</option> |
| 276 | <option value="1058">Czech Republic</option> |
| 277 | <option value="1059">Denmark</option> |
| 278 | <option value="1060">Djibouti</option> |
| 279 | <option value="1061">Dominica</option> |
| 280 | <option value="1062">Dominican Republic</option> |
| 281 | <option value="1064">Ecuador</option> |
| 282 | <option value="1065">Egypt</option> |
| 283 | <option value="1066">El Salvador</option> |
| 284 | <option value="1067">Equatorial Guinea</option> |
| 285 | <option value="1068">Eritrea</option> |
| 286 | <option value="1069">Estonia</option> |
| 287 | <option value="1070">Ethiopia</option> |
| 288 | <option value="1072">Falkland Islands (Malvinas)</option> |
| 289 | <option value="1073">Faroe Islands</option> |
| 290 | <option value="1074">Fiji</option> |
| 291 | <option value="1075">Finland</option> |
| 292 | <option value="1076">France</option> |
| 293 | <option value="1077">French Guiana</option> |
| 294 | <option value="1078">French Polynesia</option> |
| 295 | <option value="1079">French Southern Territories</option> |
| 296 | <option value="1080">Gabon</option> |
| 297 | <option value="1213">Gambia</option> |
| 298 | <option value="1081">Georgia</option> |
| 299 | <option value="1082">Germany</option> |
| 300 | <option value="1083">Ghana</option> |
| 301 | <option value="1084">Gibraltar</option> |
| 302 | <option value="1085">Greece</option> |
| 303 | <option value="1086">Greenland</option> |
| 304 | <option value="1087">Grenada</option> |
| 305 | <option value="1088">Guadeloupe</option> |
| 306 | <option value="1089">Guam</option> |
| 307 | <option value="1090">Guatemala</option> |
| 308 | <option value="1245">Guernsey</option> |
| 309 | <option value="1091">Guinea</option> |
| 310 | <option value="1092">Guinea-Bissau</option> |
| 311 | <option value="1093">Guyana</option> |
| 312 | <option value="1094">Haiti</option> |
| 313 | <option value="1095">Heard Island and McDonald Islands</option> |
| 314 | <option value="1096">Holy See (Vatican City State)</option> |
| 315 | <option value="1097">Honduras</option> |
| 316 | <option value="1098">Hong Kong</option> |
| 317 | <option value="1099">Hungary</option> |
| 318 | <option value="1100">Iceland</option> |
| 319 | <option value="1101">India</option> |
| 320 | <option value="1102">Indonesia</option> |
| 321 | <option value="1103">Iran, Islamic Republic of</option> |
| 322 | <option value="1104">Iraq</option> |
| 323 | <option value="1105">Ireland</option> |
| 324 | <option value="1246">Isle of Man</option> |
| 325 | <option value="1106">Israel</option> |
| 326 | <option value="1107">Italy</option> |
| 327 | <option value="1108">Jamaica</option> |
| 328 | <option value="1109">Japan</option> |
| 329 | <option value="1244">Jersey</option> |
| 330 | <option value="1110">Jordan</option> |
| 331 | <option value="1111">Kazakhstan</option> |
| 332 | <option value="1112">Kenya</option> |
| 333 | <option value="1113">Kiribati</option> |
| 334 | <option value="1114">Korea, Democratic People's Republic of</option> |
| 335 | <option value="1115">Korea, Republic of</option> |
| 336 | <option value="1251">Kosovo</option> |
| 337 | <option value="1116">Kuwait</option> |
| 338 | <option value="1117">Kyrgyzstan</option> |
| 339 | <option value="1118">Lao People's Democratic Republic</option> |
| 340 | <option value="1119">Latvia</option> |
| 341 | <option value="1120">Lebanon</option> |
| 342 | <option value="1121">Lesotho</option> |
| 343 | <option value="1122">Liberia</option> |
| 344 | <option value="1123">Libya</option> |
| 345 | <option value="1124">Liechtenstein</option> |
| 346 | <option value="1125">Lithuania</option> |
| 347 | <option value="1126">Luxembourg</option> |
| 348 | <option value="1127">Macao</option> |
| 349 | <option value="1128">Macedonia, Republic of</option> |
| 350 | <option value="1129">Madagascar</option> |
| 351 | <option value="1130">Malawi</option> |
| 352 | <option value="1131">Malaysia</option> |
| 353 | <option value="1132">Maldives</option> |
| 354 | <option value="1133">Mali</option> |
| 355 | <option value="1134">Malta</option> |
| 356 | <option value="1135">Marshall Islands</option> |
| 357 | <option value="1136">Martinique</option> |
| 358 | <option value="1137">Mauritania</option> |
| 359 | <option value="1138">Mauritius</option> |
| 360 | <option value="1139">Mayotte</option> |
| 361 | <option value="1140">Mexico</option> |
| 362 | <option value="1141">Micronesia, Federated States of</option> |
| 363 | <option value="1142">Moldova</option> |
| 364 | <option value="1143">Monaco</option> |
| 365 | <option value="1144">Mongolia</option> |
| 366 | <option value="1243">Montenegro</option> |
| 367 | <option value="1145">Montserrat</option> |
| 368 | <option value="1146">Morocco</option> |
| 369 | <option value="1147">Mozambique</option> |
| 370 | <option value="1035">Myanmar</option> |
| 371 | <option value="1148">Namibia</option> |
| 372 | <option value="1149">Nauru</option> |
| 373 | <option value="1150">Nepal</option> |
| 374 | <option value="1152">Netherlands</option> |
| 375 | <option value="1153">New Caledonia</option> |
| 376 | <option value="1154">New Zealand</option> |
| 377 | <option value="1155">Nicaragua</option> |
| 378 | <option value="1156">Niger</option> |
| 379 | <option value="1157">Nigeria</option> |
| 380 | <option value="1158">Niue</option> |
| 381 | <option value="1159">Norfolk Island</option> |
| 382 | <option value="1160">Northern Mariana Islands</option> |
| 383 | <option value="1161">Norway</option> |
| 384 | <option value="1162">Oman</option> |
| 385 | <option value="1163">Pakistan</option> |
| 386 | <option value="1164">Palau</option> |
| 387 | <option value="1165">Palestinian Territory, Occupied</option> |
| 388 | <option value="1166">Panama</option> |
| 389 | <option value="1167">Papua New Guinea</option> |
| 390 | <option value="1168">Paraguay</option> |
| 391 | <option value="1169">Peru</option> |
| 392 | <option value="1170">Philippines</option> |
| 393 | <option value="1171">Pitcairn</option> |
| 394 | <option value="1172">Poland</option> |
| 395 | <option value="1173">Portugal</option> |
| 396 | <option value="1174">Puerto Rico</option> |
| 397 | <option value="1175">Qatar</option> |
| 398 | <option value="1179">Reunion</option> |
| 399 | <option value="1176">Romania</option> |
| 400 | <option value="1177">Russian Federation</option> |
| 401 | <option value="1178">Rwanda</option> |
| 402 | <option value="1180">Saint Helena</option> |
| 403 | <option value="1181">Saint Kitts and Nevis</option> |
| 404 | <option value="1182">Saint Lucia</option> |
| 405 | <option value="1183">Saint Pierre and Miquelon</option> |
| 406 | <option value="1184">Saint Vincent and the Grenadines</option> |
| 407 | <option value="1185">Samoa</option> |
| 408 | <option value="1186">San Marino</option> |
| 409 | <option value="1207">Sao Tome and Principe</option> |
| 410 | <option value="1187">Saudi Arabia</option> |
| 411 | <option value="1188">Senegal</option> |
| 412 | <option value="1242">Serbia</option> |
| 413 | <option value="1238">Serbia and Montenegro</option> |
| 414 | <option value="1189">Seychelles</option> |
| 415 | <option value="1190">Sierra Leone</option> |
| 416 | <option value="1191">Singapore</option> |
| 417 | <option value="1249">Sint Maarten (Dutch Part)</option> |
| 418 | <option value="1192">Slovakia</option> |
| 419 | <option value="1193">Slovenia</option> |
| 420 | <option value="1194">Solomon Islands</option> |
| 421 | <option value="1195">Somalia</option> |
| 422 | <option value="1196">South Africa</option> |
| 423 | <option value="1197">South Georgia and the South Sandwich Islands</option> |
| 424 | <option value="1247">South Sudan</option> |
| 425 | <option value="1198">Spain</option> |
| 426 | <option value="1199">Sri Lanka</option> |
| 427 | <option value="1200">Sudan</option> |
| 428 | <option value="1201">Suriname</option> |
| 429 | <option value="1202">Svalbard and Jan Mayen</option> |
| 430 | <option value="1203">Swaziland</option> |
| 431 | <option value="1204">Sweden</option> |
| 432 | <option value="1205">Switzerland</option> |
| 433 | <option value="1206">Syrian Arab Republic</option> |
| 434 | <option value="1208">Taiwan</option> |
| 435 | <option value="1209">Tajikistan</option> |
| 436 | <option value="1210">Tanzania, United Republic of</option> |
| 437 | <option value="1211">Thailand</option> |
| 438 | <option value="1063">Timor-Leste</option> |
| 439 | <option value="1214">Togo</option> |
| 440 | <option value="1215">Tokelau</option> |
| 441 | <option value="1216">Tonga</option> |
| 442 | <option value="1217">Trinidad and Tobago</option> |
| 443 | <option value="1218">Tunisia</option> |
| 444 | <option value="1219">Turkey</option> |
| 445 | <option value="1220">Turkmenistan</option> |
| 446 | <option value="1221">Turks and Caicos Islands</option> |
| 447 | <option value="1222">Tuvalu</option> |
| 448 | <option value="1223">Uganda</option> |
| 449 | <option value="1224">Ukraine</option> |
| 450 | <option value="1225">United Arab Emirates</option> |
| 451 | <option value="1226">United Kingdom</option> |
| 452 | <option value="1227">United States Minor Outlying Islands</option> |
| 453 | <option value="1229">Uruguay</option> |
| 454 | <option value="1230">Uzbekistan</option> |
| 455 | <option value="1231">Vanuatu</option> |
| 456 | <option value="1232">Venezuela</option> |
| 457 | <option value="1233">Viet Nam</option> |
| 458 | <option value="1031">Virgin Islands, British</option> |
| 459 | <option value="1234">Virgin Islands, U.S.</option> |
| 460 | <option value="1235">Wallis and Futuna</option> |
| 461 | <option value="1236">Western Sahara</option> |
| 462 | <option value="1237">Yemen</option> |
| 463 | <option value="1239">Zambia</option> |
| 464 | <option value="1240">Zimbabwe</option> |
| 465 | </select> |
| 466 | </div> |
| 467 | </div> |
| 468 | |
| 469 | <div id="editrow-state_province-Primary" class="form-group"> |
| 470 | <label class="col-sm-3 control-label" for="state_province-Primary"> |
| 471 | State or Province |
| 472 | </label> |
| 473 | <div class="col-sm-5"> |
| 474 | <select name="state_province-Primary" id="state_province-Primary" |
| 475 | class="form-control"> |
| 476 | <option value="">- select -</option> |
| 477 | <option value="1000">Alabama</option> |
| 478 | <option value="1001">Alaska</option> |
| 479 | <option value="1052">American Samoa</option> |
| 480 | <option value="1002">Arizona</option> |
| 481 | <option value="1003">Arkansas</option> |
| 482 | <option value="1060">Armed Forces Americas</option> |
| 483 | <option value="1059">Armed Forces Europe</option> |
| 484 | <option value="1061">Armed Forces Pacific</option> |
| 485 | <option value="1004">California</option> |
| 486 | <option value="1005">Colorado</option> |
| 487 | <option value="1006">Connecticut</option> |
| 488 | <option value="1007">Delaware</option> |
| 489 | <option value="1050">District of Columbia</option> |
| 490 | <option value="1008">Florida</option> |
| 491 | <option value="1009">Georgia</option> |
| 492 | <option value="1053">Guam</option> |
| 493 | <option value="1010">Hawaii</option> |
| 494 | <option value="1011">Idaho</option> |
| 495 | <option value="1012">Illinois</option> |
| 496 | <option value="1013">Indiana</option> |
| 497 | <option value="1014">Iowa</option> |
| 498 | <option value="1015">Kansas</option> |
| 499 | <option value="1016">Kentucky</option> |
| 500 | <option value="1017">Louisiana</option> |
| 501 | <option value="1018">Maine</option> |
| 502 | <option value="1019">Maryland</option> |
| 503 | <option value="1020">Massachusetts</option> |
| 504 | <option value="1021">Michigan</option> |
| 505 | <option value="1022">Minnesota</option> |
| 506 | <option value="1023">Mississippi</option> |
| 507 | <option value="1024">Missouri</option> |
| 508 | <option value="1025">Montana</option> |
| 509 | <option value="1026">Nebraska</option> |
| 510 | <option value="1027">Nevada</option> |
| 511 | <option value="1028">New Hampshire</option> |
| 512 | <option value="1029">New Jersey</option> |
| 513 | <option value="1030">New Mexico</option> |
| 514 | <option value="1031">New York</option> |
| 515 | <option value="1032">North Carolina</option> |
| 516 | <option value="1033">North Dakota</option> |
| 517 | <option value="1055">Northern Mariana Islands</option> |
| 518 | <option value="1034">Ohio</option> |
| 519 | <option value="1035">Oklahoma</option> |
| 520 | <option value="1036">Oregon</option> |
| 521 | <option value="1037">Pennsylvania</option> |
| 522 | <option value="1056">Puerto Rico</option> |
| 523 | <option value="1038">Rhode Island</option> |
| 524 | <option value="1039">South Carolina</option> |
| 525 | <option value="1040">South Dakota</option> |
| 526 | <option value="1041">Tennessee</option> |
| 527 | <option value="1042">Texas</option> |
| 528 | <option value="1058">United States Minor Outlying Islands</option> |
| 529 | <option value="1043">Utah</option> |
| 530 | <option value="1044">Vermont</option> |
| 531 | <option value="1057">Virgin Islands</option> |
| 532 | <option value="1045">Virginia</option> |
| 533 | <option value="1046">Washington</option> |
| 534 | <option value="1047">West Virginia</option> |
| 535 | <option value="1048">Wisconsin</option> |
| 536 | <option value="1049">Wyoming</option> |
| 537 | </select> |
| 538 | </div> |
| 539 | </div> |
| 540 | |
| 541 | <hr/> |
| 542 | |
| 543 | <div id="editrow-custom_107" class="form-group"> |
| 544 | <label class="col-sm-3 control-label"> |
| 545 | Would you be willing to volunteer at the event? |
| 546 | <span class="field-required">*</span> |
| 547 | </label> |
| 548 | |
| 549 | <div class="col-sm-5"> |
| 550 | <label class="radio-inline" for="CIVICRM_QFID_1_2"> |
| 551 | <input value="1" |
| 552 | type="radio" id="CIVICRM_QFID_1_2" name="custom_107" |
| 553 | />Yes</label> |
| 554 | |
| 555 | <label class="radio-inline" for="CIVICRM_QFID_0_4"> |
| 556 | <input value="0" |
| 557 | type="radio" id="CIVICRM_QFID_0_4" name="custom_107" |
| 558 | />No</label> |
| 559 | </div> |
| 560 | </div> |
| 561 | |
| 562 | <div class="form-group" |
| 563 | id="helprow-custom_122"> |
| 564 | <div class="col-sm-offset-3 col-sm-5"> |
| 14eeabee |
565 | <p class="help-block scholarship-input-annotation"> |
| c13aae63 |
566 | <small>Check all that apply</small> |
| 567 | </p> |
| 568 | </div> |
| 569 | </div> |
| 570 | |
| 571 | <div id="editrow-custom_122" class="form-group"> |
| 572 | <label class="col-sm-3 control-label"> |
| 573 | Race/Ethnicity |
| 574 | </label> |
| 575 | |
| 576 | <div class="col-sm-9"> |
| 577 | |
| 578 | <input type="hidden" name="custom_122[African]" value="" /> |
| 579 | <label class="checkbox-inline" |
| 580 | for="custom_122_African"> |
| 581 | <input id="custom_122_African" name="custom_122[African]" |
| 582 | type="checkbox" value="1"/> |
| 583 | African |
| 584 | </label> |
| 585 | |
| 586 | <input type="hidden" name="custom_122[African American]" value="" /> |
| 587 | <label class="checkbox-inline" for="custom_122_African_American"> |
| 588 | <input id="custom_122_African_American" |
| 589 | name="custom_122[African American]" |
| 590 | type="checkbox" value="1"/> |
| 591 | African American |
| 592 | </label> |
| 593 | |
| 594 | <input type="hidden" name="custom_122[Arab American]" value="" /> |
| 595 | <label class="checkbox-inline" |
| 596 | for="custom_122_Arab_American"> |
| 597 | <input id="custom_122_Arab_American" name="custom_122[Arab American]" |
| 598 | type="checkbox" value="1"/> |
| 599 | Arab American |
| 600 | </label> |
| 601 | |
| 602 | <input type="hidden" name="custom_122[Asian]" value="" /> |
| 603 | <label class="checkbox-inline" |
| 604 | for="custom_122_Asian"> |
| 605 | <input id="custom_122_Asian" name="custom_122[Asian]" |
| 606 | type="checkbox" value="1"/> |
| 607 | Asian |
| 608 | </label> |
| 609 | |
| 610 | <input type="hidden" name="custom_122[Asian American]" value="" /> |
| 611 | <label class="checkbox-inline" for="custom_122_Asian_American"> |
| 612 | <input id="custom_122_Asian_American" name="custom_122[Asian American]" |
| 613 | type="checkbox" value="1"/> |
| 614 | Asian American</label> |
| 615 | |
| 616 | <input type="hidden" name="custom_122[Black]" |
| 617 | value="" /> |
| 618 | <label class="checkbox-inline" |
| 619 | for="custom_122_Black"> |
| 620 | <input id="custom_122_Black" name="custom_122[Black]" |
| 621 | type="checkbox" value="1"/> |
| 622 | Black</label> |
| 623 | |
| 624 | <input type="hidden" name="custom_122[Caribbean]" value="" /> |
| 625 | <label class="checkbox-inline" |
| 626 | for="custom_122_Caribbean"> |
| 627 | <input id="custom_122_Caribbean" name="custom_122[Caribbean]" |
| 628 | type="checkbox" value="1"/>Caribbean</label> |
| 629 | |
| 630 | <input type="hidden" name="custom_122[Caucasian]" value="" /> |
| 631 | <label class="checkbox-inline" |
| 632 | for="custom_122_Caucasian"> |
| 633 | <input id="custom_122_Caucasian" name="custom_122[Caucasian]" |
| 634 | type="checkbox" value="1" />Caucasian</label> |
| 635 | |
| 636 | <input type="hidden" name="custom_122[Indigenous]" value="" /> |
| 637 | <label class="checkbox-inline" |
| 638 | for="custom_122_Indigenous"> |
| 639 | <input id="custom_122_Indigenous" name="custom_122[Indigenous]" type="checkbox" |
| 640 | value="1"/>Indigenous</label> |
| 641 | |
| 642 | <input type="hidden" name="custom_122[Latina/Latino]" value="" /> |
| 643 | <label class="checkbox-inline" |
| 644 | for="custom_122_Latina/Latino"> |
| 645 | <input id="custom_122_Latina/Latino" name="custom_122[Latina/Latino]" |
| 646 | type="checkbox" value="1"/>Latina/Latino</label> |
| 647 | |
| 648 | <input type="hidden" name="custom_122[Middle Eastern]" value="" /> |
| 649 | <label class="checkbox-inline" |
| 650 | for="custom_122_Middle_Eastern"> |
| 651 | <input id="custom_122_Middle_Eastern" name="custom_122[Middle Eastern]" |
| 652 | type="checkbox" value="1"/>Middle Eastern</label> |
| 653 | |
| 654 | <input type="hidden" name="custom_122[Pacific Islander]" value="" /> |
| 655 | <label class="checkbox-inline" |
| 656 | for="custom_122_Pacific_Islander"> |
| 657 | <input id="custom_122_Pacific_Islander" name="custom_122[Pacific Islander]" |
| 658 | type="checkbox" value="1"/>Pacific Islander</label> |
| 659 | |
| 660 | <input type="hidden" name="custom_122[South Asian]" value="" /> |
| 661 | <label class="checkbox-inline" |
| 662 | for="custom_122_South_Asian"> |
| 663 | <input id="custom_122_South_Asian" name="custom_122[South Asian]" |
| 664 | type="checkbox" value="1"/>South Asian</label> |
| 665 | |
| 666 | <input type="hidden" name="custom_122[White]" value="" /> |
| 667 | <label class="checkbox-inline" |
| 668 | for="custom_122_White"> |
| 669 | <input id="custom_122_White" name="custom_122[White]" |
| 670 | type="checkbox" value="1" |
| 671 | />White</label> |
| 672 | |
| 673 | <input type="hidden" name="custom_122[None of these are accurate for me]" value="" /> |
| 674 | <label class="checkbox-inline" for="custom_122_None_of_these_are_accurate_for_me"> |
| 675 | <input id="custom_122_None_of_these_are_accurate_for_me" |
| 676 | name="custom_122[None of these are accurate for me]" type="checkbox" value="1"/> |
| 677 | None of these are accurate for me</label> |
| 678 | </div> |
| 679 | </div> |
| 680 | |
| 681 | <div id="editrow-gender" class="form-group"> |
| 682 | <label class="col-sm-3 control-label"> |
| 683 | Gender |
| 684 | </label> |
| 685 | |
| 686 | <div class="col-sm-9"> |
| 687 | |
| 688 | <label class="radio-inline" |
| 689 | for="CIVICRM_QFID_3_6"> |
| 690 | <input value="3" type="radio" id="CIVICRM_QFID_3_6" |
| 691 | name="gender" /> |
| 692 | Transgender</label> |
| 693 | |
| 694 | <label class="radio-inline" for="CIVICRM_QFID_4_8"> |
| 695 | <input value="4" type="radio" id="CIVICRM_QFID_4_8" name="gender"/> |
| 696 | Cisgender</label> |
| 697 | |
| 698 | <label class="radio-inline" for="CIVICRM_QFID_5_10"> |
| 699 | <input value="5" type="radio" id="CIVICRM_QFID_5_10" name="gender" /> |
| 700 | Genderqueer / Non-Conforming / Variant</label> |
| 701 | |
| 702 | <label class="radio-inline" |
| 703 | for="CIVICRM_QFID_1_12"> |
| 704 | <input value="1" type="radio" |
| 705 | id="CIVICRM_QFID_1_12" name="gender"/> |
| 706 | Woman |
| 707 | </label> |
| 708 | |
| 709 | <label class="radio-inline" |
| 710 | for="CIVICRM_QFID_2_14"> |
| 711 | <input value="2" type="radio" |
| 712 | id="CIVICRM_QFID_2_14" name="gender"/> |
| 713 | Man</label> |
| 714 | |
| 715 | <label class="radio-inline" for="CIVICRM_QFID_6_16"> |
| 716 | <input value="6" type="radio" id="CIVICRM_QFID_6_16" name="gender" /> |
| 717 | None of these are accurate for |
| 718 | me</label> |
| 719 | |
| 720 | <span class="radio-clear-link"> |
| 721 | (<a href="#" |
| 722 | title="unselect" |
| 723 | onclick="unselectRadio('gender', 'Edit'); return false;">clear</a>) |
| 724 | </span> |
| 725 | |
| 726 | </div> |
| 727 | </div> |
| 728 | |
| 729 | <div class="form-group" id="helprow-custom_104"> |
| 730 | <div class="col-sm-offset-3 col-sm-5"> |
| 14eeabee |
731 | <p class="help-block scholarship-input-annotation"> |
| c13aae63 |
732 | <small>Please limit each of your answers to 150 words.</small> |
| 733 | </p> |
| 734 | </div> |
| 735 | </div> |
| 736 | |
| 737 | <div id="editrow-custom_104" class="form-group"> |
| 738 | <label class="col-sm-3 control-label" for="custom_104"> |
| 739 | GNU Project affiliation, if any |
| 740 | </label> |
| 741 | <div class="col-sm-9"> |
| 742 | <textarea rows="4" name="custom_104" id="custom_104" |
| 743 | class="form-control"></textarea> |
| 744 | </div> |
| 745 | </div> |
| 746 | |
| 747 | <div id="editrow-custom_105" class="form-group"> |
| 748 | <label class="col-sm-3 control-label" for="custom_105"> |
| 749 | Why do you want to attend LibrePlanet 2014?</label> |
| 750 | <div class="col-sm-9"> |
| 751 | <textarea |
| 752 | rows="4" name="custom_105" id="custom_105" |
| 753 | class="form-control"></textarea> |
| 754 | </div> |
| 755 | </div> |
| 756 | |
| 757 | <div id="editrow-custom_106" class="form-group"> |
| 758 | <label class="col-sm-3 control-label" for="custom_106"> |
| 759 | How do you plan to bring your |
| 760 | experience back to your community? |
| 761 | </label> |
| 762 | <div class="col-sm-9"> |
| 763 | <textarea rows="4" name="custom_106" id="custom_106" |
| 764 | class="form-control"></textarea> |
| 765 | </div> |
| 766 | </div> |
| 767 | |
| 768 | <div id="editrow-custom_103" class="form-group"> |
| 769 | <label class="col-sm-3" for="custom_103"> |
| 770 | Estimated travel and hotel expenses |
| 771 | </label> |
| 772 | <div class="col-sm-9"> |
| 773 | <textarea rows="4" name="custom_103" id="custom_103" |
| 774 | class="form-control"></textarea> |
| 775 | </div> |
| 776 | </div> |
| 777 | </div> |
| 778 | |
| 779 | <!-- end form-layout-compressed for last profile --> |
| 780 | |
| 781 | <div class="form-group"> |
| 782 | <p> |
| 783 | We will not publish or share |
| 784 | your information with any party outside the FSF. See our |
| 785 | <a href="https://my.fsf.org/donate/privacypolicy.html"> |
| 786 | privacy policy</a> for more information. |
| 787 | </p> |
| 788 | </div> |
| 789 | |
| 790 | <div class="form-group"> |
| 791 | |
| 792 | <input class="btn btn-default" |
| 793 | accesskey="S" name="_qf_Edit_next" |
| 794 | value="Save" type="submit" |
| 795 | id="_qf_Edit_next" /> |
| c13aae63 |
796 | </div> |
| 797 | |
| 798 | </form> |
| 799 | |
| 800 | |
| 801 | </div> <!-- end of Scholarships LP14 main text --> |
| 802 | </div> |
| 803 | </div> <!-- end of container --> |
| 804 | |
| 805 | </div> <!-- end of wrapper --> |
| 806 | |
| 807 | <div id="footer"> |
| 808 | <div class="container"> |
| 809 | <p class="text-muted text-center"> |
| 810 | The <a href="http://www.fsf.org/">Free Software |
| 811 | Foundation</a> is a nonprofit with a worldwide mission to |
| 812 | advance software freedom. |
| 813 | <a href="https://my.fsf.org/associate/support_freedom"> |
| 814 | Donate</a>. |
| 815 | </p> |
| 816 | |
| 817 | <p class="text-muted text-center"> |
| 818 | <a rel="license" |
| 819 | href="http://creativecommons.org/licenses/by-sa/3.0/us/"> |
| 820 | <img alt="[ Creative Commons License ]" style="border-width:0" |
| 821 | src="//i.creativecommons.org/l/by-sa/3.0/80x15.png" /> |
| 822 | </a> |
| 823 | This page and its images, logos and videos are licensed under a <br /> |
| 824 | <a rel="license" |
| 825 | href="http://creativecommons.org/licenses/by-sa/3.0/us/"> |
| 826 | Creative Commons Attribution-ShareAlike 3.0 US |
| 827 | </a>. |
| 828 | Copyright © 2013 Free Software Foundation. |
| 829 | </p> |
| 830 | |
| 831 | <p class="text-muted text-center"> |
| 832 | <a href="http://weblabels.fsf.org/libreplanet.org/CURRENT/" rel="jslicense"> |
| 833 | JavaScript license information |
| 834 | </a> |
| 835 | </p> |
| 836 | |
| 837 | <p class="text-muted text-center"> |
| 838 | This site, including fonts, CSS, and JavaScript, was built using |
| 839 | <a href="http://getbootstrap.com">Bootstrap</a>, |
| 840 | which is licensed under the |
| 841 | <a href="https://directory.fsf.org/wiki/License:Apache2.0"> |
| 842 | Apache 2.0 license</a>. |
| 843 | </p> |
| 844 | </div> |
| 845 | </div> |
| 846 | |
| 847 | <script type="text/javascript" |
| 848 | src="/2014/assets/js/jquery-1.8.3.min.js"> |
| 849 | </script> |
| 850 | |
| 851 | <script type="text/javascript" |
| 852 | src="/2014/assets/js/jquery.chainedSelects.js"> |
| 853 | </script> |
| 854 | |
| 855 | <script type="text/javascript" |
| 856 | src="/2014/assets/js/jquery.form.js"> |
| 857 | </script> |
| 858 | |
| 859 | <script type="text/javascript" |
| 860 | src="/2014/assets/js/Common.js"> |
| 861 | </script> |
| 862 | |
| c13aae63 |
863 | <script type="text/javascript"> |
| e37cf2df |
864 | // @license magnet:?xt=urn:btih:8e4f440f4c65981c5bf93c76d35135ba5064d8b7&dn=apache-2.0.txt |
| c13aae63 |
865 | |
| 866 | var cj = jQuery.noConflict(); $ = cj; |
| 867 | |
| 868 | cj(function() { |
| 869 | countryID = "#country-Primary" |
| 870 | stateProvinceID = "#state_province-Primary" |
| 871 | callbackURL = "https://crm.fsf.org/civicrm/ajax/jqState" |
| 872 | cj(countryID).chainSelect(stateProvinceID, callbackURL, null); |
| 873 | }); |
| e37cf2df |
874 | // @license-end |
| c13aae63 |
875 | </script> |
| 876 | </body> |
| 877 | </html> |
projects / libreplanet-static.git / blame