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1<!DOCTYPE html>
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11 <title> Scholarships &mdash; LibrePlanet 2014</title>
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
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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,
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29 * License.
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32 * @licend The above is the entire license notice for the JavaScript code in this page.
33 **/
34 </script>
35 </head>
36 <body>
37
38 <div id="wrapper"> <!-- start of wrapper -->
39 <!--#include virtual="/server/lp-archived.html"-->
40 <div class="lp-banner"> <!--start of lp banner -->
41 <div class="container"> <!-- start of container -->
42 <div class="row">
43 <div class="lp-head"> <!-- start of lp header -->
44 <div class="col-sm-3">
45 <a href="/2014/">
46 <img src="//static.fsf.org/nosvn/libreplanet/2014/site/logo/lp_2014_logo.png"
47 class="img-responsive"
48 alt="[ LibrePlanet 2014 &mdash; Free Software, free society ]" />
49 </a>
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>
55 </div>
56 </div><!-- end of lp header -->
57 <div class="col-sm-6"> <!-- start of signup form -->
58 <form role="form" class="margin-top lp-signup"
59 action="https://my.fsf.org/civicrm/profile/create?gid=285&amp;reset=1"
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"
64 value="https://my.fsf.org/civicrm/profile?reset=1&amp;gid=285" />
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">
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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>
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109
110<!-- REGISTER BUTTON
111 <div class="col-sm-offset-3 col-sm-3"> // start of Register button
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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>
120 </div> //end of Register button
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123 </div> <!-- end of header container -->
124 </div> <!-- end of lp banner -->
125 <div class="container"> <!-- start of container -->
126 <div class="row">
127 <div id="lp-nav" class="col-sm-3"> <!-- start of nav items -->
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>-->
135 <li><a href="/2014/program">Program</a></li>
136 <li><a href="/2014/program/exhibit_hall.html">Exhibit hall</a></li>
137 <li><a href="/2014/live">Participate online</a></li>
138 <li><a href="/2014/video/">Watch the video</a></li>
139 </ul>
140
141 <ul class="nav nav-pills nav-stacked">
142 <li><a href="/2014/logistics">Getting around Cambridge</a></li>
143 <!--<li class="active"><a href="/2014/scholarships">Scholarships (until January 10th)</a></li>-->
144 <li><a href="/2014/volunteer">Volunteer</a></li>
145 <li><a href="/2014/scholarship_donation">Donate to the scholarship fund</a></li>
146 </ul>
147
148
149 <ul class="nav nav-pills nav-stacked">
150 <li>
151 <a href="https://libreplanet.org/wiki/LibrePlanet:Conference/2014/Conference_brainstorm">
152 Share your ideas</a></li>
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
166 <div id="lp-content" class="col-sm-9"> <!-- start of Scholarships LP14 main text -->
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
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
173 <form action="https://my.fsf.org/civicrm/profile/create?gid=250&amp;reset=1"
174 class="form-horizontal margin-top" method="post" name="Edit" id="Edit" role="form">
175
176 <div>
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178 value="https://www.libreplanet.org/2014/scholarships/confirmation.html" />
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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
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>
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209 <input
210 name="last_name"
211 type="text"
212 id="last_name"
213 class="form-control" required>
214 </div>
215 </div>
216
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
231 <div class="form-group"
232 id="helprow-street_address-Primary">
233 <div class="col-sm-offset-3 col-sm-5">
234 <p class="help-block scholarship-input-annotation">
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">Ă…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">CĂ´te d'Ivoire</option>
341 <option value="1055">Croatia</option>
342 <option value="1056">Cuba</option>
343 <option value="1248">CuraĂƒÂ§ao</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
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
618 <label for="CIVICRM_QFID_20_or_under_2"
619 class="radio-inline">
620 20 or under
621 <input value="20 or under" type="radio"
622 id="CIVICRM_QFID_20_or_under_2"
623 name="custom_147" /></label>&nbsp;
624
625 <label for="CIVICRM_QFID_21_30_4"
626 class="radio-inline">
627 21-30
628 <input value="21-30" type="radio"
629 id="CIVICRM_QFID_21_30_4" name="custom_147" />
630 </label>&nbsp;
631
632 <label class="radio-inline"
633 for="CIVICRM_QFID_31_40_6">31-40
634 <input value="31-40"
635 type="radio" id="CIVICRM_QFID_31_40_6"
636 name="custom_147" />
637 </label>&nbsp;
638
639 <label class="radio-inline"
640 for="CIVICRM_QFID_41_50_8">
641 41-50
642 <input value="41-50"
643 type="radio"
644 id="CIVICRM_QFID_41_50_8"
645 name="custom_147"/>
646 </label>&nbsp;
647
648 <label class="radio-inline"
649 for="CIVICRM_QFID_51_60_10">51-60
650 <input value="51-60"
651 type="radio" id="CIVICRM_QFID_51_60_10"
652 name="custom_147"/></label>&nbsp;
653
654 <label class="radio-inline"
655 for="CIVICRM_QFID_61_12">61+
656 <input value="61 +"
657 type="radio" id="CIVICRM_QFID_61_12"
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>
665 </div>
666 </div>
667
668
669 <div id="editrow-custom_155" class="form-group">
670 <label class="col-sm-3 control-label"
671 for="custom_155">
672 Gender
673 </label>
674 <div class="col-sm-5">
675 <input name="custom_155" type="text" id="custom_155"
676 class="form-control" />
677 </div>
678 </div>
679
680
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" />
688 </div>
689 </div>
690
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>
700 </div>
701 </div>
702
703 <div id="editrow-custom_154" class="form-group">
704 <label class="col-sm-3 control-label" for="custom_154">
705 Are there any special accommodations that would make it easier for you to attend LibrePlanet?
706 </label>
707 <div class="col-sm-9">
708 <textarea rows="4" name="custom_154" id="custom_154"
709 class="form-control"></textarea>
710 <p class="help-block"><small>Examples: ASL interpretation, wheelchair accessibility, etc.</small></p>
711 </div>
712 </div>
713
714 <div id="editrow-custom_151" class="form-group">
715 <label class="col-sm-3 control-label" for="custom_151">
716 Why do you want to attend LibrePlanet 2014?</label>
717 <div class="col-sm-9">
718 <textarea
719 rows="4" name="custom_151" id="custom_151"
720 class="form-control"></textarea>
721 </div>
722 </div>
723
724 <div id="editrow-custom_152" class="form-group">
725 <label class="col-sm-3 control-label" for="custom_152">
726 How do you plan to bring your
727 experience back to your community?
728 </label>
729 <div class="col-sm-9">
730 <textarea rows="4" name="custom_152" id="custom_152"
731 class="form-control"></textarea>
732 </div>
733 </div>
734
735 <div id="editrow-custom_153" class="form-group">
736 <label class="col-sm-3 control-label" for="custom_153">
737 Estimated travel and hotel expenses
738 </label>
739 <div class="col-sm-9">
740 <textarea rows="4" name="custom_153" id="custom_153"
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">
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>
757 </div>
758
759 <div class="form-group">
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>
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
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.
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>.
798 Copyright &copy; 2013-2014 Free Software Foundation.
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
833 <script type="text/javascript">
834 // @license magnet:?xt=urn:btih:8e4f440f4c65981c5bf93c76d35135ba5064d8b7&dn=apache-2.0.txt
835 // Copyright (C) 2013, 2014 Free Software Foundation, Inc
836
837 var cj = jQuery.noConflict(); $ = cj;
838
839 cj(function() {
840 countryID = "#country-Primary"
841 stateProvinceID = "#state_province-Primary"
842 callbackURL = "https://my.fsf.org/civicrm/ajax/jqState"
843 cj(countryID).chainSelect(stateProvinceID, callbackURL, null);
844 });
845
846 $(document).ready(lpNavPlace);
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
859 // @license-end
860 </script>
861 </body>
862</html>