2014/scholarships/index.html

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