2014/scholarships/index.html

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